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November 22, 2024
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December 24, 2024
Published
December 26, 2024
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Abstract

Background: Bipolar disorder is one of the most prevalent psychiatric conditions in Kenya. Studies conducted outside Kenya show that bipolar disorders and psychotic disorders are interlinked by family relations, while alcohol and substance use disorders are their important comorbidities. This study investigated the prevalence and associated factors of psychotic, alcohol and substance use disorders among first-degree relatives (FDR) of patients with bipolar disorders at a referral hospital in Western Kenya.


Methods: This was a cross-sectional quantitative study. Consecutive and Simple random sampling were used, with a sample size of 381. The Mini International Neuropsychiatric Interview (MINI) was used for data collection. The chi-square test measured associations utilizing a 95% confidence interval.


Results: The prevalences of psychotic, alcohol and substance use disorders were 23.6%, 13.6%, and 6%, respectively. Employment was significantly associated with psychotic disorder (P=0.038), and relation to the patient was significantly associated with alcohol use disorder (P=0.007) and substance use disorder (P=0.001).


Conclusion: Among the relatives of patients with bipolar disorders, there is a high prevalence of psychotic, alcohol and substance use disorders.

Keywords

Bipolar Psychosis Substances Cross-sectional Kenya

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Copyright (c) 2024 Kimutai Katwa, Benson Gakinya, Irene Chesire, Maloosoy Katwa, Nicodemus Kuboi

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Author Biographies

Kimutai Katwa, Moi University, Kenya

Dr. Kimutai Barng’enda Katwa is a medical doctor who is currently a psychiatry resident at the Department of Mental Health and Behavioral Sciences at Moi University in Kenya. Dr. Katwa’s research interests focus on mental health genetics, addiction, and child and adolescent psychiatry.

Benson Gakinya, Moi University, Kenya

Benson N. Gakinya is a Professor of Psychiatry in the Department of Mental Health and Behavioral Sciences at Moi University in Kenya. He serves as a consultant psychiatrist at the university, where he also lectures. Prof. Gakinya specializes in addiction, child and forensic psychiatry, as well as ethics in the medical profession. He has contributed to research and has been instrumental in the development of graduate programs. As a consultant, he established mental health services at AMPATH and continues to provide liaison psychiatry services at Moi Teaching and Referral Hospital in Eldoret, Kenya.

Irene Chesire, Moi University, Kenya

Irene Chesire is a Senior Lecturer in the Department of Mental Health and Behavioral Sciences at Moi University in Kenya. Her research interests include depression, counseling, sports, and mental health. She is an accredited counselor with a PhD in Educational Psychology and focuses on providing psychotherapy for youth and adults.

Maloosoy Katwa, Moi Teaching and Referral Hospital, Kenya

Maloosoy Katwa is a medical doctor and currently a medical officer at Lodwar County Referral Hospital. His research interests are in internal medicine with emphasis on mental health aspects of internal medicine.

Nicodemus Kuboi, Alexandria Cancer Hospital, Kenya

Nicodemus Kuboi is a psychologist and is currently affiliated to Moi Teaching and Referral Hospital as a freelance research assistant in research being conducted at the hospital. He has worked extensively in Eldoret as a mental health research assistant. He is interested in mental health research related to cancer care.

How to Cite
Katwa, K., Gakinya, B., Chesire, I., Katwa, M., & Kuboi, N. (2024). Psychotic and Substance Use Disorders Among Relatives of Patients with Bipolar Disorder at a Hospital in Kenya. Pan-African Journal of Health and Environmental Science, 3(2), 113–131. https://doi.org/10.56893/ajhes2024v03i02.07
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