Correlates of psychiatric morbidity and case identification in Ibadan, Nigeria.

Objective: To determine the correlates of psychiatric morbidity and the factors that may influence the recognition of psychiatric cases in primary care.

Design: In the cross-sectional survey, the sample was selected by systematic sampling technique. Each subject was interviewed in sequence by a research nurse, a psychiatrist and a general practitioner (GP).

Health problems and socio-demographic findings in elderly Nigerians.

Nine hundred and fifty-one persons aged 60 years and over, living at home in four locations in southwestern Nigeria were studied. The cohort representing urban and rural dwellers, constituted 7.8% of the total population.

Attitude to aging among different groups in Nigeria.

Attitude to aging and the aged was surveyed in three groups of Nigerians, 1) caregivers living at home with the elderly, 2) various categories of hospital workers, and 3) the general public. Based on scores of an eleven-item questionnaire the best attitude was in caregivers, and the poorest in hospital workers. Years of education had an overall negative effect on attitudinal measurement.

Integrating psychiatry into primary care: an experimental model.

General practitioners (GPs) working in a busy primary care setting attached to a teaching hospital were exposed to patient-centred feedback teaching in which symptoms elicited by the general practitioner (GP) and an interview schedule in the index patient were used as a focus for instruction. Each of the seven GPs who completed the study had an average of 52 validated exposures spread over 3 months. Three of them became much better at detecting psychiatric disorders, two showed no noticeable improvement and two showed some deterioration.