School of Medicine (KABSOM)

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http://hdl.handle.net/20.500.12493/12

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Browsing School of Medicine (KABSOM) by Author "Afodun, Adam Moyosore"

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    Anxiety, Anger and Depression Amongst Low-Income Earners in Southwestern Uganda During the COVID-19 Total Lockdown
    (Kabale University, 2021) Archibong, Victor; Usman, Ibe Michael; Keneth Iceland, Kasozi; Osamudiamwen, Eric Aigbogun Jr.; Josiah, Ifie; Monima, Ann Lemuel; Ssebuufu, Robinson; Chekwech, Gaudencia; Terkimbi, Swase Dominic; Owoisinke, Okon; Mbiydzenyuy, Ngala Elvis; Adeoye, Azeez; Aruwa, oshua Ojodale; Afodun, Adam Moyosore; Odoma, Saidi; Ssempijja, Fred; Ayikobua, Emmanuel Tiyo; Ayuba, John Tabakwot; Nankya, Viola; Onongha, Comfort; Sussan, Henry; Matama, Kevin; Yusuf, Helen; Nalugo, Halima; MacLeod, Ewan; Welburn, Susan Christina
    Background: Low-income earners are particularly vulnerable to mental health, consequence of the coronavirus disease 2019 (COVID-19) lockdown restrictions, due to a temporary or permanent loss of income and livelihood, coupled with government-enforced measures of social distancing. This study evaluates the mental health status among low-income earners in southwestern Uganda during the first total COVID-19 lockdown in Uganda. Methods: A cross-sectional descriptive study was undertaken amongst earners whose income falls below the poverty threshold. Two hundred and fifty-three (n = 253) male and female low-income earners between the ages of 18 and 60 years of age were recruited to the study. Modified generalized anxiety disorder (GAD-7), Spielberger’s State-Trait Anger Expression Inventory-2 (STAXI-2), and Beck Depression Inventory (BDI) tools as appropriate were used to assess anxiety, anger, and depression respectively among our respondents. Results: Severe anxiety (68.8%) followed by moderate depression (60.5%) and moderate anger (56.9%) were the most common mental health challenges experienced by low-income earners in Bushenyi district. Awareness of mental healthcare increased with the age of respondents in both males and females. A linear relationship was observed with age and depression (r = 0.154, P = 0.014) while positive correlations were observed between anxiety and anger (r = 0.254, P < 0.001); anxiety and depression (r = 0.153, P = 0.015) and anger and depression (r = 0.153, P = 0.015). Conclusion: The study shows the importance of mental health awareness in low resource settings during the current COVID-19 pandemic. Females were identified as persons at risk to mental depression, while anger was highest amongst young males. Keywords: COVID-19 response, Africa, Socio-economic impacts, Psychosocial, Hunger, Women.
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    Cerebral Cortical Activity During Academic Stress Amongst Undergraduate Medical Students at Kampala International University (Uganda)
    (Kabale University, 2022) Mujinya, Regan; Kalange, Muhamudu; Ochieng, Juma John; Ninsiima, Herbert Izo; Eze, Ejike Daniel; Afodun, Adam Moyosore; Nabirumbi, Ritah; Sulaiman, Sheu Oluwadare; Kairania, Emmanuel; Echoru, Isaac; Okpanachi, Alfred Omachonu; Matama, Kevin; Asiimwe, Oscar Hilary; Nambuya, Grace; Usman, Ibe Michael; Obado, Osuwat Lawrence; Zirintunda, Gerald; Ssempijja, Fred; Nansunga, Miriam; Matovu, Henry; Ayikobua, Emmanuel Tiyo; Nganda, Ponsiano Ernest; Onanyang, David; Ekou, Justine; Musinguzi, Simon Peter; Ssimbwa, Godfrey; Keneth Iceland, Kasozi
    Background: Stress among medical students is related to their academic lifespan; however, information on brain health among medical students from developing countries continues to be scarce. The objective of this study was to establish perceived academic stress levels, assess the ability to cope with stress, and investigate its effects on the visual reaction time (VRT), audio reaction time (ART), and tactile reaction time (TRT) in the somatosensory cortex among medical students of Uganda. Methods: This was a cross-sectional study conducted among preclinical (n = 88) and clinical (n = 96) undergraduate medical students at Kampala International University Western Campus. A standard Perceived Stress Scale (PSS) was used to categorize stress into low, moderate, and severe while the ability to cope with stress was categorized into below average, average, above average, and superior stresscoper (SS). Data on reaction time were acquired through VRT, ART, and TRT using the catch-a-ruler experiment, and this was analyzed using SPSS version 20. Results: This study shows that preclinical students are more stressed than clinical students (PSS prevalence for low stress = preclinical; clinical: 40, 60%). Moderate stress was 48.4 and 51.6% while high perceived stress was 75 and 25% among preclinical and clinical students. Among male and female students in preclinical years, higher TRT and VRT were found in clinical students showing that stress affects the tactile and visual cortical areas in the brain, although the VRT scores were only significantly (P = 0.0123) poor in male students than female students in biomedical sciences. Also, highly stressed individuals had higher TRT and ART and low VRT. SS had high VRT and ART and low TRT in preclinical students, demonstrating the importance of the visual cortex in stress plasticity. Multiple regression showed a close relationship between PSS, ability to cope with stress, age, and educational level (P < 0.05), demonstrating the importance of social and psychological support, especially in the biomedical sciences. Conclusion: Preclinical students suffer more from stress and are poorer SS than clinical students. This strongly impairs their cortical regions in the brain, thus affecting their academic productivity. Keywords:Brain Stress, Medical Education, Cerebral Cortex, Brains, Africans, Reaction Time (RT), Academic Stress
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    COVID-19-Related Mental Health Burdens: Impact of Educational Level and Relationship Status Among Low-Income Earners of Western Uganda
    (Kabale University, 2021) Lemuel, Ann Monima; Usman, Ibe Michael; Keneth Iceland, Kasozi; Alghamdi, Saad; Aigbogun, Eric Osamudiamwen; Archibong, Victor; Ssebuufu, Robinson; Kabanyoro, Annet; Ifie, Josiah Eseoghene; Swase, Dominic Terkimbi; Ssempijja, Fred; Ayuba, John Tabakwot; Matama, Kevin; Onohuean, Hope; Kembabazi, Stellamaris; Henry, Rachael; Odoma, Said; Yusuf, Helen; Afodun, Adam Moyosore; Assaggaf, Hamza M.; Kairania, Emmanuel; Aslam, Akhmed; Okon, Owoisinke; Batiha, Gaber El-Saber; Welburn, Susan Christina
    Objective: The study aimed to investigate the relationship between mental health with the level of education, relationship status, and awareness on mental health among low-income earners in Western Uganda. Methods: This was a cross-sectional descriptive study carried out among 253 participants. Anxiety, anger, and depression were assessed using a modified generalized anxiety disorder (GAD-7), Spielberger’s State-Trait Anger Expression Inventory-2, and Beck Depression Inventory item tools, respectively. Results: The majority of our respondents were male (n = 150/253, 59.3), had a secondary level of education (104/253, 41.1), and were single (137/253, 54.2). No formal education and primary education (r2 = 47.4% and 6.4%, respectively) had a negative correlation with awareness of mental health care. In addition, no formal education had a positive correlation with anger and depression (r2 = 1.9% and 0.3%, respectively). Singleness in this study had a negative correlation with awareness of mental health care, anger, and depression (r2 = 1.9, 0.8, and 0.3%, respectively), and a positive correlation with anxiety (r2 = 3.9%). Conclusion: It is evident that education and relationship status influenced awareness on mental health care and mental health state among low-income earners in Western Uganda during the first COVID-19 lockdown. Therefore, policymakers should strengthen social transformation through the proper engagement of low-income earners in this COVID-19 era. Keywords: Mental Healthcare, Awareness, Relationship, Status, Educational Level, COVID-19, Low-Income Earners, Western Uganda.