Désiré Nanema - Academia.edu (original) (raw)

Papers by Désiré Nanema

Annales africaines de médecine, Dec 12, 2022

Context and objective. Occupational stress affects all activity branches. This study aimed to ass... more Context and objective. Occupational stress affects all activity branches. This study aimed to assess the prevalence of stress among teachers of the secondary school of Ouagadougou and identify the associated factors of stress among teachers of the secondary school of Ouagadougou. Methods. We conducted a cross-sectional study with secondary teachers in Ouagadougou. Fimian's teacher stress inventory was used to evaluate teacher stress levels. We used a logistical regression to identify stress-related factors in teachers. Results. Four hundred and thirty-nine teachers were involved. Their mean age was 43.58 years. They had on average a weekly hourly volume of 19.35 hours. They had been teaching for 15.61 years on average. The teachers who used psychoactives substances represented 34.85%, those who had medical condition represented 37.13%. The prevalence of work related stress among teacher was 16.4 %. Medical conditions (OR adjusted =2.06, p=0.012), the weekly hourly volume of more than 22 hours (OR ajusted=1.92, p=0.024) raised the risk of work related stress of teachers. In contrast, the leisures were a protector factor (OR adjusted =0.31, p=0.020). Conclusion. The prevalence of work related stress among secondary school teacher was high. Medical conditions, weekly hourly volume of more than 22 hours were identified as risk factors but leisures were identified as protector factor.

International Journal of Innovation and Applied Studies, 2019

Psychiatric manifestations may be a circumstance of discovery of hyperthyroidism, but may also co... more Psychiatric manifestations may be a circumstance of discovery of hyperthyroidism, but may also contribute to delayed diagnosis. We report in this work, two clinical cases that confirm the richness of clinical manifestations and sometimes the delay to diagnosis in our socio-cultural context. These were two 52-year-old and 48-year-old patients with psychomotor agitation syndrome, severe anxiety, and delusional persecution syndrome, all of which occurred on goiter. In both cases, the thyroid assessment showed a collapsed TSH and elevated thyroid hormones, confirming the diagnosis of hyperthyroidism. The evolution was favorable under synthetic antithyroid and neuroleptics. Both patients subsequently benefited from subtotal thyroidectomy with simple operative follow-up. Multidisciplinary care, psychiatry and internal medicine were provided in both cases.

Annales de Dermatologie et de Vénéréologie, 2019

International journal of innovation and scientific research, 2016

We report the case of a 27-year-old lady with psychiatric history, presented to dermatological co... more We report the case of a 27-year-old lady with psychiatric history, presented to dermatological consultation with 6 years, ambiguous history of recurrent skin ulcerations on her members, abdomen, chest and face, the cause of which she could not explain. Examination revealed different age lesions: erosive lesions of one to two centimeters, with net borders coexisting with crusted lesions and scarring hyper pigmented lesions situated on accessible parts of the body. No general signs accompanied these lesions and laboratory testing was normal. The diagnosis of dermatitis artefacta was raised, motivating a deepening interrogation that revealed psychosocial and interpersonal difficulties. Abandoned by her husband, who had married a second wife for six years (date of appearance of lesions). She was also accused to be responsible of repeated miscarriages of the second wife, and then repudiated without her 3 children who are abused by the second wife. Her psychiatric evaluation revealed a se...

LInformation Psychiatrique, 2019

L'Information psychiatrique, 2017

Resume Le Burkina Faso a ete touche le 15 janvier 2016 par des attentats qui ont fait une trentai... more Resume Le Burkina Faso a ete touche le 15 janvier 2016 par des attentats qui ont fait une trentaine de morts et une centaine de blesses. La prise en charge medico-psychologique des victimes lors de tels evenements est indispensable. Tres tot, les professionnels de sante mentale du Burkina Faso ont mis en place une cellule d’urgence medico-psychologique. Sur les deux sites, une centaine de victimes directes ou indirectes a ete recue. La cellule a organise des soins immediats et post-immediats, en des seances de soins individuels et/ou de groupes, ainsi que des visites a domicile. Au-dela des difficultes liees a la gestion de tels evenements, la principale lecon tiree est la necessite de creer au Burkina Faso un cadre formel de gestion de l’urgence medico-psychologique.

Annales Médico-psychologiques, revue psychiatrique, 2018

Resume La consommation de drogues est une comorbidite frequente chez les malades psychiatriques. ... more Resume La consommation de drogues est une comorbidite frequente chez les malades psychiatriques. A ete menee au service de psychiatrie du Centre Hospitalier Regional (CHR) de Koudougou une etude transversale descriptive du 25 mars 2015 au 1er mai 2015 en vue d’etudier les caracteristiques epidemiologiques, psychopathologiques et therapeutiques de la consommation de drogues chez les patients. Les patients ont ete inclus au fur et a mesure qu’ils se presentaient dans le service et qu’ils acceptaient de facon libre et eclairee de participer a l’etude. Le questionnaire OMS-ASSIST a permis le depistage des drogues consommees, l’evaluation des niveaux de risque lies aux consommations et les types d’intervention therapeutique necessaires. L’enquete a concerne 103 patients. Les prevalences les plus fortes des patients ayant consomme au moins une fois dans leur vie les substances psychoactives etaient celles de l’alcool (62,14 %) et du tabac (50,48 %). Cette etude a montre une forte prevalen...

L'Encéphale, 2019

Objectifs.-Déterminer à l'aide du « Mini-International Neuropsychiatric Interview » (MINI), la pr... more Objectifs.-Déterminer à l'aide du « Mini-International Neuropsychiatric Interview » (MINI), la prévalence des troubles mentaux dans la population générale au Burkina Faso ; identifier les facteurs associés à la survenue de ces troubles. Matériel et méthode.-Nous avons procédé par une enquête transversale descriptive et analytique sur un échantillon représentatif de la population générale âgée d'au moins 18 ans (n = 2587). Résultats.-Le taux de prévalence des troubles mentaux était de 41,43 %. Il était significativement plus élevé chez les femmes que chez les hommes (46,24 % versus 35,01 %; p ≤ 0,001). L'épisode dépressif était le trouble le plus fréquent au sein de la population enquêtée.

Perspectives Psy, 2015

Au Burkina Faso, il existe une amelioration de l’acces aux soins psychiatriques dans l’ensemble d... more Au Burkina Faso, il existe une amelioration de l’acces aux soins psychiatriques dans l’ensemble du pays. Cependant, il est courant d’observer dans les rues des grandes villes, des malades mentaux errants, cohabitant avec le reste de la population. Cet article, purement descriptif, visait a cerner les determinants socioeconomiques et culturels, pouvant expliquer l’abandon sans soins de ces patients dans la ville de Ouahigouya. A la lumiere de nos resultats, trois principaux types de facteurs ont ete notes et pourraient expliquer cette situation : la pauvrete economique, l’absence de dispositif public de prise en charge des malades mentaux errants et la tolerance culturelle a la presence des malades mentaux errants non violents.

Burkina Faso was hit on January 15, 2016 by attacks that left thirty dead and a hundred wounded. ... more Burkina Faso was hit on January 15, 2016 by attacks that left thirty dead and a hundred wounded. Medical-psychological care for survivors and families of the victims of such events is essential. Very early on, the mental health professionals of Burkina Faso set up an informal medical-psychological emergency unit. Approximately 100 direct or indirect victims were received across two sites. The unit organized immediate and post-immediate care, sessions of individual and group debriefing, and home visits. Beyond the difficulties associated with managing such events, the main lesson learned was the need to create a formal framework for the management of medical-psychological emergencies.

Au Burkina Faso, il existe une amelioration de l’acces aux soins psychiatriques dans l’ensemble d... more Au Burkina Faso, il existe une amelioration de l’acces aux soins psychiatriques dans l’ensemble du pays. Cependant, il est courant d’observer dans les rues des grandes villes, des malades mentaux errants, cohabitant avec le reste de la population. Cet article, purement descriptif visait a cerner les perceptions socio economiques et culturels pouvant expliquer l’abandon sans soins de ces patients dans la ville de Ouahigouya. A la lumiere de nos resultats, trois principaux types de facteurs ont ete notes et pourraient expliquer cette situation : la pauvrete economique, l’absence de dispositif public de prise en charge des malades mentaux errants et la tolerance culturelle a la presence des malades mentaux errants non violents. Mots-cles : Errance, Malades mentaux, Perceptions, Ouahigouya, Burkina Faso. Perceptions of wandering mentally ill in urban area of Burkina Faso: case of the city of Ouahigouya In Burkina Faso, there is an improvement in access to mental health services across ...

Journal of Psychiatry and Psychiatric Disorders, 2018

The presence of female personnel in the army of Burkina Faso is a recent phenomenon. The first mi... more The presence of female personnel in the army of Burkina Faso is a recent phenomenon. The first military women have joined the army from 2007 onwards. This integration into this previously male environment exposes women to specific psychological difficulties. The objective of this survey was to study the psychosocial risks (PSR) incurred by female military personnel of the army in Burkina Faso, and to identify the factors associated with these risks. It was a descriptive cross-sectional and once-through analytical study that ran from March 8, 2016 to May 9, 2016. During the study period, 195 female military members from all departments and services of the National armed forces, mostly young, were investigated. The main factors associated with psychosocial risks were seniority in the profession, rank, service constraints, lack of independence, and interpersonal relationships. PSR (Psycho-Social Risks) have deleterious effects on the psychological health, motivation and job performance of female staff. At the end of our study, it seems necessary to set up a program to fight against the PSR incurred by this female staff in the National Army of Burkina Faso.

Revue Neurologique, 2018

Déclaration de liens d'intérêts Les auteurs n'ont pas précisé leurs éventuels liens d'intérêts.

Open Journal of Rheumatology and Autoimmune Diseases, 2019

Objective: To study the frequency and factors associated with depression in rheumatoid arthritis ... more Objective: To study the frequency and factors associated with depression in rheumatoid arthritis (RA) among Black African patients. Patients and methods: It was a case-control study with a group of patients with RA (case) and a group of healthy subjects without rheumatoid arthritis (controls) matched by age and sex. All patients admitted to the rheumatologic department during February 2015 to July 2015 for rheumatoid arthritis meeting the criteria ACR/EULAR 2010, were included. Patients with high blood pressure, diabetes mellitus, renal failure or HIV infection have been excluded. Depression was assessed by the Hamilton Rating Scale for Depression. Results: Fifty patients with RA were included and compared to 100 healthy controls. For RA patients, it was 39 (78%) female and 11 (22%) male with a sex ratio of 0.28. In the control group, it was 77 (77%) female and 23 (23%) male with a sex ratio of 0.29. Twenty-seven (54%) patients with RA had depression compared with 17 (17%) subjects in the control group (p = 0.000). Impaired quality of life and a DAS 28 score greater than 3.2 were statistically associated with depression during RA with a p value respectively of 0.021 and 0.0000231. Conclusion: Depression is significantly more common during RA than in non-RA controls. RA patients should be screened routinely for depression in order to ensure improved treatment and management.

Open Journal of Depression, 2019

Background: Depression is the most common psychiatric disorder in patients with epilepsy. The aim... more Background: Depression is the most common psychiatric disorder in patients with epilepsy. The aim of this study was to determine the prevalence of depressive symptoms and its factors associated in patients with epilepsy at the Yalgado Ouedraogo University Teaching Hospital (Burkina Faso). Methods: This was a prospective 6-month study carried out in Neurology Department from February to July 2017. This study included all the patients with epilepsy aged over 18 years. Sampling was non-random with systematic recruitment. The informed consent of the patient was required. All included patients were assessed using the Hamilton Depression Scale and Gererd questionnaire. The analysis of the data was performed by the software Epi Info version 7. Results: One hundred two patients with epilepsy with a mean age of 41.47 ± 16.67 years were included. The symptoms of depression were present in 67.3% of patients with epilepsy with a mean age of 42.59 ± 17 years, and 78 years (19-88 years). Depression was mild in 35%, moderate in 34% and severe in 31%. The prevalence of depressive symptoms was respectively 57.6% in male patients and 79% in female gender. The mean score of HDRS for depression was 15.62 ± 4.26. Hypochondriasis (97%), work and interest (95.5%) and anxiety-somatic (94.1%) were the most symptoms of HDRS-17. Higher scores were found for work and interests, anxiety-psychic and hypochondriasis. There was a significant association between perceived stigma, female gender, seizure frequency and presence of depression among patients with epilepsy (p < 0.05). Conclusion: Our study had found a high prevalence of depression among patients with epilepsy. High perceived stigma, female How to cite this paper: Dabilgou, A. A.,

Annales africaines de médecine, Dec 12, 2022

Context and objective. Occupational stress affects all activity branches. This study aimed to ass... more Context and objective. Occupational stress affects all activity branches. This study aimed to assess the prevalence of stress among teachers of the secondary school of Ouagadougou and identify the associated factors of stress among teachers of the secondary school of Ouagadougou. Methods. We conducted a cross-sectional study with secondary teachers in Ouagadougou. Fimian's teacher stress inventory was used to evaluate teacher stress levels. We used a logistical regression to identify stress-related factors in teachers. Results. Four hundred and thirty-nine teachers were involved. Their mean age was 43.58 years. They had on average a weekly hourly volume of 19.35 hours. They had been teaching for 15.61 years on average. The teachers who used psychoactives substances represented 34.85%, those who had medical condition represented 37.13%. The prevalence of work related stress among teacher was 16.4 %. Medical conditions (OR adjusted =2.06, p=0.012), the weekly hourly volume of more than 22 hours (OR ajusted=1.92, p=0.024) raised the risk of work related stress of teachers. In contrast, the leisures were a protector factor (OR adjusted =0.31, p=0.020). Conclusion. The prevalence of work related stress among secondary school teacher was high. Medical conditions, weekly hourly volume of more than 22 hours were identified as risk factors but leisures were identified as protector factor.

International Journal of Innovation and Applied Studies, 2019

Psychiatric manifestations may be a circumstance of discovery of hyperthyroidism, but may also co... more Psychiatric manifestations may be a circumstance of discovery of hyperthyroidism, but may also contribute to delayed diagnosis. We report in this work, two clinical cases that confirm the richness of clinical manifestations and sometimes the delay to diagnosis in our socio-cultural context. These were two 52-year-old and 48-year-old patients with psychomotor agitation syndrome, severe anxiety, and delusional persecution syndrome, all of which occurred on goiter. In both cases, the thyroid assessment showed a collapsed TSH and elevated thyroid hormones, confirming the diagnosis of hyperthyroidism. The evolution was favorable under synthetic antithyroid and neuroleptics. Both patients subsequently benefited from subtotal thyroidectomy with simple operative follow-up. Multidisciplinary care, psychiatry and internal medicine were provided in both cases.

Annales de Dermatologie et de Vénéréologie, 2019

International journal of innovation and scientific research, 2016

We report the case of a 27-year-old lady with psychiatric history, presented to dermatological co... more We report the case of a 27-year-old lady with psychiatric history, presented to dermatological consultation with 6 years, ambiguous history of recurrent skin ulcerations on her members, abdomen, chest and face, the cause of which she could not explain. Examination revealed different age lesions: erosive lesions of one to two centimeters, with net borders coexisting with crusted lesions and scarring hyper pigmented lesions situated on accessible parts of the body. No general signs accompanied these lesions and laboratory testing was normal. The diagnosis of dermatitis artefacta was raised, motivating a deepening interrogation that revealed psychosocial and interpersonal difficulties. Abandoned by her husband, who had married a second wife for six years (date of appearance of lesions). She was also accused to be responsible of repeated miscarriages of the second wife, and then repudiated without her 3 children who are abused by the second wife. Her psychiatric evaluation revealed a se...

LInformation Psychiatrique, 2019

L'Information psychiatrique, 2017

Resume Le Burkina Faso a ete touche le 15 janvier 2016 par des attentats qui ont fait une trentai... more Resume Le Burkina Faso a ete touche le 15 janvier 2016 par des attentats qui ont fait une trentaine de morts et une centaine de blesses. La prise en charge medico-psychologique des victimes lors de tels evenements est indispensable. Tres tot, les professionnels de sante mentale du Burkina Faso ont mis en place une cellule d’urgence medico-psychologique. Sur les deux sites, une centaine de victimes directes ou indirectes a ete recue. La cellule a organise des soins immediats et post-immediats, en des seances de soins individuels et/ou de groupes, ainsi que des visites a domicile. Au-dela des difficultes liees a la gestion de tels evenements, la principale lecon tiree est la necessite de creer au Burkina Faso un cadre formel de gestion de l’urgence medico-psychologique.

Annales Médico-psychologiques, revue psychiatrique, 2018

Resume La consommation de drogues est une comorbidite frequente chez les malades psychiatriques. ... more Resume La consommation de drogues est une comorbidite frequente chez les malades psychiatriques. A ete menee au service de psychiatrie du Centre Hospitalier Regional (CHR) de Koudougou une etude transversale descriptive du 25 mars 2015 au 1er mai 2015 en vue d’etudier les caracteristiques epidemiologiques, psychopathologiques et therapeutiques de la consommation de drogues chez les patients. Les patients ont ete inclus au fur et a mesure qu’ils se presentaient dans le service et qu’ils acceptaient de facon libre et eclairee de participer a l’etude. Le questionnaire OMS-ASSIST a permis le depistage des drogues consommees, l’evaluation des niveaux de risque lies aux consommations et les types d’intervention therapeutique necessaires. L’enquete a concerne 103 patients. Les prevalences les plus fortes des patients ayant consomme au moins une fois dans leur vie les substances psychoactives etaient celles de l’alcool (62,14 %) et du tabac (50,48 %). Cette etude a montre une forte prevalen...

L'Encéphale, 2019

Objectifs.-Déterminer à l'aide du « Mini-International Neuropsychiatric Interview » (MINI), la pr... more Objectifs.-Déterminer à l'aide du « Mini-International Neuropsychiatric Interview » (MINI), la prévalence des troubles mentaux dans la population générale au Burkina Faso ; identifier les facteurs associés à la survenue de ces troubles. Matériel et méthode.-Nous avons procédé par une enquête transversale descriptive et analytique sur un échantillon représentatif de la population générale âgée d'au moins 18 ans (n = 2587). Résultats.-Le taux de prévalence des troubles mentaux était de 41,43 %. Il était significativement plus élevé chez les femmes que chez les hommes (46,24 % versus 35,01 %; p ≤ 0,001). L'épisode dépressif était le trouble le plus fréquent au sein de la population enquêtée.

Perspectives Psy, 2015

Au Burkina Faso, il existe une amelioration de l’acces aux soins psychiatriques dans l’ensemble d... more Au Burkina Faso, il existe une amelioration de l’acces aux soins psychiatriques dans l’ensemble du pays. Cependant, il est courant d’observer dans les rues des grandes villes, des malades mentaux errants, cohabitant avec le reste de la population. Cet article, purement descriptif, visait a cerner les determinants socioeconomiques et culturels, pouvant expliquer l’abandon sans soins de ces patients dans la ville de Ouahigouya. A la lumiere de nos resultats, trois principaux types de facteurs ont ete notes et pourraient expliquer cette situation : la pauvrete economique, l’absence de dispositif public de prise en charge des malades mentaux errants et la tolerance culturelle a la presence des malades mentaux errants non violents.

Burkina Faso was hit on January 15, 2016 by attacks that left thirty dead and a hundred wounded. ... more Burkina Faso was hit on January 15, 2016 by attacks that left thirty dead and a hundred wounded. Medical-psychological care for survivors and families of the victims of such events is essential. Very early on, the mental health professionals of Burkina Faso set up an informal medical-psychological emergency unit. Approximately 100 direct or indirect victims were received across two sites. The unit organized immediate and post-immediate care, sessions of individual and group debriefing, and home visits. Beyond the difficulties associated with managing such events, the main lesson learned was the need to create a formal framework for the management of medical-psychological emergencies.

Au Burkina Faso, il existe une amelioration de l’acces aux soins psychiatriques dans l’ensemble d... more Au Burkina Faso, il existe une amelioration de l’acces aux soins psychiatriques dans l’ensemble du pays. Cependant, il est courant d’observer dans les rues des grandes villes, des malades mentaux errants, cohabitant avec le reste de la population. Cet article, purement descriptif visait a cerner les perceptions socio economiques et culturels pouvant expliquer l’abandon sans soins de ces patients dans la ville de Ouahigouya. A la lumiere de nos resultats, trois principaux types de facteurs ont ete notes et pourraient expliquer cette situation : la pauvrete economique, l’absence de dispositif public de prise en charge des malades mentaux errants et la tolerance culturelle a la presence des malades mentaux errants non violents. Mots-cles : Errance, Malades mentaux, Perceptions, Ouahigouya, Burkina Faso. Perceptions of wandering mentally ill in urban area of Burkina Faso: case of the city of Ouahigouya In Burkina Faso, there is an improvement in access to mental health services across ...

Journal of Psychiatry and Psychiatric Disorders, 2018

The presence of female personnel in the army of Burkina Faso is a recent phenomenon. The first mi... more The presence of female personnel in the army of Burkina Faso is a recent phenomenon. The first military women have joined the army from 2007 onwards. This integration into this previously male environment exposes women to specific psychological difficulties. The objective of this survey was to study the psychosocial risks (PSR) incurred by female military personnel of the army in Burkina Faso, and to identify the factors associated with these risks. It was a descriptive cross-sectional and once-through analytical study that ran from March 8, 2016 to May 9, 2016. During the study period, 195 female military members from all departments and services of the National armed forces, mostly young, were investigated. The main factors associated with psychosocial risks were seniority in the profession, rank, service constraints, lack of independence, and interpersonal relationships. PSR (Psycho-Social Risks) have deleterious effects on the psychological health, motivation and job performance of female staff. At the end of our study, it seems necessary to set up a program to fight against the PSR incurred by this female staff in the National Army of Burkina Faso.

Revue Neurologique, 2018

Déclaration de liens d'intérêts Les auteurs n'ont pas précisé leurs éventuels liens d'intérêts.

Open Journal of Rheumatology and Autoimmune Diseases, 2019

Objective: To study the frequency and factors associated with depression in rheumatoid arthritis ... more Objective: To study the frequency and factors associated with depression in rheumatoid arthritis (RA) among Black African patients. Patients and methods: It was a case-control study with a group of patients with RA (case) and a group of healthy subjects without rheumatoid arthritis (controls) matched by age and sex. All patients admitted to the rheumatologic department during February 2015 to July 2015 for rheumatoid arthritis meeting the criteria ACR/EULAR 2010, were included. Patients with high blood pressure, diabetes mellitus, renal failure or HIV infection have been excluded. Depression was assessed by the Hamilton Rating Scale for Depression. Results: Fifty patients with RA were included and compared to 100 healthy controls. For RA patients, it was 39 (78%) female and 11 (22%) male with a sex ratio of 0.28. In the control group, it was 77 (77%) female and 23 (23%) male with a sex ratio of 0.29. Twenty-seven (54%) patients with RA had depression compared with 17 (17%) subjects in the control group (p = 0.000). Impaired quality of life and a DAS 28 score greater than 3.2 were statistically associated with depression during RA with a p value respectively of 0.021 and 0.0000231. Conclusion: Depression is significantly more common during RA than in non-RA controls. RA patients should be screened routinely for depression in order to ensure improved treatment and management.

Open Journal of Depression, 2019

Background: Depression is the most common psychiatric disorder in patients with epilepsy. The aim... more Background: Depression is the most common psychiatric disorder in patients with epilepsy. The aim of this study was to determine the prevalence of depressive symptoms and its factors associated in patients with epilepsy at the Yalgado Ouedraogo University Teaching Hospital (Burkina Faso). Methods: This was a prospective 6-month study carried out in Neurology Department from February to July 2017. This study included all the patients with epilepsy aged over 18 years. Sampling was non-random with systematic recruitment. The informed consent of the patient was required. All included patients were assessed using the Hamilton Depression Scale and Gererd questionnaire. The analysis of the data was performed by the software Epi Info version 7. Results: One hundred two patients with epilepsy with a mean age of 41.47 ± 16.67 years were included. The symptoms of depression were present in 67.3% of patients with epilepsy with a mean age of 42.59 ± 17 years, and 78 years (19-88 years). Depression was mild in 35%, moderate in 34% and severe in 31%. The prevalence of depressive symptoms was respectively 57.6% in male patients and 79% in female gender. The mean score of HDRS for depression was 15.62 ± 4.26. Hypochondriasis (97%), work and interest (95.5%) and anxiety-somatic (94.1%) were the most symptoms of HDRS-17. Higher scores were found for work and interests, anxiety-psychic and hypochondriasis. There was a significant association between perceived stigma, female gender, seizure frequency and presence of depression among patients with epilepsy (p < 0.05). Conclusion: Our study had found a high prevalence of depression among patients with epilepsy. High perceived stigma, female How to cite this paper: Dabilgou, A. A.,