Original article

Study of Socio-demographic Profile and Course of Mania in Nepali Population

Suman Prasad Adhikari
Nepalese Army Institute of Health Sciences, Bhandarkhal

Worldwide Medicine 2019; 1(8): 257-267 | DOI: 10.5455/ww.302644400      PDF


Abstract


Background: Several researchers have attempted to study the socio-demographic profile and course in mania. However there was no orderliness in the research pursuit of understanding this disorder in the context of Nepal. This study was carried out to study the socio-demographic profile and course of illness in mania. The objective was to study the socio- demographic correlates of mania in Nepali population.
Methods: A descriptive study was conducted among 75 patients admitted to ward of Mental Hospital. The screening tools, such as socio-demographic proforma and clinical proforma were used for collecting information.
Results: Out of a total of 75 patients studied, 48 (64%) were male and 27 (36%) were female. Majority of patients (61.33%) were from the rural setting. 57 (76%) participants were from the low socioeconomic status. The educational status of 44% patients was up to secondary level, 22.67% higher secondary level, 12% primary level, 12% were illiterate and 6.67% had no formal education and 2.67% had achieved graduate level education. Regarding occupation, most were students (26.67%), followed by housewife (17.33%) and laborer (14.67%). 8% of the sample was unemployed. Among patients involved in this study, majority were married (52%). Most of the patients 37.33% had suffered from first manic episode. 46.67% had acute onset and 53.33% had gradual onset. 42.67% had onset before age of 20-29. 84% had no depressive episode in past.
Conclusion: This study identified that mania is more common among male population as compared to female. Being single or divorced can be a risk factor for manic states and the rate of family breakdown also increases in manic patients. The relationship between socio-economic factors and mania is complex. The cause and effect may be reversed. Mania has onset below 20 years of age and is rare after age of 40.

Keywords: mania, socio-demographic profile, manic episodes