Date of Conferral





Public Health


Wen-Hung Kuo


An investigation into the upstream determinants of mental disorders could provide insight into pathways by which these risk factors could relate to different groups of mental illness. The study was a quantitative inquiry using constructs within the Rothman’s sufficient and component cause framework to examine the pathways existing between upstream risk factors for schizophrenic and mood disorders. The study population was drawn from a convenience sample of clients accessing services at the psychiatry departments of a secondary mental health institution in North-Central Nigeria. The mean age of the participants in this study was 35.5years. The majority were males (53.4%), single (55.1%), belonged to Christian religion (84.7%), in the lower socioeconomic group (55.6%), and were diagnosed with mood disorders (59.3%). There were no statistically significant differences in the way a family history of mental disorders influenced schizophrenic and mood disorders. On univariate analysis, there was a statistically significant difference in the way intimate partner violence (IPV) influenced schizophrenic and mood disorders (p = .01) with majority (85.7%) of participants that were exposed to IPV having schizophrenia. However, this difference paled to insignificance on multivariate analysis (p = .06). Multivariate analysis showed that when socioeconomic status was introduced as a confounder, there was no statistically significant difference in the way schizophrenic and mood disorders influenced the participants’ coping strategies. Understanding the risk factors for mental health disorders could contribute to the quality of care for individuals with the disorder and can be a useful resource for those affected by mental illnesses and their family.