Bio

Publications


2017

Kibera, AN, Kuria MW, Kokonya DA.  2017.  Alcohol Use Disorders among HIV and AIDS Patients at Kenyatta National Hospital (KNH) Comprehensive Care Centre, Nairobi, Kenya. International Journal of Research and Health Sciences. 2(7):21-30.
Falkenstrom, F, Gee MG, Kuria MW, Othieno CJ, Kumar M.  2017.  Improving the effectiveness of psychotherapy in two public hospitals in Nairobi. BJP Psych. International. 14(3)

2015

Omondi, LA, Kuria MW, Wanzala P.  2015.  Qualitative analysis of preoperative assessment practices in elective surgery at Kenyatta and Mater Hospitals in Kenya. International Journal of Research. 2(9):80-85.
Omondi, LA, Kuria MW, Wanzala P.  2015.  Validating preoperative assessment tool for per operative nursing. International Journal of Research. 2(9):86-93.
Maina, R, Obondo A, Kuria MW, Donovan DW.  2015.  Substance use literacy: implications for HIV medication adherence and addiction severity among substance users. African Journal of Drug & Alcohol Studies. 14(2)
Muhingi, WN, Mutavi T, Kokonya D, Simiyu NV, Musungu B, Obondo A, Kuria MW.  2015.  Social Networks and Students’ Performance in Secondary Schools: Lessons from an Open Learning Centre, Kenya.. Journal of Education and Practice. 6(21):171-177.

2014

Kuria, MW.  2014.  Ethics in Psychiatry Chapter 19. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Treatments in Psychiatry Chapter 18. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Neuropsychiatric Aspects of Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome Chapter 17. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Psychiatry of the Elderly Chapter 16. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Disorders of Infancy, Childhood and Adolescence Chapter 15. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Adjustment Disorders Chapter 14. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Factitious Disorders Chapter 13. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Disorders of Eating Chapter 12. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Sexual and Gender Identity Disorders Chapter 11. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Personality Disorders Chapter 10. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Dissociative Disorders Chapter 9. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Psychiatric Emergencies Chapter 8. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Psychotic Disorders Chapter 7. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Substance Use Disorders Chapter 6. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Sleep Disorders Chapter 5. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Mood Disorders Chapter 4. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Somatoform Disorders Chapter 3. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Anxiety Disorders Chapter 2. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Psychiatry Assessment Chapter 1. Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kuria, MW.  2014.  Aid to Undergraduate Psychiatry. , Nairobi: Kenyatta University Press
Kokonya, DA, Kuria MW, Ong'echa FA, Mburu JM, Ndetei DM.  2014.  Complex Post Traumatic Stress Disorder (PTSD) in Defilement: Case Report. Open Journal of Psychiatry. 4

2013

Kuria, MW, Omondi L, Olando Y, Makenyengo M, Bukusi D.  2013.  Is Sexual Abuse a Part of War? A 4-Year Retrospective Study on Cases of Sexual Abuse at the Kenyatta National Hospital, Kenya Journal of Public Health in Africa. 4(e5):24-26.
  2013.  Kuria, M. and Olando, Y. Cost Effectiveness of Community Based and Residential Based treatment of Alcohol Use Disorders. Greener Journal of Medical Sciences ISSN: 2276-7797 . 3(2):071-078.
  2013.  Mary Wangari Kuria. Factors associated with relapse and remission of alcohol dependent persons after community based treatment. Abstract

Knowledge of factors associated with relapse and remission after treatment for alcohol dependence en-
ables the clinician to offer better individualized treatment. It also enables the clinician to predict which
patients are likely to relapse and therefore offer appropriate and effective treatment to prevent relapse.
Objective: This study sought to determine the factors associated with remission and relapse in a group of
alcohol dependent persons undergoing Community Based Detoxification and Rehabilitation of alcohol
dependent persons. Method: One hundred and eighty eight (188) persons with Alcohol Use Disorder Identi-
fication Test (AUDIT) positive were subjected to outpatient detoxification for 10 days using a pair of
ampoules of high potency Vitamin B and C intravenously daily for 3 consecutive days, diazepam 5 mg
and carbamazepine 200 mg for 5 and 10 consecutive nights respectively on an outpatient basis. The par-
ticipants were visited twice a week (at home) by the community based health workers and reviewed once
a week by the principal investigator and attended a bimonthly group therapy session conducted in groups
of 20 s as part of the rehabilitation process. The groups were converted to self-help groups after 4
months to generate income for the participants. Results: Factors significantly associated with relapse to
alcohol use included severity of alcohol use and craving for alcohol at intake and the age of onset of alco-
hol drinking. Further there was a statistically significant predictive value in the mean score of alcohol re-
lated problems in the community based group (health,social, financial and legal). Conclusion: Identifying
factors that are associated with relapse after alcoholdependence treatment is likely to improve the effec-
tiveness of treatment and prevent relapse in persons at risk.

2012

Owiti, FR, Olando Y, Kuria MW, Likata GUM.  2012.  Sexual Dysfunction among Patients with Diabetes Mellitus. Greener Journal of Medical Sciences ISSN: 2276-7797. 2(6):138-145. Abstract

Sexual dysfunction can impact a person’s ability to form or sustain intimate relationships and co morbidity between sexual dysfunction and anxiety as well as depression has been reported. Yet epidemiological, etiological, and health association to sexual dysfunction has only begun to be explored in Kenya. To determine the prevalence, types of sexual dysfunction and their socio demographic correlate in diabetic patients. Descriptive cross- sectional study The study was conducted at the outpatient diabetic clinic of Kenyatta National Hospital. This is the main referral hospital in Kenya. A total of 350 participants were enrolled in the study. The Female Sexual Function Index (FSFI) and the International Index of Erectile Function (IIEF) questionnaires were used to evaluate sexual dysfunctions in female and male patients respectively. The participants were composed of 164 females aged between 18-74 years and 186 males aged between 19- 100 years. In males, prevalence of sexual dysfunctions were: erectile dysfunction (68.8%); orgasmic dysfunction (48.4%); sexual desire (81.7%); intercourse satisfaction (86.6%) and overall satisfaction (68.4%).The female sexual dysfunction was 36.6% and was categorized as mild (17.1%); moderate (18.3%) and severe (1.2%). Diabetic patients have a high prevalence of sexual dysfunction

  2012.  Mary W.Kuria,David M.Ndete,Isodore S.Obot,Lincoln I.Khasakhala,Betty M.Bagaka,Margaret N.Mbugua,Judy Kama. The Association between Alcohol Dependence and Depression before and after Treatment for Alcohol Dependence. Abstract

The presence of depression in alcohol-dependent persons is likely to influence treatment process and outcomes. Identification of depression is important though not every depressed alcohol-dependent person requires treatment with antidepressants. Understanding the association between depression and alcohol dependence is essential for proper management of alcohol dependence. Objectives. To determine the prevalence of depression among alcohol-dependent persons before and after alcohol detoxification and rehabilitation. Design. Clinical trial with pre-/postmeasurements. Method. The CIDI and WHO-ASSIST were administered to 188 alcohol-dependent persons at intake and after six months. A researcher-designed sociodemographic questionnaire was also administered at intake. Results. The prevalence of depression among alcohol-dependent persons is high (63.8%) with a significant association between depression and the mean AUDIT score. At posttest, depressed participants had a statistically significant craving for alcohol. Conclusion. Alcohol dependence is associated with major depression.

  2012.  Judy W . Kamau, Wangari Kuria, Muthoni Mathai, Lukoye Atwoli & Rachael Kangethe. Psychiatric morbidity among HIV -infected children and adolescents in a resource-poor Kenyan urban community. Abstract

The course of HIV/AIDS in children has been transformed from an acute to a chronic one with the advent of
Anti-Retroviral Therapy. The aim of this study was to determine the prevalence and pattern of psychiatric
morbidity in HIV-infected children and adolescents between 6 and 18 years of age and the relationship between
their socio-demographic factors, immune suppression and psychiatric morbidity. The study was conducted at a
paediatric HIV clinic in Nairobi, between February and April 2010. One hundred and sixty-two HIV-infected
childrenandadolescentsagedbetween6and18yearsandtheirguardianswereinterviewed.Seventy-nine(48.8%)
of the study participants were found to have psychiatric morbidity. The most prevalent Diagnostic Statistical
Manual, 4th Edition TR psychiatric disorders were: Major depression (17.8%), Social phobia (12.8%),
Oppositional Defiant Disorder (12.1%) and Attention Deficit Hyperactivity Disorder (12.1%). Twenty-five
per cent of the study participants had more than one psychiatric disorder. The prevalence of psychiatric
morbidity in HIV-infected children ishigher than that found in children in the general population. There is
therefore a need to integrate psychiatric services into the routine care of HIV-infected children.

  2012.  Mary W. Kuria, Yvonne Olando. Alcohol dependence: Does the composition of the available beverages promote it. Open Journal of Psychiatry. 2:301-304. Abstract

Affordability and availability of alcohol are factors that have been associated with alcohol dependence.
Ethanol content in the alcoholic beverages is an important determinant in alcohol dependence. Quality
control of alcoholic beverages available in the market is important in safeguarding the health of alcohol
consumers. Few studies in Kenya have determined the chemical composition of alcohol used by the study
participants. Objective: To determine the chemicalcomposition of alcoholic beverages used by a group of
alcohol dependent study participants. Design: The study was a clinical trial with pre and post measure-
ments. Method: The CIDI and WHO-ASSIST were administered to 188 alcohol-dependent persons at
intake and after six months. A researcher-designed socio demographic questionnaire was also adminis-
tered at intake. Alcohol beverages were randomly collected from the location of the study area and their
chemical composition analyzed using gas chromatography. Results: The mean AUDIT score of the par-
ticipant was 28.6 for male and 26.6 for females. Three of the alcohol samples collected was illicit brews col-
lected while 11 were licit. Four out of the eleven licit brews had ethanol levels that did not complied with
the set government standards. Conclusion: Illicit brews with high ethanol content are available in the
Kenyan market, while some of the manufacturers of the licit brew do not comply with government set
content recommendations.

2011

  2011.  Margaret Njeri Mbugua, MaryW.Kuria,andDavidM.Ndetei. The Prevalence of Depression among Family Caregivers of Children with Intellectual Disability in a Rural Settingin Kenya. International Journal of Family Medicine. Abstract

This is an open access article distributed under the Creative Commons
AttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkis
properlycited.
Caregivers of children with intellectual disability have a great responsibility that may be stressful. The psychological well-being of
the care giver may affect the quality of care given to children with intellectual disability. Objective. The objective of the study was
todeterminetheriskofdepressionincaregiversofchildrenwithintellectualdisability.Setting.ThestudywasconductedatGachie
Catholic Parish, Archdiocese of Nairobi (Kenya). Design. Cross sectional, descriptive study. Method. The study was conducted
among 114 caregivers registered at the Gachie Parish program (in Kenya) for the intellectual disabled children. A researcher-designed
social demographic questionnaire and the Beck depression inventory were administered to those that met the inclusion
criteria. Results. Seventy-nine percent (79%) of the caregivers were at risk of clinical depression. Conclusion. Majority of the caregiversofchildrenwithintellectualdisabilitywereatriskofdevelopingclinicaldepression

2009

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