Background. Depression is a leading cause of major public health problems globally, and its prevalence has been increasing, particularly in low- and middle-income countries including our country. Therefore, this study is aimed at exploring depression symptoms and their determinants among admitted medical and surgical patients which is important to get optimal care for patients. Methods. An institution-based cross-sectional study was conducted from May to June 2019, on adults’ medical and surgical admitted patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. The systematic random sampling technique was used to get a total of 590 samples. The standardized hospital anxiety and depression scale (HADS) was used to assess individual depression symptoms. We computed the bivariate and multivariate binary logistic regression analyses to identify factors associated with depression symptoms. Statistical significance was declared at P < 0.05 . Result. The prevalence of depression symptoms was found to be 53.9% (95% CI: 50.2, 57.0). In the multivariable logistic regression, female sex ( AOR = 2.04 , 95% CI: 1.35, 3.09), being single ( AOR = 3.65 , 95% CI: 3.48, 2.10, 5.78), widowed ( AOR = 2.82 , 95% CI: 1.27, 6.30), unable to read and write ( AOR = 2.71 , 95% CI: 1.14, 6.47), admission at medical ward ( AOR = 1.59 , 95% CI: 1.02, 2.46), history of mental illness ( AOR = 1.59 , 95% CI: 1.02, 2.46), and poor social support ( AOR = 2.82 , 95% CI: 1.57, 5.11) were factors significantly associated with depression symptoms. Conclusion. The prevalence of depression symptoms among admitted patients was high. Female sex, being single, widowed, unable to read and write, admission at medical ward, history of mental illness, and poor social support were factors significantly associated with depression symptoms. It is better for the Ministry of Health to give training on how to screen depression among medical and surgical patients, and interventions that would be addressing the awareness of the above factors would be beneficial to prevent further complications.

Background Anxiety is a common comorbid mental health problem with different medical illnesses and it can complicate major medical health problems. Despite its impact of physical functioning, quality of life, drug adherence, use of health service resources, good health behaviors, and increasing suicidal tendencies and mortality, it is neither diagnosed nor treated. Therefore, this study aimed to explore the prevalence of anxiety and its determinants among admitted patients for the contribution of attempting optimal care for of these patients. Method An institution based cross-sectional study was conducted among adult surgical and medical inpatients from May 13 to June 12, 2019. Systematic random sampling technique was used to recruit a total of 590 participants. Binary logistic regression was employed to identify factors associated with anxiety symptoms. Odds ratio with 95% confidence interval was used to assess the strength of the association, and variables with p-value of < 0.05 was declared as statistically significant. Result The overall prevalence of anxiety was 62.7% with 95% CI (58.6, 66.9). In the multivariate analysis; female sex, being single, previous history of admission, and multiple medical diagnosis were factors significantly associated with anxiety symptoms. Conclusion In this study, the prevalence of anxiety among medical and surgical inpatients was found to be high. Therefore, it is better to screen any risks of anxiety, and psychological assessment tests are better to be integrated into routine hospital inpatient care to prevent anxiety.

BackgroundAnxiety is a common comorbid mental health problem with different medical illnesses and it can complicate major medical health problems. Despite its impact of physical functioning, quality of life, drug adherence, use of health service resources, good health behaviors, and increasing suicidal tendencies and mortality, it is neither diagnosed nor treated. Therefore, this study aimed to explore the prevalence of anxiety and its determinants among admitted patients for the contribution of attempting optimal care for of these patients.MethodAn institution based cross-sectional study was conducted among adult surgical and medical inpatients from May 13 to June 12, 2019. Systematic random sampling technique was used to recruit a total of 590 participants. Hospital Anxiety Scale (HAS) was used to measure anxiety symptoms. Binary logistic regression was employed to identify factors associated with anxiety symptoms. Odds ratio with 95% confidence interval was used to assess the strength of the association, and variables with p-value of < 0.05 was declared as statistically significant.ResultThe mean age of the participants was 39.71 ± 14.94 (SD), ranging from 18 to 66 years. About half (51%) of the respondents were male, the overall prevalence of anxiety was 62.7% with 95% CI (58.6, 66.9). In the multivariate analysis; female sex (AOR = 1.92, 95% CI: 1.31, 2.80), being single (AOR = 2.01, 95% CI: 1.33, 3.01), previous history of admission (AOR = 1.71, 95% CI: 1.13, 2.57) and multiple medical diagnosis (AOR = 1.61, 95% CI: 1.04, 2.47) were factors significantly associated with anxiety symptoms.ConclusionIn this study, the prevalence of anxiety among medical and surgical inpatients was found to be high. Therefore, it is better to screen any risks of anxiety, and psychological assessment tests are better to be integrated into routine hospital inpatient care to prevent anxiety.