Common Mental Disorder among HIV Infected Individuals at Comprehensive HIV Care and Treatment Clinic of Debre Markos Referral Hospital, Ethiopia

Zewdu, Selamawit; Abebe, Nurilign

doi:10.4172/2155-6113.1000420

Cited by 12 publications

(17 citation statements)

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“…The prevalence of common mental disorder was 32.7%, which was lower than that of other studies conducted in three hospitals in Ethiopia [21, 22], Nigeria [23] and Uganda [24]. On the other hand, the current finding was higher than study’s findings from Debremarcos, Ethiopia [25], Dilla, Ethiopia [10], and South Africa [19]. The variation in prevalence might be attributed to the difference in the following factors.…”

Section: Discussioncontrasting

confidence: 87%

Prevalence and correlates of common mental disorder among HIV patients attending antiretroviral therapy clinics in Hawassa City, Ethiopia

2019

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Background Common mental disorder (CMD) is a group of disorders which include depression, anxiety and somatoform disorders with significant contributions to the burden of disease. It can lead to high social, economic and individual costs because it accounts for one-third of the days missed at work and a fifth of all primary health-care appointment. This study was aimed to assess the prevalence and factors associated with common mental disorders among HIV patients in Hawassa City, Ethiopia, 2018. Methods The cross-sectional study was conducted at Hawassa University Comprehensive Specialized Hospital, Ethiopia, among 294 HIV patients who were recruited through systematic sampling techniques. Common mental disorder was assessed through face to face interviews by trained professional psychiatry nurses using a WHO-validated 20-item version of the Self-Reporting Questionnaire (SRQ-20). Other possible risk factors of CMD were assessed using a structured questionnaire, perceived HIV stigma scale and Oslo Item 3 Social Support Scale. Results A total of 294 HIV patients participated in the study giving a response rate of 98.7%. The mean (± SD) age of the respondents was 35.86 years (± 9.23). Among the study participants, being female [AOR = 1.25, (95% CI 1.01, 2.43)], being widowed [AOR = 1.99, (95% CI 1.51, 5.28)], having poor social support [AOR = 2.44, (95% CI 1.33, 4.51)], having previous history of psychiatric illness [AOR = 3.83, (95% CI 1.89, 9.33)] and HIV-related perceived stigma [AOR = 1.97, (95% CI 1.63, 2.89)] were more likely to have common mental disorder when compared to their counterparts. Conclusion The prevalence of common mental disorder was high. The Ministry of Health should develop a guideline which helps to screen and treat common mental disorders at ART clinics. Further interventional research on risk factors of common mental disorder should be conducted to strengthen and broaden the current findings.

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Section: Discussioncontrasting

confidence: 87%

Prevalence and correlates of common mental disorder among HIV patients attending antiretroviral therapy clinics in Hawassa City, Ethiopia

2019

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“…Given the relevance in public health of both events CMD and periodontitis, the findings of the present study contribute to a better understanding of this relationship, since CMD is associated with the presence of several diseases, such as obesity, hypertension, diabetes, and cardiovascular diseases. In relation to periodontitis, it has a negative impact on quality of life and general well‐being, influencing on the overall health status of individuals, revealing the importance of broadening public actions targeting mental health, which seems to be related to oral health. Additionally, the high frequency of both health problems in the studied sample is an important epidemiological finding.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to the high‐frequency, exposure to CMD has been associated with the presence of several diseases, such as obesity, hypertension, diabetes, cardiovascular diseases, and infection by tuberculosis and human immunodeficiency virus . However, there are few studies that have evaluated the association between CMD and periodontitis …”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9][10] In addition to the high-frequency, exposure to CMD has been associated with the presence of several diseases, such as obesity, hypertension, diabetes, cardiovascular diseases, and infection by tuberculosis and human immunodeficiency virus. 7,[11][12][13][14] However, there are few studies that have evaluated the association between CMD and periodontitis. 15,16 The biological plausibility for the association between CMD and periodontitis is based on the observation that individuals diagnosed with this psychological condition, in general, are affected by several oral alterations.…”

Section: Introductionmentioning

confidence: 99%

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Common mental disorder is associated with periodontitis

Coelho

Miranda

Cruz

et al. 2019

J of Periodontal Research

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Objectives This research evaluated the association between exposure to common mental disorder (CMD) and the presence of periodontitis. Background Common mental disorder is characterized by the presence of irritation, fatigue, insomnia, forgetfulness, decreased ability to concentrate, anxiety, and depression. It has been associated with several diseases; however, there are few studies that have associated it with periodontitis. Methods This cross‐sectional study was carried out with 621 individuals. Data collection involved the application of a general questionnaire and the self‐reporting questionnaire for diagnosis of CMD. The diagnosis of periodontitis involved a full mouth periodontal examination using: clinical attachment level, probing depth, and bleeding on probing. Prevalence ratios and 95% confidence intervals between CMD (exposure) and periodontitis (outcome) were obtained. Results In the final sample, 38.16% (237) of the individuals were classified with CMD. Among these, 28.27% (67) had periodontitis. Association measurements showed that the occurrence of periodontitis among those exposed to CMD is approximately 50% higher than in those without this mental condition, with statistical significance, after adjustment for age, sex, family income, current smoking habit, alcohol beverage consumption, and cardiovascular disease (PRadjusted = 1.54, 95% CI: [1.13 to 2.10]). Conclusions The findings showed a positive association between exposure to CMD and periodontitis, revealing the importance of broadening public actions targeting mental health, which seems to be related to oral health, mainly due to the high frequency of the diseases in the studied sample.

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“…In this systematic review and meta-analysis, we performed a subgroup analysis based on screening tools in which primary studies used to measure CMD. Among a total 13 primary studies included in this review, seven used the Kessler-10 (K-10) [23,[30][31][32][33][34][35], two used the HADS [36,37] and other four used the SRQ-20 [22,29,38,39]. There was a significant difference of CMD reports observed among studies with respect to their screening tools used to measure CMD.…”

Section: Subgroup Analysismentioning

confidence: 99%

Magnitude and predictors of common mental disorder among people with HIV/AIDS in Ethiopia: a systematic review and meta-analysis

et al. 2020

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Background Common mental disorders are frequent psychiatric comorbid conditions among people with HIV/AIDS. The presence of such psychiatric disorders negatively affects the treatment adherence, viral load suppression, quality of life, treatment outcomes and functionality of people with HIV/AIDS. However, available studies in Ethiopia have a great variation and inconsistency of reported results have been observed regarding the magnitude and associated factors of common mental disorder. Thus, conducting a systematic review and meta-analysis of existing literatures can have a paramount importance to show its summarized figure. Methods Literatures search was performed using databases (PubMed/Medline, Science Direct and PsycINFO. Grey literatures were also searched from Google and Google Scholar. Data were extracted from primary studies using a data extraction format prepared in Microsoft Excel and exported to STATA-version 14 statistical software for analysis. The I2 test was used to assess the heterogeneity of primary articles. The result of the test showed that there was heterogeneity between primary studies. This leads us to execute a random effect meta-analysis to estimate the pooled prevalence of common mental disorder with corresponding 95% confidence interval. Results A total of 13 primary studies comply with the inclusion criteria were included in this systematic review. The pooled prevalence of common mental disorder was found to be 28.83% (95% CI: 17.93, 39.73) among people with HIV/AIDS in Ethiopia. The highest prevalence of common mental disorder (35.20%) was observed among studies in which Kessler-10 was used as a screening tool. Single marital status (OR = 1.83; 95%CI: 1.03, 3.27), HIV/AIDS-related stigma (OR = 2.21; 95%CI: 1.68, 2.90) and current job unavailability (OR = 1.38; 95%CI: 1.01, 1.88) had statistically significant association with common mental disorder. Conclusion The result of this review showed that nearly one among three individuals with HIV/AIDS is suffering from common mental disorder in Ethiopia. This calls a need to integrate the mental health and psycho-social support into the HIV/AIDS care. Trial registration PROSPERO- CRD42019132402. Registered on 05/08/2019.

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Common Mental Disorder among HIV Infected Individuals at Comprehensive HIV Care and Treatment Clinic of Debre Markos Referral Hospital, Ethiopia

Cited by 12 publications

References 0 publications

Prevalence and correlates of common mental disorder among HIV patients attending antiretroviral therapy clinics in Hawassa City, Ethiopia

Prevalence and correlates of common mental disorder among HIV patients attending antiretroviral therapy clinics in Hawassa City, Ethiopia

Common mental disorder is associated with periodontitis

Magnitude and predictors of common mental disorder among people with HIV/AIDS in Ethiopia: a systematic review and meta-analysis

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