The magnitude and correlates of common mental disorder among outpatient medical patients in Ethiopia: an institution based cross-sectional study

Denur, Mehbub; Tesfaw, Getachew; Yohannis, Zegeye

doi:10.1186/s13104-019-4394-x

Cited by 15 publications

(19 citation statements)

References 28 publications

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“…Poor social support was nearly three times more likely to have depression symptoms compared to those who have good social support in this study that was comparable with the studies done in Ethiopia; poor social support has two times more likely risk to develop depression compared with good social support [ 27 ]; in another study in Ethiopia, poor social support has more than three times increased depression symptoms among medical patients [ 22 ], and in Wuhan, China, the absence of medical insurance and poor family support were highly associated with depression symptoms among admitted patients [ 40 ], and in Iran, lack of family support was a risk factor for depression disorders [ 19 ]. The present study has several strengths.…”

Section: Discussionsupporting

confidence: 86%

“…The internal consistency of the Oslo social support scale in this study was 0.83. It has been used in Ethiopia in different clinical settings [ 22 , 27 , 28 ]. Substance use was assessed by using the WHO Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) guidelines for use in primary care.…”

Section: Methodsmentioning

confidence: 99%

“…Several factors could play a role in the development of depression secondary to medical and surgical illnesses. These include repeated hospital admission history, poor social support, long hospital stay, previous history of mental illness, female sex, and admission in surgical or medical ward [ 18 – 22 ]. The comorbidity of depression with admitted medical and surgical patients negatively impacts the quality of life, functioning, adherence to medication, and high risk of suicide and increased morbidity and mortality [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Associated Factors of Depression among Admitted Adult Patients in Surgical and Medical Wards of Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

Siyoum¹,

Assfaw²,

Yitbark³

et al. 2021

Depression Research and Treatment

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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.

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Section: Discussionsupporting

confidence: 86%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence and Associated Factors of Depression among Admitted Adult Patients in Surgical and Medical Wards of Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

Siyoum¹,

Assfaw²,

Yitbark³

et al. 2021

Depression Research and Treatment

Self Cite

View full text Add to dashboard Cite

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“…This is consistent with the report of a study conducted in Addis Ababa [21]. However, the association between substance use and depression was reported in different studies [15,26]. Unlike depression, substance use is statistically associated with anxiety.…”

Section: Behavioural Neurologysupporting

confidence: 91%

Factors Associated with Anxiety and Depression among Diabetes, Hypertension, and Heart Failure Patients at Dessie Referral Hospital, Northeast Ethiopia

Edmealem

Olis

2020

Behavioural Neurology

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Background. Anxiety and depression are common in patients with diabetes, hypertension, and heart failure. However, they are usually unrecognized and untreated especially in developing countries. Identifying factors associated with anxiety and depression is helpful for early screening and management. Objective. This study is aimed at assessing factors associated with anxiety and depression among diabetes, hypertension, and heart failure patients at Dessie Referral Hospital, Northeast Ethiopia. Methods. An institutional-based cross-sectional study was conducted in Dessie Referral Hospital from February 22, 2019 to April 6, 2019. A total of 404 diabetic, hypertension, and heart failure patients were included through systematic sampling technique. The data were collected by face-to-face interview. After data collection, the data were cleaned and presented with text, graphs, and tables. Multivariable binary logistic regression was deployed to identify factors at a P value of < 0.05. Result. A total of 384 patients participated with a 94.8% response rate. Among these, 32% and 5.73% of them had anxiety and depression, respectively. Patients who did not read and write develop anxiety 7.89 times more likely compared with those whose educational status is diploma and above (AOR: 7.89; 95% CI: 3.08-20.26; P=0.001). Patients who took substances like chat, cigarette, shisha, hashish, and alcohol develop anxiety 2.56 times more likely compared with their counterparts (AOR: 2.56; 95% CI: 1.05–6.23; P=0.038). Patients whose level of physical activity is inactive develop depression 24 times more likely than patients who did a health-enhancing physical activity. Patients who are widowed develop depression 5 times more likely compared with married patients. Conclusion and Recommendations. Low educational level, being single and widowed, substance use, poor perception towards prognosis of illness, and monthly income were factors associated with anxiety. On the other hand, being single and unable to do physical activity were statistically associated with depression. Patients with low educational level and monthly income should be screened and supported for anxiety. Health care providers should provide advice to patients about the importance of physical activity to prevent depression.

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“…The sum score scale ranged from 3 to 14 and had three broad categories: "poor support" 3-8, "moderate support" 9-11, and "strong support" 12-14 [26]. It has been used in Ethiopia in different clinical settings [27][28][29].…”

Section: Sampling Proceduresmentioning

confidence: 99%

The Prevalence and Correlates of Social Anxiety Symptoms among People with Schizophrenia in Ethiopia: An Institution-Based Cross-Sectional Study

Kibru¹,

Tesfaw

Demilew

et al. 2020

Schizophrenia Research and Treatment

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Background. The comorbidity of social anxiety disorder is very common in schizophrenia patients and affects almost all age groups. This social anxiety disorder negatively impacts the quality of life, medication adherence, and treatment outcomes of people with schizophrenia. It is not well recognized in clinical settings. Therefore, assessing social anxiety symptoms and its associated factors was significant to early intervention and management of schizophrenia patients in Ethiopia. Methods. An institution-based cross-sectional study was conducted at Amanuel Mental Specialized Hospital in Addis Ababa, Ethiopia. Data collectors randomly recruited 423 schizophrenic patients by using the systematic sampling technique. A face-to-face interviewer-administered questionnaire was used to collect data. The standardized Liebowitz Social Anxiety Scale (LSAS) was employed to assess individual social anxiety symptoms. We computed bivariate and multivariate binary logistic regressions to identify factors associated with social anxiety symptoms. Statistical significance was declared at p<0.05. Results. The prevalence of social anxiety symptoms was 36.2% (95% CI: 31.50, 40.80). Male sex (AOR=2.03, 95% CI: 1.20, 3.44), age of onset of schizophrenia (AOR=1.91, 95% CI:1.17, 3.12), positive symptoms (AOR=0.75, 95% CI:0.67, 0.83), depression/anxiety symptoms (AOR=1.29, 95% CI: 1.18, 1.41), number of hospitalizations (AOR=2.80, 95% CI:1.32, 5.80), and suicidal ideation (AOR=0.44, 95% CI: 0.26, 0.74) were factors significantly associated with social anxiety symptoms at p<0.001, whereas poor social support (AOR=5.23, 95% CI:2.03, 14.70) and suicide attempts (AOR=1.93, 95% CI: 1.14, 3.26) were statistically associated with social anxiety symptoms at p<0.01. Conclusion. The prevalence of social anxiety symptoms among schizophrenia patients was found to be high. Timely treatment of positive and depression/anxiety symptoms and suicide risk assessments and interventions need to be done to manage the problems.

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The magnitude and correlates of common mental disorder among outpatient medical patients in Ethiopia: an institution based cross-sectional study

Cited by 15 publications

References 28 publications

Prevalence and Associated Factors of Depression among Admitted Adult Patients in Surgical and Medical Wards of Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

Prevalence and Associated Factors of Depression among Admitted Adult Patients in Surgical and Medical Wards of Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

Factors Associated with Anxiety and Depression among Diabetes, Hypertension, and Heart Failure Patients at Dessie Referral Hospital, Northeast Ethiopia

The Prevalence and Correlates of Social Anxiety Symptoms among People with Schizophrenia in Ethiopia: An Institution-Based Cross-Sectional Study

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