Common mental disorders and associated factors among adult chronic kidney disease patients attending referral hospitals in Amhara Regional State.

Journal: Scientific reports

Volume: 14

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of Physiology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. yibeltalyismaw@gmail.com. Department of Physiology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Health Education and Behavioral Sciences, University of Gondar, Gondar, Ethiopia. Department of Reproductive Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Abstract summary 

Common mental disorders (CMDs) are a wide term that includes disorders like depression, anxiety, and somatic manifestations. Chronic kidney disease (CKD) patients are at high risk of developing a common mental disorders, which leads to a lower survival rate, poor clinical outcome, longer hospitalization, increased health-care utilization, difficulty adhering to medications, an increased risk of initiation of dialysis, poor quality of life, and an increased risk of mortality. However, there is limited study done related to common mental disorders and associated factors among chronic kidney disease patients in Ethiopia. This study aimed to assess the prevalence of common mental disorders and associated factors among chronic kidney disease patients attending referral hospitals in Amhara Regional State. An institution-based cross-sectional study design was conducted at the University of Gondar Comprehensive Specialized and Felege Hiwot Referral Hospitals from January to April 2020. The study participants were selected using systematic random sampling techniques. Common mental disorders were assessed using the Self-Reporting Questionnaire-Falk Institute (SRQ-F) tool. Data were entered into Epi Data Version 3.0 then exported into STATA 14 for analysis. Both bivariable and multi-variable binary logistic regressions were done to identify factors associated with common mental disorders. In multivariable logistic regression analysis, variables with a p-value of ≤ 0.05 were declared as a statistically associated with common mental disorders. In this study, 424 CKD patients were included, with a response rate of 100%. Among screened CKD patients, 40.8% was positive for common mental disorders, with a 95% CI (36-45%). Independent predictors of common mental disorders among CKD patients were poor social support [(AOR 3.1, 95% CI (1.67-5.77)], family history of mental disorders, [AOR 3.6, 95% CI (1.12-11.8)], comorbidity [AOR 1.7, 95% CI (1.03-2.78)], being female [AOR 2.69, 95% CI (1.72-4.20)], and duration of CKD (AOR 3.5; 95% CI (2.28-5.54). Two out of five CKD patients screened for CMDs were found to be positive. Common mental disorders were more common among CKD patients with poor social support, a family history of mental disorders, comorbidity, being female, and the duration of CKD. Therefore, screening CKD patients for common mental disorders is recommended.

Authors & Co-authors:  Gela Tesfaye Melese Getnet Ambelu Eshetu Bitew Diress

Study Outcome 

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Statistics
Citations :  Beusenberg, M. & Orley J. A user’s guide to the Self Reporting Questionnaire (SRQ). Geneva World Heal Organ. Published online (1994) 84.
Authors :  8
Identifiers
Doi : 6812
SSN : 2045-2322
Study Population
Female
Mesh Terms
Adult
Other Terms
Chronic kidney disease;Common mental disorders;SRQ-F
Study Design
Study Approach
Country of Study
Ethiopia
Publication Country
England