Predictors of unrecognised comorbid depression in patients with schizophrenia at Amanuel mental specialized hospital, Ethiopia: a cross-sectional study.

Journal: BMJ open

Volume: 11

Issue: 9

Year of Publication: 2021

Affiliated Institutions:  School of Nursing, Hawassa University College of Medicine and Health Sciences, Hawassa, Ethiopia mameayale@gmail.com. School of Nursing, Hawassa University College of Medicine and Health Sciences, Hawassa, Ethiopia. Department Midwifery, Hawassa University College of Medicine and Health Sciences, Hawassa, Ethiopia.

Abstract summary 

The occurrence of depression in patients with schizophrenia (PWS) increases the risk of relapse, frequency and duration of hospitalisation, and decreases social and occupational functioning.This study aimed to assess prevalence of unrecognised comorbid depression and its determinants in PWS.A cross-sectional study was conducted from 1 to 30 March 2019 at Amanuel mental specialized hospital among 300 PWS. The 9-item Calgary Depression Scale for Schizophrenia was used to assess comorbid depression. Logistic regression was used to determine the association between outcome and explanatory variables. Statistical significance was declared at p value <0.05 with 95% CI.The prevalence of unrecognised comorbid depression was found to be 30.3%. Living alone (adjusted OR (AOR)=3.49, 95% CI=0.45 to 8.36), having poor (AOR=4.43, 95% CI=1.45 to 13.58) and moderate (AOR=4.45, 95% CI=1.30 to 15.22) social support, non-adherence to medication (AOR=3.82, 95% CI=1.70 to 8.55), presenting with current negative symptoms such as asocialia (AOR=4.33, 95% CI=1.98 to 9.45) and loss of personal motivation (AOR=3.46, 95% CI=1.53 to 7.84), and having suicidal behaviour (AOR=6.83, 95% CI=3.24 to 14.41) were the significant predictors of comorbid depression in PWS.This study revealed considerably a high prevalence of unrecognised comorbid depression among PWS. Therefore, clinicians consider timely screening and treating of comorbid depression in PWS.

Authors & Co-authors:  Ayalew Mohammed M Reta Yared Y Defar Semira S

Study Outcome 

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Statistics
Citations :  World Health Organization . World Health organization. the global burden of disease: 2004 update. Geneva: World Health Organization, 2008.
Authors :  3
Identifiers
Doi : e049026
SSN : 2044-6055
Study Population
Male,Female
Mesh Terms
Cross-Sectional Studies
Other Terms
adult psychiatry;delirium & cognitive disorders;eating disorders;epilepsy;substance misuse;suicide & self-harm
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
England