High-level of anxiety and depressive symptoms among patients with general medical conditions and community residents: a comparative study.

Journal: BMC psychiatry

Volume: 21

Issue: 1

Year of Publication: 2021

Affiliated Institutions:  Department of gynecology and obstetrics, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. Department of psychiatry, College of Medicine and Health Sciences, Bahir Dar University, PO Box , Bahir Dar, Ethiopia. habte.belete@gmail.com.

Abstract summary 

The global burden of anxiety and depressive symptoms become increasing, specifically accounts for high burden of morbidity among patients with medical conditions in low-income countries. The aim was to compare the level of anxiety and depressive symptoms in participants with general medical conditions and community residents in northwest Ethiopia.Comparatively 2625 adults in the community and 1363 patients at health center in Mecha Demographic Surveillance and Field Research Center (MDSFRC) had interviewed. Level of anxiety and depressive symptoms was assessed by Hospital Anxiety and Depression Scale (HADS) and logistic regression analysis was employed with corresponding adjusted OR (AOR) and 95% confidence interval (CI) at p-value less than 0.05 declaration of significant.A higher prevalence of high-level anxiety and depressive symptoms, 12.6% with 95% CI; 11.0%, 14.0% and 10.1%, 95% CI; 8.0%, 12% were found among participants at health center compared to community residents, 6.8%, 95% CI; 7.0%, 8.0% and 5.2%, 95% CI; 4.0%, 6.0% at (p value < .0001), respectively. Social support, loss of a parent before age of 18 years, physical/verbal abuse, and having general medical conditions were significantly associated with both high-level anxiety and depressive symptoms. However, factors such as advanced age, perceived relative wealth, living alone, and having a family history of mental illness were associated with high-level of anxiety symptoms, but not with depressive symptoms.Proportion of high-level of anxiety and depressive symptoms were found a two-fold higher in patients with medical condition than healthy residents in the community. Patients with medical illnesses should be assess for anxiety and depressive symptoms at health center.

Authors & Co-authors:  Misgan Eyaya E Belete Habte H

Study Outcome 

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Statistics
Citations :  Di Marco F, Verga M, Reggente M, Casanova FM, Santus P, Blasi F, Allegra L, Centanni S. Anxiety and depression in COPD patients: the roles of gender and disease severity. Respir Med. 2006;100(10):1767–1774. doi: 10.1016/j.rmed.2006.01.026.
Authors :  2
Identifiers
Doi : 324
SSN : 1471-244X
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Anxiety;Depressive;Ethiopia;Low-income;Medical illness;Primary health care
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
England