Factors associated with depression among war-affected population in Northeast, Ethiopia.

Journal: BMC psychiatry

Volume: 24

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of Psychiatry, College of Medicine and Health Science, Wollo University, P.O. Box , Dessie, Ethiopia. tamratanbesaw@gmail.com. Department of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia. Department of Comprehensive Nursing, College of Medicine and Health Sciences (CMHS), Wollo University (WU), P.O. Box , Dessie, Ethiopia. College of Medicine and Health Science, Department of Biomedical Science, Wollo University, P.O. Box , Dessie, Ethiopia. College of Medicine and Health Science, School of Medicine, Department of Physiology, Wollo University, P.O. Box , Dessie, Ethiopia. College of Medicine and Health Science, School of Medicine, Department of Biochemistry, Wollo University, P.O. Box , Dessie, Ethiopia. Department of Adult Health Nursing, College of Medicine and Health Sciences (CMHS), Wollo University (WU), P.O. Box , Dessie, Ethiopia. Department of Psychiatry, University of Gondar College of Medicine and Health Sciences, PO. Box , Gondar, Ethiopia. School of Population Health, Faculty of Health Sciences, Curtin University, Kent Street, Bentley, WA, Australia.

Abstract summary 

Depression is the most common mental health outcome of exposure to war-related traumatic stressors. Due to inter-communal conflict, Dessie City residents have experienced prolonged armed conflict in 2021. This conflict leads to widespread violence, negative impact on mental health, and large-scale forced migration. However, the problem is not properly addressed in Ethiopia. Therefore, this study aimed to assess the prevalence and risk factors of depression in the war-affected area in Dessie City, Ethiopia.A cross-sectional study design was conducted among 785 participants in 2022. The study subjects were selected using a multi-stage cluster sampling technique. The outcome measures used in the study were validated with the Patient Health Questionnaire (PHQ-9). Data was entered using Epi-data version 3.1 and SPSS version 25 was used to analyze data. Bivariate and multivariable logistic regressions were done to identify factors related to depression. In multivariable logistic regression variables with a p-value less than 0.05 were considered significant and, adjusted OR (AOR) with 95% CI was used to present the strength of the association.The prevalence of depression among participants was found to be 24.5% (95% CI,21.7, 27.5). In multivariable analysis, post-traumatic stress disorder (AOR = 2.79, 95% CI 1.76-4.43), middle-perceived life threats (AOR = 8.25, 95% CI 2.47-17.49), low social support (AOR = 1.90, 95% CI 1.23-2.96) were variables significantly associated with depression.This study found a high prevalence of depression among Dessie City residents. post-traumatic stress disorder, middle-perceived life threats, and low social support were associated with depression. Interventional strategies should be implemented to promote healing, resilience, and the overall well-being of individuals and communities. However, the findings underscore the need to address the current lack of mental health care resources in post-conflict populations.

Authors & Co-authors:  Anbesaw Tamrat T Kassa Mulat Awoke MA Yimam Wondossen W Kassaw Altaseb Beyene AB Belete Mekonnen M Abera Amare A Abebe Gashaw G Yimer Nega N Melkam Mamaru M Ayano Getinet G

Study Outcome 

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Statistics
Citations :  Diagnostic A. Statistical manual of mental disorders fifth edition DSM-5. Edisi ke-5. Washington DC: American Psychiatric Association; 2013.
Authors :  10
Identifiers
Doi : 376
SSN : 1471-244X
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Depression;Dessie;Ethiopia;Northeast;War
Study Design
Study Approach
Country of Study
Ethiopia
Publication Country
England