Prevalence of depression among primary caregivers of patients with cancer in Africa: a systematic review and meta-analysis study.

Journal: Frontiers in psychology

Volume: 16

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Emergency and Critical Care Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Abstract summary 

Cancer is one of the main causes of the most extremely stressful events that can elicit emotional reactions such as depression. Cancer patient caregivers are the most involved members of the oncology team and play an important role in patient's disease management and palliation which may adversely affect their health in the longer run, but many times the caregiver has been overlooked and ignored team. A corresponding systematic review on this topic has not yet been undertaken, even though there have been several studies about depression among primary caregivers of patients with cancer in Africa.To find studies, we searched databases such as PubMed, Scopus, Cochrane Library, Science Direct, African Journal Online, and Google Scholar. A Microsoft Excel spreadsheet was used to extract the data, which were then transferred to STATA version 14 for analysis. The statistical heterogeneity was evaluated by using Cochran's and statistics. To identify publication bias, Egger regression tests and funnel plot analysis were used. Sensitivity and subgroup analyses were carried out.The current systematic review and meta-analysis comprised all 1983 research respondents from 10 studies. The overall pooled prevalence of depression among primary caregivers of patients with cancer was 47.21% with a 95% CI (31.76, 62.65:  = 98.4%). According to subgroup analysis, the pooled prevalence of depression was higher in the studies that used the back depression inventory screening tool (63.95%) (95% CI: 58.76, 69.13). Additionally, we observed a high pooled prevalence of depression in existing studies conducted in Kenya (62.7%) (95% CI: 56.45, 68.95). Finally, a greater prevalence of depression was found among primary caregivers of children with cancer (64.61%) (95% CI: 58.19, 71.03).The current systematic review and meta-analysis showed that depression was prevalent among primary caregivers of patients with cancer in Africa. The study also highlighted variability in prevalence based on country, method of depression assessment, and population subgroups. Therefore, public health interventions targeting the mental health of caregivers should be promoted. Priority should be given to those who care for children.

Authors & Co-authors:  Wassie Yilkal Abebaw YA Workneh Belayneh Shetie BS Mekonen Enyew Getaneh EG Ali Mohammed Seid MS Techane Masresha Asmare MA Wassie Mulugeta M Kassie Alemneh Tadesse AT Ahmed Medina Abdela MA Simie Tsega Sintayehu S Aemro Agazhe A Zegeye Alebachew Ferede AF Tekeba Berhan B Tarik Tamir Tadesse T Nakie Girum G Fentahu Setegn S Melkam Mamaru M Kibralew Getasew G Tadesse Gebresilassie G Gonete Almaz Tefera AT

Study Outcome 

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Statistics
Citations :  Adol E. A. (2014). Prevalence of depression among caregivers of patients receiving palliative care in Kenyatta National Hospital: University of Nairobi.
Authors :  19
Identifiers
Doi : 1379758
SSN : 1664-1078
Study Population
Male,Female
Mesh Terms
Other Terms
Africa;cancer patient;depression;primary caregivers;systematic review
Study Design
Study Approach
Systemic Review
Country of Study
Kenya
Publication Country
Switzerland