Determinates of depressive disorder among adult patients with cardiovascular disease at outpatient cardiac clinic Jimma University Teaching Hospital, South West Ethiopia: cross-sectional study
Abstract Background Depression and heart disease are an important public-health problem. Depression is one of the most prevalent and disabling psychiatric disorders with more than three times increased risk among patients with cardiovascular disorders. Objective To identify the prevalence and associ...
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| Format: | Article |
| Language: | English |
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BMC
2019-03-01
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| Series: | International Journal of Mental Health Systems |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13033-019-0269-8 |
| _version_ | 1828445263418621952 |
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| author | Halima Umer Alemayehu Negash Mengesha Birkie Asmare Belete |
| author_facet | Halima Umer Alemayehu Negash Mengesha Birkie Asmare Belete |
| author_sort | Halima Umer |
| collection | DOAJ |
| description | Abstract Background Depression and heart disease are an important public-health problem. Depression is one of the most prevalent and disabling psychiatric disorders with more than three times increased risk among patients with cardiovascular disorders. Objective To identify the prevalence and associated factors of depressive disorder among adult patients with cardiovascular disease. Methods Institution based cross-sectional study design was used to conduct this study on 293 study participants attending an outpatient cardiac clinic at Jimma University Teaching Hospital. All eligible patients were recruited into the study consecutively. Depression was assessed using patient health questionnaire-9. The patient health questionnaire-9 had a total score of 27, from which 0–4: no/minimal depression, 5–9: mild depression, 10–14: moderately depression, 15–19: moderately severe depression and 20–27 severe depression. The data was feed into Epi-data version 3.1 and lastly exported to SPSS version 21 for analysis. Bivariate analysis was used to analyze the statistical association of covariates of interest with depressive disorder among patients with cardiovascular disease. Then, logistic regression analysis was used as a final model to control confounders. The strength of association was measured by a 95% confidence interval. Results A total of 293 adult patients diagnosed with the cardiovascular disease were included in the study with 97% (n = 284) of response rate, 47.2% (n = 134) males and 52.8% (n = 150) females, making female to a male ratio around 1.1:1. The prevalence of depression was 52.8% (n = 150/284). Out of the subjects with depression 52.67% (n = 79), 36.0% (n = 54) and 11.33% (n = 17) were mild, moderate and severe depression, respectively. Variables such as employed, unemployed, physical activity, current cigarette user and poor social support were independently associated with depression in the final model. Conclusions In this study, depression was found to be highly prevalent psychiatric comorbidity in adult cardiovascular disease patients. |
| first_indexed | 2024-12-10T21:54:58Z |
| format | Article |
| id | doaj.art-a923efb227a6496eb83cf3277ed469a9 |
| institution | Directory Open Access Journal |
| issn | 1752-4458 |
| language | English |
| last_indexed | 2024-12-10T21:54:58Z |
| publishDate | 2019-03-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Mental Health Systems |
| spelling | doaj.art-a923efb227a6496eb83cf3277ed469a92022-12-22T01:32:04ZengBMCInternational Journal of Mental Health Systems1752-44582019-03-0113111210.1186/s13033-019-0269-8Determinates of depressive disorder among adult patients with cardiovascular disease at outpatient cardiac clinic Jimma University Teaching Hospital, South West Ethiopia: cross-sectional studyHalima Umer0Alemayehu Negash1Mengesha Birkie2Asmare Belete3Research and Training Department of Amanuel Mental Specialized HospitalDepartment of Psychiatry, College of Public Health and Medical Sciences, Jimma UniversityDepartment of Psychiatry, College of Medicine and Health Sciences, Wollo UniversityDepartment of Psychiatry, College of Medicine and Health Sciences, Wollo UniversityAbstract Background Depression and heart disease are an important public-health problem. Depression is one of the most prevalent and disabling psychiatric disorders with more than three times increased risk among patients with cardiovascular disorders. Objective To identify the prevalence and associated factors of depressive disorder among adult patients with cardiovascular disease. Methods Institution based cross-sectional study design was used to conduct this study on 293 study participants attending an outpatient cardiac clinic at Jimma University Teaching Hospital. All eligible patients were recruited into the study consecutively. Depression was assessed using patient health questionnaire-9. The patient health questionnaire-9 had a total score of 27, from which 0–4: no/minimal depression, 5–9: mild depression, 10–14: moderately depression, 15–19: moderately severe depression and 20–27 severe depression. The data was feed into Epi-data version 3.1 and lastly exported to SPSS version 21 for analysis. Bivariate analysis was used to analyze the statistical association of covariates of interest with depressive disorder among patients with cardiovascular disease. Then, logistic regression analysis was used as a final model to control confounders. The strength of association was measured by a 95% confidence interval. Results A total of 293 adult patients diagnosed with the cardiovascular disease were included in the study with 97% (n = 284) of response rate, 47.2% (n = 134) males and 52.8% (n = 150) females, making female to a male ratio around 1.1:1. The prevalence of depression was 52.8% (n = 150/284). Out of the subjects with depression 52.67% (n = 79), 36.0% (n = 54) and 11.33% (n = 17) were mild, moderate and severe depression, respectively. Variables such as employed, unemployed, physical activity, current cigarette user and poor social support were independently associated with depression in the final model. Conclusions In this study, depression was found to be highly prevalent psychiatric comorbidity in adult cardiovascular disease patients.http://link.springer.com/article/10.1186/s13033-019-0269-8DepressionCardiovascular diseaseEthiopiaDeterminantsPatient health questionnaire-9 |
| spellingShingle | Halima Umer Alemayehu Negash Mengesha Birkie Asmare Belete Determinates of depressive disorder among adult patients with cardiovascular disease at outpatient cardiac clinic Jimma University Teaching Hospital, South West Ethiopia: cross-sectional study International Journal of Mental Health Systems Depression Cardiovascular disease Ethiopia Determinants Patient health questionnaire-9 |
| title | Determinates of depressive disorder among adult patients with cardiovascular disease at outpatient cardiac clinic Jimma University Teaching Hospital, South West Ethiopia: cross-sectional study |
| title_full | Determinates of depressive disorder among adult patients with cardiovascular disease at outpatient cardiac clinic Jimma University Teaching Hospital, South West Ethiopia: cross-sectional study |
| title_fullStr | Determinates of depressive disorder among adult patients with cardiovascular disease at outpatient cardiac clinic Jimma University Teaching Hospital, South West Ethiopia: cross-sectional study |
| title_full_unstemmed | Determinates of depressive disorder among adult patients with cardiovascular disease at outpatient cardiac clinic Jimma University Teaching Hospital, South West Ethiopia: cross-sectional study |
| title_short | Determinates of depressive disorder among adult patients with cardiovascular disease at outpatient cardiac clinic Jimma University Teaching Hospital, South West Ethiopia: cross-sectional study |
| title_sort | determinates of depressive disorder among adult patients with cardiovascular disease at outpatient cardiac clinic jimma university teaching hospital south west ethiopia cross sectional study |
| topic | Depression Cardiovascular disease Ethiopia Determinants Patient health questionnaire-9 |
| url | http://link.springer.com/article/10.1186/s13033-019-0269-8 |
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