scholarly journals Screening for Depressive Symptoms among Patients Attending Specialist Medical Outpatient Clinics in a Tertiary Hospital in Southern Nigeria

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Sandra N. Ofori ◽  
Frances N. Adiukwu
Keyword(s):  
Depressive Symptoms ◽  
Psychological Stress ◽  
Health Centre ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Outpatient Clinics ◽  
Cross Sectional ◽  
Southern Nigeria ◽  
Patients With Diabetes ◽  
Associated Risk Factors

This study aimed to determine the prevalence of unrecognized depressive symptoms and its associated risk factors among patients with diabetes and/or hypertension attending medical outpatient clinics of a tertiary health centre in southern Nigeria. A cross-sectional study design was employed to assess 200 randomly selected patients attending the clinics. Questionnaires were administered to obtain sociodemographic and medical history data. The perceived stress scale (PSS) was used to determine the presence of subjective psychological stress and PHQ-9 was used to screen for depression. The prevalence of depressive symptoms was 54.9% with 16.5% categorised as having major depression. After adjusting for confounding variables, age younger than 60 years was associated with less odds of having depressive symptoms (AOR 0.32, 95% CI 0.17, 0.62; p=0.001), while only significant psychological stress increased the odds of having depressive symptoms (AOR 2.78, 95% CI 1.37, 5.64; p=0.005). The prevalence of depression among the study participants is high and has the potential to significantly impact the control of their disease and ultimately contribute to the high cardiovascular risk faced by this population.

scholarly journals Depressive symptoms and associated factors in medical interns at a tertiary hospital

2019 ◽  
Vol 25 ◽  
Author(s):  
Kaveshin Naidu ◽  
John R. Torline ◽  
Michelle Henry ◽  
Helena B. Thornton
Keyword(s):  
Depressive Symptoms ◽  
Antidepressant Medication ◽  
Female Gender ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Subjective Feeling ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Previous Diagnosis ◽  
Medical Interns

Background: It is known that medical doctors suffer from increased rates of depression with medical interns being most at risk. Despite this, little is known about the prevalence of depression in interns in South Africa.Objectives: This study aimed to assess the prevalence of depressive symptoms in interns employed at Groote Schuur Hospital, a tertiary hospital in the Western Cape.Method: The study was a cross-sectional study. All 91 interns were invited to participate in the study and consenting interns were required to complete a demographic and related questionnaire and the Beck Depression Inventory 2 (BDI-2).Results: Fifty-four (59.3%) of all invited interns participated in the study. Twenty-two interns (40.7%) reported a BDI-2 score of 14 or greater, indicating at least mild self-reported symptoms of depression. Features associated with a BDI-2 score of 14 or greater, included female gender, a previous diagnosis of depression, seeing a psychotherapist and previously being on antidepressant medication during internship. Other features also significantly associated with higher BDI-2 scores included suicidal ideation, thoughts of emigration, wanting to leave medicine and using substances to cope. The most significant associated feature of high BDI-2 scores was a subjective feeling of being ‘burnt out’.Conclusion: Interns had a higher prevalence of depressive symptoms when compared to the general population. The feeling of being ‘burnt out’ was the most significant factor associated with the severity of depressive symptoms. It is imperative that the mental health of both medical students and newly qualified doctors be prioritised, supported and monitored.

scholarly journals Prevalence of depression and associated factors among hemodialyzed patients in Jazan area, Saudi Arabia: a cross-sectional study

2020 ◽  
Vol 12 (1) ◽  
pp. 1-5
Author(s):  
Asim Othayq ◽  
Abdulwahab Aqeeli
Keyword(s):  
Saudi Arabia ◽  
Depressive Symptoms ◽  
Sleep Disturbances ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Content Type ◽  
Prevalence Of Depression ◽  
Cross Sectional Design ◽  
Associated Risk Factors ◽  
Periodic Evaluation

Purpose This study aims to evaluate the prevalence of depression and associated risk factors among patients on hemodialysis in Jazan area, Saudi Arabia. Design/methodology/approach The study was conducted on 211 randomly selected hemodialysis patients in Jazan area, Saudi Arabia, using an observational cross-sectional design. Patients were screened for depressive symptoms using the depression, anxiety and stress scale 42 (DASS-42). Descriptive statistics were used to present sociodemographic data. Multiple logistic regression was implemented to identify the predictors of depression. Data were entered and analyzed using SPSS 22.0 software. Findings The study found the overall prevalence of depression among patients on hemodialysis to be 43.6 per cent. Of them, 12.8 per cent were mildly depressed, 15.6 per cent were moderately depressed and 15.1 per cent fell in the severe or extremely severe category. Depression was significantly associated with marital status, education level and the presence of sleep disturbances. The study indicates a high prevalence of depressive symptoms among patients on hemodialysis in Jazan. A higher rate of depressive symptoms was observed in currently unmarried, lower-educated patients and those with sleep disturbance. Originality/value Periodic evaluation of patients on hemodialysis for depression is needed to allow for early intervention.

scholarly journals Diabetes and Hypertension among patients with psychiatric illnesses attending outpatient services in a tertiary mental health centre: A cross-sectional study from south India

2020 ◽  
Vol 3 (1) ◽  
pp. 15-22
Author(s):  
Ramakrishnan Parvathy ◽  
◽  
Balasankaralingam Sugetha ◽  
Padmavati Ramachandran ◽  
◽  
...  
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Psychiatric Illness ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Psychiatric Illnesses ◽  
Mental Health Centre ◽  
Patients With Diabetes

Background: High burden of comorbid physical non-communicable diseases (NCDs) is observed in patients with psychiatric illnesses. However, little attention is paid to physical illnesses of this patient population. This study evaluated the self-reported frequency of physical NCDs in patients with psychiatric illnesses, current involvement of psychiatrists in managing these NCDs and association of NCDs with socio-demographic and clinical factors. Materials and methods: This cross-sectional study was conducted in out-patient department of a tertiary mental health centre in southern India. Consecutive adult patients (N=450) fulfilling the study’s inclusion criteria were interviewed regarding comorbid physical NCDs including diabetes and hypertension, and aspects related to their diagnosis and treatment. Psychiatric diagnoses and psychotropic treatment information was obtained from electronic patient records maintained at the centre. Results: Overall frequency of any physical NCD was 24.9%, with diabetes and hypertension reported by 15.8% and 8.7% of patients, respectively. Patients with diabetes or hypertension were more likely to be older, have a family history of diabetes/hypertension, or psychiatric illness for at least 5 years or longer. Less than 8% of patients with diabetes or hypertension were treated for their physical NCD by psychiatrists. Forty patients with elevated BP (≥140 and/or ≥90 mmHg) or at risk for hypertension were identified while conducting physical examination as part of the study. Conclusion: Diabetes and hypertension are common physical NCDs in patients with psychiatric illness. Therefore, it is important that psychiatrists be aware of and identify patients who are at risk for such NCDs.

scholarly journals COVID-19-Related Fear, Risk Perception, and Safety Behavior in Individuals with Diabetes

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 480
Author(s):  
Venja Musche ◽  
Hannah Kohler ◽  
Alexander Bäuerle ◽  
Adam Schweda ◽  
Benjamin Weismüller ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Risk Perception ◽  
Significant Risk ◽  
Cross Sectional Study ◽  
Generalized Anxiety ◽  
Safety Behavior ◽  
Cross Sectional ◽  
Psychological Burden ◽  
Increased Risk ◽  
Patients With Diabetes

(1) The aim of the study is to assess the psychological burden of individuals with diabetes during the COVID-19 pandemic in comparison to matched controls. (2) Over the course of eight weeks, 9 April to 3 June 2020, 253 individuals with diabetes and 253 matched controls, using Propensity Score Matching (PSM), participated in this cross-sectional study. Participants completed an anonymous survey including demographics, depressive symptoms (PHQ-2), generalized anxiety (GAD-7), COVID-19-related fear, risk perception, and safety behavior. (3) While patients with diabetes expected their risk of infection similar to controls, they reported a higher probability of the occurrence of symptoms, severe course, and dying of COVID-19. Patients with diabetes showed no elevated generalized anxiety or depressive symptoms. However, they reported higher COVID-19-related fear and more adherent and dysfunctional safety behavior compared to controls. (4) From a public health view, it seems encouraging that despite the somatic risk condition, generalized anxiety and depression are not higher in patients with diabetes than in controls. Patients with diabetes report higher COVID-19-related fear, increased risk perception, and behavioral changes. This suggests that individuals with diabetes, as a significant risk group of severe COVID-19, show an adequate perception and functional reaction to the current pandemic.

scholarly journals Cross-Sectional Study on the Prevalence of Intestinal Parasites and Associated Risk Factors in Teda Health Centre, Northwest Ethiopia

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Abraraw Abate ◽  
Biniam Kibret ◽  
Eylachew Bekalu ◽  
Sendeku Abera ◽  
Takele Teklu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Centre ◽  
Parasitic Infection ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Hand Washing ◽  
Intestinal Parasitic Infection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Associated Risk Factors

Objective. To assess the magnitude of intestinal parasitic infection and associated risk factors in Teda Health Centre, Northwest Ethiopia. Method. A cross-sectional study was conducted in Teda Health Centre from February to April, 2011. Stool samples were collected from 410 study participants and analysed by direct wet mount and formal ether concentration techniques. Furthermore, sociodemographic data were collected by using standardized questionnaire. Result. The overall prevalence of intestinal parasitic infection in this study was 62.3%. Ascaris lumbricoides was the most predominant parasite (23.2%) followed by Giardia intestinalis (12.4%), Entamoeba histolytica/dispar (4.6%), Schistosoma mansoni (8.9%), hookworm (6.6%), Hymenolepis nana (1.5%), Enterobius vermicularis (0.4%), and Strongyloides stercoralis (0.2%). Absence of toilet and hand washing after toilet was shown to be associated with intestinal parasitic infection ( for both). Furthermore, swimming and less shoe wearing habits showed a significant prevalence of S. mansoni and hookworm infections, respectively. Conclusion. The present study showed high prevalence of intestinal parasitic infection in the study area. Absence of toilet and hand washing after toilet was found to be associated with intestinal parasitic infection. Therefore, there is a need for integrated control programme to have a lasting impact on transmission of intestinal parasitic infection.

scholarly journals Depressive Symptoms among Patients with Diabetes in Qatar: Frequency and Potential Determinants

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 302
Author(s):  
Hiba Bawadi ◽  
Alanood Al-Shahwani ◽  
Dana Arafeh ◽  
Daniah Al-Asmar ◽  
Joyce Moawad ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Statistical Significance ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Level Of Education ◽  
Study Results ◽  
Patients With Diabetes ◽  
Patient Health

Background: Diabetes is a highly prevalent chronic disease that is associated with major complications. Findings regarding risk of depression among patients with diabetes are controversial. This study aimed to determine the prevalence and determinants of depressive symptoms among Qatari patients with type 2 diabetes. Methods: This cross-sectional study was based on Qatar Biobank (QBB) data of 2448 Qatari adults with diabetes aged 21–60 years old. Data regarding age, gender, education, income, body mass index (BMI), medication use, glycated hemoglobin (HbA1c) were retrieved. Patients’ responses to the Patient Health Questionnaire-9 (PHQ-9) were also obtained. Data analyses was performed using STATA 16, and statistical significance was considered at a p-value of <0.05. Results: Of the 2448 participants, 15.4% (n = 378) had self-reported depressive symptoms. Depressive symptoms were frequent among females (69.6%), smokers (15.9%), and participants with a higher level of education (47.1%). Average age of participants who reported depressive symptoms was significantly less that among participants without depressive symptoms (44.8 vs. 52.9 years). Qatari women with diabetes seem to be at higher risk of depression when compared to men (OR = 1.819, 95% CI: 1.42–2.33); The odds of reporting depressive symptoms were 35% higher among patients with more advanced educational qualifications (OR = 1.351, 95% CI: 1.00, 1.82). Smokers were twice as likely to report depressive symptoms as their non-smoking counterparts. There was no significant relationship between depression and poor glycemic control, physical activity, BMI, or insulin use. Conclusions: In summary, the study results suggest that several sociodemographic factors, such as age, gender, and level of education were associated with the risk of depressive symptoms among Qataris with diabetes.

scholarly journals Correlation between severity of diabetes mellitus, polyneuropathy and nasal mucociliary clearance

2020 ◽  
Vol 7 (12) ◽  
pp. 726-729
Author(s):  
Mirac Aysen Unsal ◽  
Suphi Bulgurcu
Keyword(s):  
Diabetes Mellitus ◽  
Mucociliary Clearance ◽  
Diabetic Polyneuropathy ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Patients With Diabetes ◽  
Group 2 ◽  
Nasal Mucociliary Clearance

Objective:  To examine the relationship between the severity of polyneuropathy and nasal mucociliary clearance times in patients with polyneuropathy and investigate how the presence and severity of electrophysiological polyneuropathy might affect mucociliary clearance in patients with diabetes mellitus. Material and Methods: This prospective cross-sectional study was carried out in the Neurol-ogy and Ear, Nose and Throat (ENT) clinics in a tertiary hospital.  The study included three groups of patients with 20 participants in each group (Group 1, patients with diabetic poly-neuropathy; Group 2, patients with non-diabetic polyneuropathy; and Group 3, diabetes melli-tus patients with a normal nerve conduction study) Nasal saccharin test was performed on all patients. Results: There was a statistically significant difference in the duration of nasal mucociliary clearance among the groups (p= 0.001). There was a positive, statistically significant (p = 0.007) correlation between the nasal mucociliary clearance duration and the severity of poly-neuropathy. The nasal mucociliary clearance duration increased with the severity of polyneuropathy. Conclusion: Patients with diabetes mellitus are a special group, and preventable problems should be taken into consideration when examining nasal pathologies. It should be kept in mind that nasal mucociliary clearance dysfunction can be both a cause and a result in management of diabetes mellitus patients, and thus it should be evaluated carefully.

scholarly journals Relatively young T1D adults using fixed doses of insulin have higher diabetes distress levels in a sample of patients from a Brazilian tertiary hospital

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
M. S. V. M. Silveira ◽  
T. G. Bovi ◽  
E. J. Pavin
Keyword(s):  
Depressive Symptoms ◽  
Depression Scale ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Diabetes Distress ◽  
Insulin Regimen ◽  
Health Providers ◽  
Chronic Complications ◽  
Cross Sectional ◽  
Lipid Panel

Abstract Background Elevated rates of anxiety and depressive symptoms in Type 1 Diabetes patients (T1D) and high rates of diabetes-specific distress (DD) have been shown. Several factors may be responsible for increase the DD levels such as age, life changes, lack of familiar support, education, insulin regimens (IRs) and chronic complications. The goals of this study were: 1—to compare DD levels, anxiety and depressive symptoms according to age (< and ≥ 25 years old), 2—to evaluate the association between DD levels, anxiety and depressive symptoms and IRs, and 3—to evaluate the association between DD levels, anxiety and depressive symptoms and chronic complications. Methods In a cross-sectional study, T1D patients receiving outpatient care at Unicamp tertiary hospital were included. Inclusion criteria were age at least 18 years old and diagnosis of T1D for 6 months. Exclusion criteria were cognitive impairment, major psychiatric disorders, severe diabetes-related complications, and pregnancy. Depressive symptoms were evaluated by the depression subscale of the Hospital Anxiety and Depression Scale (HAD-D) and the anxiety symptoms by the anxiety subscale of the same instrument (HAD-A). DDS scale assessed DD. Glycemic control was evaluated by HbA1C. The latest lipid panel results were recorded and IRs and chronic complications were obtained through chart review. Results Of all 70 patients, 70% were younger than 25 years old. No differences were found between two groups according to gender, education, and income (p = 0.39, p = 0.87, and p = 0.52, respectively). HbA1c mean was 10% in both groups (p = 0.15). Older patients had higher levels of total DD and physician DD than younger (p = 0.0048 and p = 0.0413; respectively).Total DD and DD on subscales 1 and 2 were higher in patients using fixed doses of insulin compared to variable doses according to carbohydrates count (p = 0.0392, p = 0.0383 and p = 0.0043, respectively). No differences were found between anxiety and depressive symptoms and age and IRs. Similarly, no differences were found among DD levels, anxiety and depressive symptoms in patients with and without chronic complications. Conclusions When providing education and care for T1D patients, health providers should consider age, patient’s developmental stage, with its related demands and the burden of insulin regimen.

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