A Cross Sectional Study Assessing Prevalence of Depression and Associated Factors Among Post Myocardial Infarction Out-Patients at a Teaching Hospital, Addis Ababa, Ethiopia

Abstract

Background: The World Bank and the World Health Organization (WHO) predict that depression and coronary heart disease will be the largest causes of global health burden and disability by the year 2020. Although no countrywide study has been done on the prevalence of Post myocardial infarction (MI) depression in Ethiopia; It is thought to be higher than the possibly conservative rates of major depression in the general population as reported by multiple studies. Objectives: To assess the prevalence of depression and associated factors among Post MI out- patients at a teaching hospital, Addis Ababa, Ethiopia. Methodology: A hospital based cross-sectional study was conducted among 164 MI patients on follow up at SPHMMC Cardiology OPD. Patient health questionnaire 9 was use to screen depression. Data was collected from September 1 to October 15 2020. The data was entered, analyzed and interpreted using SPSS version 25 software. Result: A total of 164 participants were enrolled in to the study, about 88(43.7%) of the participants were females. The mean age was 44.9 (S.DS±1) years. Prevalence of depression was found out to be (12.7%). Type of MI was the single independent factor found to have significant association with depression, having NSTEMI has 2.53-time hire risk of depression compared to STMI. (p < 0.05). Conclusion: The study found a high prevalence of depression among MI patients. Therefore, developing early screening and detecting strategies and making it part of standard management for patients with MI is of a high value.