Determinates of depressive disorder among adult patients with cardiovascular disease at outpatient cardiac clinic Jimma University Teaching Hospital, South West Ethiopia: cross-sectional study

Halima Umer,Asmare Belete,Mengesha Birkie,Alemayehu Negash

doi:10.1186/s13033-019-0269-8

Halima Umer, Asmare Belete + Show 2 more

Open Access

https://doi.org/10.1186/s13033-019-0269-8

Copy DOI

Abstract

BackgroundDepression 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.ObjectiveTo identify the prevalence and associated factors of depressive disorder among adult patients with cardiovascular disease.MethodsInstitution 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.ResultsA 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.ConclusionsIn this study, depression was found to be highly prevalent psychiatric comorbidity in adult cardiovascular disease patients.

Highlights

Depression and heart disease are an important public-health problem
Mental disorders account for 25.3% and 33.5% of all years lived with a disability in low- and middle-income countries (LAMICs), respectively [3]
Socio‐demographic characteristics A total of 293 adult patients diagnosed with cardiovascular disease (CVD) were included in the study with a response rate of 97% (n = 284)

Summary

Introduction

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. In 2008, four out of five NCD deaths occurred in low- and middle-income countries [1]. Mental health conditions are the leading cause of DALYs worldwide and account for 37% of years of life lost (YLL) from NCDs [1]. According to the World Health Organization (WHO) report in 2011 unipolar depressive disorder is the third leading cause of disease burden worldwide. Mental disorders account for 25.3% and 33.5% of all years lived with a disability in low- and middle-income countries (LAMICs), respectively [3]. Mental illness is both a direct cause of mortality and a major risk factor for adverse health outcomes [4]

Methods

Results

Discussion

Conclusion