Depression and disability in people with podoconiosis: a comparative cross-sectional study in rural Northern Ethiopia
Identifieur interne : 001F21 ( Main/Exploration ); précédent : 001F20; suivant : 001F22Depression and disability in people with podoconiosis: a comparative cross-sectional study in rural Northern Ethiopia
Auteurs : Joanna Bartlett [Royaume-Uni] ; Kebede Deribe [Royaume-Uni, Éthiopie] ; Abreham Tamiru [Éthiopie] ; Tsige Amberbir [Éthiopie] ; Girmay Medhin [Éthiopie] ; Muzaffar Malik [Royaume-Uni] ; Charlotte Hanlon [Éthiopie, Royaume-Uni] ; Gail Davey [Royaume-Uni]Source :
- International health [ 1876-3413 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Dépression (psychologie), Dépression (épidémiologie), Facteurs de l'âge, Femelle, Humains, Jeune adulte, Maladie chronique, Mâle, Personnes handicapées (psychologie), Population rurale (), Santé mentale, Éléphantiasis (physiopathologie), Éléphantiasis (psychologie), Éléphantiasis (épidémiologie), Éthiopie (épidémiologie), Études transversales.
- MESH :
- physiopathologie : Éléphantiasis.
- psychologie : Dépression, Personnes handicapées, Éléphantiasis.
- épidémiologie : Dépression, Éléphantiasis, Éthiopie.
- Adolescent, Adulte, Adulte d'âge moyen, Facteurs de l'âge, Femelle, Humains, Jeune adulte, Maladie chronique, Mâle, Population rurale, Santé mentale, Études transversales.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Factors, Chronic Disease, Cross-Sectional Studies, Depression (epidemiology), Depression (psychology), Disabled Persons (psychology), Elephantiasis (epidemiology), Elephantiasis (physiopathology), Elephantiasis (psychology), Ethiopia (epidemiology), Female, Humans, Male, Mental Health, Middle Aged, Rural Population (statistics & numerical data), Young Adult.
- MESH :
- epidemiology : Depression, Elephantiasis, Ethiopia.
- physiopathology : Elephantiasis.
- psychology : Depression, Disabled Persons, Elephantiasis.
- statistics & numerical data : Rural Population.
- Adolescent, Adult, Age Factors, Chronic Disease, Cross-Sectional Studies, Female, Humans, Male, Mental Health, Middle Aged, Young Adult.
Abstract
Little is known about depressive symptoms in podoconiosis despite the independent contribution of depression to worse health outcomes and disability in people with other chronic disorders.
Two-hundred and seventy-one individuals with podoconiosis and 268 healthy neighbours (individuals from the nearest household in any direction) were investigated for depressive symptoms using a validated Amharic version of the Patient Health Questionnaire (PHQ-9). The WHO Disability Assessment Schedule II (WHODAS II) tool was used to measure disability. Logistic regression and zero inflated negative binomial regression were used to identify factors associated with elevated depressive symptoms, and disability, respectively.
Among study participants with podoconiosis, 12.6% (34/269) had high levels of depressive symptoms (scoring 5 or more points on the PHQ-9, on two assessments two weeks apart) compared to 0.7% (2/268) of healthy neighbours (p<0.001). Having podoconiosis and being older were significantly associated with increased odds of a high PHQ-9 score (adjusted odds ratios [AOR] 11.42; 95% CI 2.44–53.44 and AOR 1.04; 95% CI 1.00–1.08, respectively). Significant predictors of a higher disability score were having podoconiosis (WHODAS II multiplier value: 1.48; 95% CI 1.39–1.58) and having a high PHQ-9 score (1.07; 95% CI 1.06–1.08).
We recommend integrating evidence-based treatments for depression into podoconiosis interventions.
Url:
DOI: 10.1093/inthealth/ihv037
PubMed: 26113669
PubMed Central: 4604655
Affiliations:
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xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton & Sussex Medical School, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation></author><author><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name><affiliation wicri:level="1"><nlm:aff id="A1">Brighton & Sussex Medical School, Brighton, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton & Sussex Medical School, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Tamiru, Abreham" sort="Tamiru, Abreham" uniqKey="Tamiru A" first="Abreham" last="Tamiru">Abreham Tamiru</name><affiliation wicri:level="1"><nlm:aff id="A3">International Orthodox Christian Charities, Debre Markos, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>International Orthodox Christian Charities, Debre Markos</wicri:regionArea><wicri:noRegion>Debre Markos</wicri:noRegion></affiliation></author><author><name sortKey="Amberbir, Tsige" sort="Amberbir, Tsige" uniqKey="Amberbir T" first="Tsige" last="Amberbir">Tsige Amberbir</name><affiliation wicri:level="1"><nlm:aff id="A4">International Orthodox Christian Charities, Addis Ababa, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>International Orthodox Christian Charities, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Medhin, Girmay" sort="Medhin, Girmay" uniqKey="Medhin G" first="Girmay" last="Medhin">Girmay Medhin</name><affiliation wicri:level="1"><nlm:aff id="A5">Aklilu Lemma Institute of Pathology, Addis Ababa University, Addis Ababa, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Aklilu Lemma Institute of Pathology, Addis Ababa University, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Malik, Muzaffar" sort="Malik, Muzaffar" uniqKey="Malik M" first="Muzaffar" last="Malik">Muzaffar Malik</name><affiliation wicri:level="1"><nlm:aff id="A6">University of Brighton, Brighton, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>University of Brighton, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation></author><author><name sortKey="Hanlon, Charlotte" sort="Hanlon, Charlotte" uniqKey="Hanlon C" first="Charlotte" last="Hanlon">Charlotte Hanlon</name><affiliation wicri:level="1"><nlm:aff id="A7">Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University</wicri:regionArea><wicri:noRegion>Addis Ababa University</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="A8">Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><affiliation wicri:level="1"><nlm:aff id="A1">Brighton & Sussex Medical School, Brighton, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton & Sussex Medical School, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation></author></analytic><series><title level="j">International health</title><idno type="ISSN">1876-3413</idno><idno type="eISSN">1876-3405</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Chronic Disease</term><term>Cross-Sectional Studies</term><term>Depression (epidemiology)</term><term>Depression (psychology)</term><term>Disabled Persons (psychology)</term><term>Elephantiasis (epidemiology)</term><term>Elephantiasis (physiopathology)</term><term>Elephantiasis (psychology)</term><term>Ethiopia (epidemiology)</term><term>Female</term><term>Humans</term><term>Male</term><term>Mental Health</term><term>Middle Aged</term><term>Rural Population (statistics & numerical data)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Dépression (psychologie)</term><term>Dépression (épidémiologie)</term><term>Facteurs de l'âge</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Maladie chronique</term><term>Mâle</term><term>Personnes handicapées (psychologie)</term><term>Population rurale ()</term><term>Santé mentale</term><term>Éléphantiasis (physiopathologie)</term><term>Éléphantiasis (psychologie)</term><term>Éléphantiasis (épidémiologie)</term><term>Éthiopie (épidémiologie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Depression</term><term>Elephantiasis</term><term>Ethiopia</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Éléphantiasis</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Elephantiasis</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Dépression</term><term>Personnes handicapées</term><term>Éléphantiasis</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Depression</term><term>Disabled Persons</term><term>Elephantiasis</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Rural Population</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Dépression</term><term>Éléphantiasis</term><term>Éthiopie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Chronic Disease</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Mental Health</term><term>Middle Aged</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de l'âge</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Maladie chronique</term><term>Mâle</term><term>Population rurale</term><term>Santé mentale</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P2">Little is known about depressive symptoms in podoconiosis despite the independent contribution of depression to worse health outcomes and disability in people with other chronic disorders.</p></sec><sec id="S2"><title>Method</title><p id="P3">Two-hundred and seventy-one individuals with podoconiosis and 268 healthy neighbours (individuals from the nearest household in any direction) were investigated for depressive symptoms using a validated Amharic version of the Patient Health Questionnaire (PHQ-9). The WHO Disability Assessment Schedule II (WHODAS II) tool was used to measure disability. Logistic regression and zero inflated negative binomial regression were used to identify factors associated with elevated depressive symptoms, and disability, respectively.</p></sec><sec id="S3"><title>Results</title><p id="P4">Among study participants with podoconiosis, 12.6% (34/269) had high levels of depressive symptoms (scoring 5 or more points on the PHQ-9, on two assessments two weeks apart) compared to 0.7% (2/268) of healthy neighbours (p<0.001). Having podoconiosis and being older were significantly associated with increased odds of a high PHQ-9 score (adjusted odds ratios [AOR] 11.42; 95% CI 2.44–53.44 and AOR 1.04; 95% CI 1.00–1.08, respectively). Significant predictors of a higher disability score were having podoconiosis (WHODAS II multiplier value: 1.48; 95% CI 1.39–1.58) and having a high PHQ-9 score (1.07; 95% CI 1.06–1.08).</p></sec><sec id="S4"><title>Conclusion</title><p id="P5">We recommend integrating evidence-based treatments for depression into podoconiosis interventions.</p></sec></div></front></TEI><affiliations><list><country><li>Royaume-Uni</li><li>Éthiopie</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Bartlett, Joanna" sort="Bartlett, Joanna" uniqKey="Bartlett J" first="Joanna" last="Bartlett">Joanna Bartlett</name></noRegion><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name><name sortKey="Hanlon, Charlotte" sort="Hanlon, Charlotte" uniqKey="Hanlon C" first="Charlotte" last="Hanlon">Charlotte Hanlon</name><name sortKey="Malik, Muzaffar" sort="Malik, Muzaffar" uniqKey="Malik M" first="Muzaffar" last="Malik">Muzaffar Malik</name></country><country name="Éthiopie"><noRegion><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name></noRegion><name sortKey="Amberbir, Tsige" sort="Amberbir, Tsige" uniqKey="Amberbir T" first="Tsige" last="Amberbir">Tsige Amberbir</name><name sortKey="Hanlon, Charlotte" sort="Hanlon, Charlotte" uniqKey="Hanlon C" first="Charlotte" last="Hanlon">Charlotte Hanlon</name><name sortKey="Medhin, Girmay" sort="Medhin, Girmay" uniqKey="Medhin G" first="Girmay" last="Medhin">Girmay Medhin</name><name sortKey="Tamiru, Abreham" sort="Tamiru, Abreham" uniqKey="Tamiru A" first="Abreham" last="Tamiru">Abreham Tamiru</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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