Mental distress and podoconiosis in Northern Ethiopia: a comparative cross-sectional study
Identifieur interne : 002833 ( Main/Exploration ); précédent : 002832; suivant : 002834Mental distress and podoconiosis in Northern Ethiopia: a comparative cross-sectional study
Auteurs : Elizabeth Mousley [Royaume-Uni] ; Kebede Deribe [Royaume-Uni, Éthiopie] ; Abreham Tamiru [Éthiopie] ; Sara Tomczyk [Belgique] ; Charlotte Hanlon [Éthiopie] ; Gail Davey [Royaume-Uni]Source :
- International Health [ 1876-3413 ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Comorbidité, Enquêtes et questionnaires, Facteurs de risque, Femelle, Humains, Jeune adulte, Maladies négligées (), Maladies négligées (psychologie), Maladies négligées (épidémiologie), Mâle, Qualité de vie, Stigmate social, Sujet âgé, Sujet âgé de 80 ans ou plus, Troubles mentaux (), Troubles mentaux (psychologie), Troubles mentaux (épidémiologie), Éléphantiasis (), Éléphantiasis (psychologie), Éléphantiasis (épidémiologie), Éthiopie (épidémiologie), Études cas-témoins, Études transversales.
- MESH :
- psychologie : Maladies négligées, Troubles mentaux, Éléphantiasis.
- épidémiologie : Maladies négligées, Troubles mentaux, Éléphantiasis, Éthiopie.
- Adolescent, Adulte, Adulte d'âge moyen, Comorbidité, Enquêtes et questionnaires, Facteurs de risque, Femelle, Humains, Jeune adulte, Maladies négligées, Mâle, Qualité de vie, Stigmate social, Sujet âgé, Sujet âgé de 80 ans ou plus, Troubles mentaux, Éléphantiasis, Études cas-témoins, Études transversales.
- Wicri :
- geographic : Éthiopie.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Case-Control Studies, Comorbidity, Cross-Sectional Studies, Elephantiasis (epidemiology), Elephantiasis (prevention & control), Elephantiasis (psychology), Ethiopia (epidemiology), Female, Humans, Male, Mental Disorders (epidemiology), Mental Disorders (prevention & control), Mental Disorders (psychology), Middle Aged, Neglected Diseases (epidemiology), Neglected Diseases (prevention & control), Neglected Diseases (psychology), Quality of Life, Risk Factors, Social Stigma, Surveys and Questionnaires, Young Adult.
- MESH :
- geographic , epidemiology : Ethiopia.
- epidemiology : Elephantiasis, Mental Disorders, Neglected Diseases.
- prevention & control : Elephantiasis, Mental Disorders, Neglected Diseases.
- psychology : Elephantiasis, Mental Disorders, Neglected Diseases.
- Adolescent, Adult, Aged, Aged, 80 and over, Case-Control Studies, Comorbidity, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Quality of Life, Risk Factors, Social Stigma, Surveys and Questionnaires, Young Adult.
Abstract
The stigma, deformity and disability related to most neglected tropical diseases may lead to poor mental health. We aimed to assess the comorbidity of podoconiosis and mental distress.
A comparative cross-sectional study was conducted in 2012, including 346 people with podoconiosis and 349 healthy neighbourhood controls. Symptoms of mental distress were assessed using the validated Amharic translation of the Kessler-10 scale (K10). A linear regression analysis was conducted to identify factors associated with mental distress.
The mean K10 score was 15.92 (95% CI: 15.27 to 16.57) in people with podoconiosis and 14.49 (95% CI: 13.85 to 15.12) in controls (average K10 scores 1.43 points higher [95% CI: 0.52 to 2.34]). In multivariate linear regression of K10 scores, the difference remained significant when adjusted for gender, income, alcohol use, age, place of residence and family history of mental illness. In the adjusted model, people with podoconiosis had K10 scores 1.37 points higher than controls (95% CI: 0.64 to 2.18). Other variables were also associated with high K10 scores: women had K10 scores 1.41 points higher than men (95% CI: 0.63 to 2.18). Those with family history of mental illness had K10 scores 3.56 points higher than those without (95% CI: 0.55 to 6.56).
This study documented a high burden of mental distress among people with podoconiosis compared with healthy controls. Taking this finding in the context of the high stigma and reduced quality of life, we recommend integration of psychosocial care into the current morbidity management of podoconiosis.
Url:
DOI: 10.1093/inthealth/ihu043
PubMed: 25062906
PubMed Central: 4236095
Affiliations:
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UK</addr-line></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="af2"><addr-line>School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia</addr-line></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="af3"><addr-line>International Orthodox Christian Charities, Debre Markos, Ethiopia</addr-line></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="Tomczyk, Sara" sort="Tomczyk, Sara" uniqKey="Tomczyk S" first="Sara" last="Tomczyk">Sara Tomczyk</name><affiliation wicri:level="1"><nlm:aff id="af4"><addr-line>Institute of Tropical Medicine, Antwerp, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Institute of Tropical Medicine, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</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="af5"><addr-line>Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia</addr-line></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></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="af1"><addr-line>Brighton & Sussex Medical School, Brighton, UK</addr-line></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="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Case-Control Studies</term><term>Comorbidity</term><term>Cross-Sectional Studies</term><term>Elephantiasis (epidemiology)</term><term>Elephantiasis (prevention & control)</term><term>Elephantiasis (psychology)</term><term>Ethiopia (epidemiology)</term><term>Female</term><term>Humans</term><term>Male</term><term>Mental Disorders (epidemiology)</term><term>Mental Disorders (prevention & control)</term><term>Mental Disorders (psychology)</term><term>Middle Aged</term><term>Neglected Diseases (epidemiology)</term><term>Neglected Diseases (prevention & control)</term><term>Neglected Diseases (psychology)</term><term>Quality of Life</term><term>Risk Factors</term><term>Social Stigma</term><term>Surveys and Questionnaires</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>Comorbidité</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Maladies négligées ()</term><term>Maladies négligées (psychologie)</term><term>Maladies négligées (épidémiologie)</term><term>Mâle</term><term>Qualité de vie</term><term>Stigmate social</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Troubles mentaux ()</term><term>Troubles mentaux (psychologie)</term><term>Troubles mentaux (épidémiologie)</term><term>Éléphantiasis ()</term><term>Éléphantiasis (psychologie)</term><term>Éléphantiasis (épidémiologie)</term><term>Éthiopie (épidémiologie)</term><term>Études cas-témoins</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ethiopia</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis</term><term>Mental Disorders</term><term>Neglected Diseases</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Elephantiasis</term><term>Mental Disorders</term><term>Neglected Diseases</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Maladies négligées</term><term>Troubles mentaux</term><term>Éléphantiasis</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Elephantiasis</term><term>Mental Disorders</term><term>Neglected Diseases</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Maladies négligées</term><term>Troubles mentaux</term><term>Éléphantiasis</term><term>Éthiopie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Case-Control Studies</term><term>Comorbidity</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Quality of Life</term><term>Risk Factors</term><term>Social Stigma</term><term>Surveys and Questionnaires</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>Comorbidité</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Maladies négligées</term><term>Mâle</term><term>Qualité de vie</term><term>Stigmate social</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Troubles mentaux</term><term>Éléphantiasis</term><term>Études cas-témoins</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Éthiopie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The stigma, deformity and disability related to most neglected tropical diseases may lead to poor mental health. We aimed to assess the comorbidity of podoconiosis and mental distress.</p></sec><sec><title>Methods</title><p>A comparative cross-sectional study was conducted in 2012, including 346 people with podoconiosis and 349 healthy neighbourhood controls. Symptoms of mental distress were assessed using the validated Amharic translation of the Kessler-10 scale (K10). A linear regression analysis was conducted to identify factors associated with mental distress.</p></sec><sec><title>Results</title><p>The mean K10 score was 15.92 (95% CI: 15.27 to 16.57) in people with podoconiosis and 14.49 (95% CI: 13.85 to 15.12) in controls (average K10 scores 1.43 points higher [95% CI: 0.52 to 2.34]). In multivariate linear regression of K10 scores, the difference remained significant when adjusted for gender, income, alcohol use, age, place of residence and family history of mental illness. In the adjusted model, people with podoconiosis had K10 scores 1.37 points higher than controls (95% CI: 0.64 to 2.18). Other variables were also associated with high K10 scores: women had K10 scores 1.41 points higher than men (95% CI: 0.63 to 2.18). Those with family history of mental illness had K10 scores 3.56 points higher than those without (95% CI: 0.55 to 6.56).</p></sec><sec><title>Conclusions</title><p>This study documented a high burden of mental distress among people with podoconiosis compared with healthy controls. Taking this finding in the context of the high stigma and reduced quality of life, we recommend integration of psychosocial care into the current morbidity management of podoconiosis.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Price, E" uniqKey="Price E">E Price</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Birrie, H" uniqKey="Birrie H">H Birrie</name></author><author><name sortKey="Balcha, F" uniqKey="Balcha F">F Balcha</name></author><author><name sortKey="Jemaneh, L" uniqKey="Jemaneh L">L Jemaneh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Desta, K" uniqKey="Desta K">K Desta</name></author><author><name sortKey="Ashine, M" uniqKey="Ashine M">M Ashine</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Onapa, Aw" uniqKey="Onapa A">AW Onapa</name></author><author><name sortKey="Simonsen, Pe" uniqKey="Simonsen P">PE Simonsen</name></author><author><name sortKey="Pedersen, Em" uniqKey="Pedersen E">EM Pedersen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ruiz, L" uniqKey="Ruiz L">L Ruiz</name></author><author><name sortKey="Campo, E" uniqKey="Campo E">E Campo</name></author><author><name sortKey="Corachan, M" uniqKey="Corachan M">M Corachan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tada, Ms" uniqKey="Tada M">MS Tada</name></author><author><name sortKey="Marsden, Pd" uniqKey="Marsden P">PD Marsden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wanji, S" uniqKey="Wanji S">S Wanji</name></author><author><name sortKey="Tendongfor, N" uniqKey="Tendongfor N">N Tendongfor</name></author><author><name sortKey="Esum, M" uniqKey="Esum M">M Esum</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author><author><name sortKey="Newport, M" uniqKey="Newport M">M Newport</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alemu, G" uniqKey="Alemu G">G Alemu</name></author><author><name sortKey="Tekola Ayele, F" uniqKey="Tekola Ayele F">F Tekola Ayele</name></author><author><name sortKey="Daniel, T" uniqKey="Daniel T">T Daniel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Geshere Oli, G" uniqKey="Geshere Oli G">G Geshere Oli</name></author><author><name sortKey="Tekola Ayele, F" uniqKey="Tekola Ayele F">F Tekola Ayele</name></author><author><name sortKey="Petros, B" uniqKey="Petros B">B Petros</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kloos, H" uniqKey="Kloos H">H Kloos</name></author><author><name sortKey="Kello, Ab" uniqKey="Kello A">AB Kello</name></author><author><name sortKey="Addus, A" uniqKey="Addus A">A Addus</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Molla, Yb" uniqKey="Molla Y">YB Molla</name></author><author><name sortKey="Tomczyk, S" uniqKey="Tomczyk S">S Tomczyk</name></author><author><name sortKey="Amberbir, T" uniqKey="Amberbir T">T Amberbir</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tekola Ayele, F" uniqKey="Tekola Ayele F">F Tekola Ayele</name></author><author><name sortKey="Alemu, G" uniqKey="Alemu G">G Alemu</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author><author><name sortKey="Ahrens, C" uniqKey="Ahrens C">C 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Farmer</name></author><author><name sortKey="Rae, Ds" uniqKey="Rae D">DS Rae</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Patel, V" uniqKey="Patel V">V Patel</name></author><author><name sortKey="Weiss, Ha" uniqKey="Weiss H">HA Weiss</name></author><author><name sortKey="Chowdhary, N" uniqKey="Chowdhary N">N Chowdhary</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rahman, A" uniqKey="Rahman A">A Rahman</name></author><author><name sortKey="Malik, A" uniqKey="Malik A">A Malik</name></author><author><name sortKey="Sikander, S" uniqKey="Sikander S">S Sikander</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Royaume-Uni</li><li>Éthiopie</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Mousley, Elizabeth" sort="Mousley, Elizabeth" uniqKey="Mousley E" first="Elizabeth" last="Mousley">Elizabeth Mousley</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></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="Hanlon, Charlotte" sort="Hanlon, Charlotte" uniqKey="Hanlon C" first="Charlotte" last="Hanlon">Charlotte Hanlon</name><name sortKey="Tamiru, Abreham" sort="Tamiru, Abreham" uniqKey="Tamiru A" first="Abreham" last="Tamiru">Abreham Tamiru</name></country><country name="Belgique"><noRegion><name sortKey="Tomczyk, Sara" sort="Tomczyk, Sara" uniqKey="Tomczyk S" first="Sara" last="Tomczyk">Sara Tomczyk</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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