Belete Asmare, Negash Alemayehu, Birkie Mengesha
1Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
2Department of Psychiatry, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia.
Int J Ment Health Syst. 2019 Jan 31;13:7. doi: 10.1186/s13033-019-0262-2. eCollection 2019.
Depression in healthy person without cardiac disease has been associated with the development of coronary artery disease and cardiovascular disease also risk factor for development of depression. This has devastating effect the patient's quality of live, illness progression, morbidity and mortality. Despite this fact help seeking behavior of cardiovascular patients with depression has not been addressed in Ethiopia.
To assess help-seeking behaviors of adult cardiovascular patients with depression for their depressive disorders in Jimma university teaching hospital.
Institution based cross sectional study conducted October to December in 2014. The study was conducted on 353 cardiovascular patients who attended at cardiac clinic. Depression was assessed using patient health questionnaire version nine (PHQ-9), which is validated in Ethiopia, Help seeking behavior using actual help seeking questionnaire and social support using Oslo social support-3 item scale.
From the total of 339 participants, 57.5% (n = 195) of them fulfill the case definition of depression and 12.1% (n = 41) of participant reported idea of hurting themselves. Only 33.3% sought help for their depression. Of those participants who sought help, 88.6% sought help from one or more of an informal help source. Occupation (odds of = 4.24, 95% confidence interval (CI) 1. 31, 13.78), education level (AOR 7.6, CI 2. 13, 27.11), the presence of a history of mental illness in the family (AOR 7.33, CI 2. 72, 19.80), ideal of hurting themselves, knowing the availability of the psychiatric service in this hospital and having previous seeking help were significantly associated with help seeking behavior.
The number of patients not seeking help for depression is high. There for scaling up mental health service in tertiary hospitals through multidisciplinary approach should be given high priority.
无心脏病的健康人患抑郁症与冠状动脉疾病的发生有关，而心血管疾病也是抑郁症发生的危险因素。这对患者的生活质量、疾病进展、发病率和死亡率具有毁灭性影响。尽管如此，埃塞俄比亚尚未探讨心血管疾病合并抑郁症患者的求助行为。
评估吉姆马大学教学医院成年心血管疾病合并抑郁症患者针对其抑郁障碍的求助行为。
2014年10月至12月进行基于机构的横断面研究。该研究针对353名到心脏科门诊就诊的心血管疾病患者开展。使用在埃塞俄比亚经过验证的患者健康问卷第9版（PHQ-9）评估抑郁症，使用实际求助问卷评估求助行为，使用奥斯陆社会支持3项量表评估社会支持。
在总共339名参与者中，57.5%（n = 195）符合抑郁症的病例定义，12.1%（n = 41）的参与者报告有伤害自己的想法。只有33.3%的人因抑郁症寻求帮助。在那些寻求帮助的参与者中，88.6%从一个或多个非正式帮助来源寻求帮助。职业（比值比 = 4.24，95%置信区间（CI）1.31，13.78）、教育水平（调整后比值比7.6，CI 2.13，27.11）、家族中有精神疾病史（调整后比值比7.33，CI 2.72，19.80）、伤害自己的想法、知道该医院有精神科服务以及既往曾寻求帮助与求助行为显著相关。
未因抑郁症寻求帮助的患者数量众多。因此，应高度优先通过多学科方法扩大三级医院的心理健康服务。
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