Duko Bereket, Toma Alemayehu, Asnake Solomon, Abraham Yacob
Faculty of Health Sciences, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Faculty of Medical Sciences, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Front Psychiatry. 2019 May 7;10:290. doi: 10.3389/fpsyt.2019.00290. eCollection 2019.
Depressive and anxious symptoms are more regularly seen in HIV-infected people than in the general population. This investigation planned to evaluate the magnitude and factors related to depressive and anxiety symptoms among HIV patients in South Ethiopia, 2018. This was an institution-based cross-sectional study directed among 363 HIV-infected individuals who had a customary visit at Hawassa University Comprehensive Specialized Hospital and Yirgalem Hospital, Ethiopia, who were incorporated into the study through systematic sampling techniques. The hospital anxiety and depression scale (HADS) was utilized to take a look at anxious and depressive symptoms. The mean age of the respondents was 37.66 years (SD ±10.03). The prevalence of depression and anxiety were 32.0% and 34.4%, respectively. Patients who were living alone [AOR = 1.94, (95% CI: 1.06, 3.56)], had poor social support [AOR = 5.57, (95% CI: 1.20, 10.84)] or had HIV-related perceived stigma [AOR = 2.35, (95% CI: 1.44, 3.84)] were more likely to have depression as compared to their counterparts. Those with a previous history of mental illness [AOR = 3.36, (95% CI: 1.31, 8.61)] and poor social support [AOR = 6.67, (95% CI: 1.47, 10.33)] were more likely to have anxiety symptoms. The prevalence of anxiety and depression in the current study was high. Concerned health departments of the country should create guidelines to screen and treat depression and anxiety among HIV patients. Further research on hazard factors of depression and anxiety ought to be examined to strengthen and expand these findings.
与普通人群相比，抑郁和焦虑症状在艾滋病毒感染者中更为常见。本调查旨在评估2018年埃塞俄比亚南部艾滋病毒患者中抑郁和焦虑症状的严重程度及相关因素。这是一项基于机构的横断面研究，对象为363名在埃塞俄比亚哈瓦萨大学综合专科医院和伊尔加莱姆医院定期就诊的艾滋病毒感染者，他们通过系统抽样技术纳入研究。采用医院焦虑抑郁量表（HADS）来检测焦虑和抑郁症状。受访者的平均年龄为37.66岁（标准差±10.03）。抑郁和焦虑的患病率分别为32.0%和34.4%。与同龄人相比，独居的患者[调整后比值比（AOR）=1.94，（95%置信区间：1.06，3.56）]、社会支持差的患者[AOR = 5.57，（95%置信区间：1.20，10.84）]或有艾滋病毒相关耻辱感的患者[AOR = 2.35，（95%置信区间：1.44，3.84）]更易患抑郁症。有精神疾病史的患者[AOR = 3.36，（95%置信区间：1.31，8.61）]和社会支持差的患者[AOR = 6.67，（95%置信区间：1.47，10.33）]更易出现焦虑症状。本研究中焦虑和抑郁的患病率较高。该国相关卫生部门应制定指南，对艾滋病毒患者中的抑郁和焦虑进行筛查和治疗。应进一步研究抑郁和焦虑的危险因素，以强化和拓展这些发现。
