Program of Psychiatry, School of Nursing, Hawassa University, Hawassa, Ethiopia.
HIV Prevention, and Control Office, Arada Sub-city, Addis Ababa, Ethiopia.
PLoS One. 2020 Mar 12;15(3):e0220267. doi: 10.1371/journal.pone.0220267. eCollection 2020.
Depression is a common mental disorder among prisoners characterized by a mood change involving a feeling of sadness, lack of interest, or hopelessness that lasts for weeks, months, or even longer. Besides imprisonment, depression is the primary factor leading to suicidal attempts. However, little is known about the depressive status of prisoners in Ethiopia. Therefore, this study aimed at assessing the magnitude and associated factors of depressive symptoms among prisoners of Debre Berhan prison.
We conducted an institution-based cross-sectional study. We collected data from 336 randomly selected prisoners using interviewer-administered Patient Health Questionnaire-9 (PHQ-9). We collected the data from May 3 to 28, 2015, and performed binary logistic regression to identify independent predictors of depressive disorder.
Out of the total of 336 prisoners, 98% (n = 330) were males. Using PHQ-9 at the cut-off point of ≥5, we found the prevalence of depression to be 44% (n = 148). Being widowed (AOR = 6.30; CI: 1.09-36.67), having a college or university level educational status (AOR = 5.34; CI:1.59-17.94), having a history of suicide attempt (AOR = 2.76 CI: 1.04-7.31), having faced severe stressful life events (AOR = 2.57; CI: 1.41-4.67), being sentenced for 5 to 10 years (AOR = 2.51; CI:1.32-4.79), and having a history of chronic medical illness (AOR = 3.32 CI: 1.26-8.75) were found to be independently associated with depressive symptoms.
There is a high prevalence of depression among prisoners of Debre Berhan prison. Hence, designing strategies for early screening and treatment of depression at prisons is crucial.
抑郁症是囚犯中常见的精神障碍，其特征是情绪变化，包括持续数周、数月甚至更长时间的悲伤、缺乏兴趣或绝望感。除了监禁之外，抑郁症是导致自杀企图的主要因素。然而，关于埃塞俄比亚囚犯的抑郁状况知之甚少。因此，本研究旨在评估德布雷伯汉监狱囚犯的抑郁症状严重程度及其相关因素。
我们进行了一项基于机构的横断面研究。我们使用访谈员管理的患者健康问卷-9（PHQ-9）从 336 名随机选择的囚犯中收集数据。我们于 2015 年 5 月 3 日至 28 日收集数据，并进行二元逻辑回归以确定抑郁障碍的独立预测因素。
在总共 336 名囚犯中，98%（n=330）为男性。使用 PHQ-9 的切点≥5，我们发现抑郁的患病率为 44%（n=148）。丧偶（AOR=6.30；CI：1.09-36.67）、具有大学或大学学历（AOR=5.34；CI：1.59-17.94）、有自杀企图史（AOR=2.76 CI：1.04-7.31）、面临严重的生活压力事件（AOR=2.57；CI：1.41-4.67）、被判 5 至 10 年徒刑（AOR=2.51；CI：1.32-4.79）和患有慢性疾病（AOR=3.32 CI：1.26-8.75）与抑郁症状独立相关。
德布雷伯汉监狱囚犯的抑郁患病率很高。因此，在监狱中制定早期筛查和治疗抑郁症的策略至关重要。
