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吉马社区中的情绪症状、自杀及相关因素。一项横断面研究。

Mood Symptoms, Suicide, and Associated Factors Among Jimma Community. A Cross-Sectional Study.

作者信息

Tesfaye Yonas, Agenagnew Liyew, Anand Susan, Tucho Gudina Terefe, Birhanu Zewdie, Ahmed Gutema, Getnet Masrie, Yitbarek Kiddus

机构信息

Department of Psychiatry, Jimma University, Jimma, Ethiopia.

School of Nursing and Midwifery, Jimma University, Jimma, Ethiopia.

出版信息

Front Psychiatry. 2021 Mar 19;12:640575. doi: 10.3389/fpsyt.2021.640575. eCollection 2021.

Abstract

The global burden of mental health problems is high and is predicted to rise. At present, mood symptoms are the foremost common psychological problems worldwide, yet little is known regarding their magnitude and associated factors in developing countries. Therefore, this study aimed to assess the magnitude and associated factors of anxiety, depressive, manic symptoms, and suicidal behavior among the rural Jimma community, Ethiopia. A community-based quantitative cross-sectional survey was employed on 423 households selected through systematic random sampling. An adapted version of the Mini International Neuropsychiatric Interview tool was used for the structured face-to-face interview. The collected data were checked for completeness, coded, and inserted into Epi Data version 3.1 and exported to SPSS version 23 for analysis. Variables with < g0.05 and odds ratio (OR) [95% confidence interval (CI)] on multivariate logistic regression analysis were considered as factors associated with the outcome variable. Overall, 185 (44.0%), 55 (13.1%), 44 (10.5%), and 23 (5.5%) of the respondents had anxiety, depressive, manic symptom, and suicide behavior, respectively. The odds of having anxiety symptoms were nearly 5 times higher among those who had perceived discrimination and racism experience compared to their counterpart [adjusted OR (AOR), 5.02; 95% CI, 1.90-13.26]. Likewise, recently bereaved participants had 4-fold higher odds of reporting depressive symptoms (AOR, 3.9; 95% CI, 1.4-10.4) than the non-bereaved ones. Furthermore, respondents who had depressive symptoms were almost four and a half times more likely to have manic symptoms compared to those who did not (AOR, 4.3; 95% CI, 1.71-11.02). Anxiety, depressive, manic symptoms, and suicidal behavior were prevalent in the community and positively associated with multiple psychosocial factors. Implementing accessible and affordable community-based mental health services is recommended to mitigate the problems.

摘要

全球心理健康问题负担沉重且预计还会上升。目前,情绪症状是全球最常见的心理问题,但在发展中国家,人们对其严重程度及相关因素知之甚少。因此,本研究旨在评估埃塞俄比亚吉马农村社区中焦虑、抑郁、躁狂症状及自杀行为的严重程度和相关因素。采用基于社区的定量横断面调查,通过系统随机抽样选取了423户家庭。使用经过改编的迷你国际神经精神病学访谈工具进行结构化面对面访谈。对收集到的数据进行完整性检查、编码,然后录入Epi Data 3.1版本,并导出到SPSS 23版本进行分析。在多变量逻辑回归分析中,P<0.05且比值比(OR)[95%置信区间(CI)] 的变量被视为与结果变量相关的因素。总体而言,分别有185名(44.0%)、55名(13.1%)、44名(10.5%)和23名(5.5%)受访者有焦虑、抑郁、躁狂症状及自杀行为。与未经历过的人相比,那些有感知到歧视和种族主义经历的人出现焦虑症状的几率高出近5倍[调整后的OR(AOR),5.02;95% CI,1.90 - 13.26]。同样,最近经历丧亲之痛的参与者报告抑郁症状的几率比未经历丧亲之痛的人高出4倍(AOR,3.9;95% CI,1.4 - 10.4)。此外,有抑郁症状的受访者出现躁狂症状的可能性几乎是没有抑郁症状者的四倍半(AOR,4.3;95% CI,1.71 - 11.02)。焦虑、抑郁、躁狂症状及自杀行为在该社区普遍存在,且与多种社会心理因素呈正相关。建议提供可及且负担得起的基于社区的心理健康服务以缓解这些问题。

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