Yale School of Medicine, New Haven, United States of America.
Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, United States of America.
East Mediterr Health J. 2021 Dec 28;27(12):1142-1152. doi: 10.26719/emhj.20.123.
Chronic disease and depression are primary contributors to morbidity among displaced and local populations.
This study aims to address the prevalence for and risk factors of comorbid depression among Jordanian and Syrian women with known chronic disease.
To provide evidence for mental health intervention planning, we conducted a cross-sectional survey to investigate determinants of depression among female Syrian refugees and Jordanians with chronic disease living in Amman. A total of 272 female Syrian refugees and Jordanians with chronic disease were recruited from 4 clinics across Amman from June to August 2017. We compared demographic and health characteristics and depression level and identified predictors of depression via multivariable ordinal regression.
Moderate to high levels of depression were reported in 55.9% of the participants, with a prevalence of 41.1% among Jordanians and 70.6% among Syrians. Syrians with chronic disease had 2.73 times greater odds of higher levels of depression than their Jordanian peers. After adjusting for age, income, spouse employment status, gastrointestinal or genitourinary disorder status, and perceived self-efficacy, Syrians were not at significantly greater odds of reporting higher levels of depression. Risk factors for higher depression levels included having an unemployed spouse, diagnosis of gastrointestinal or genitourinary disorder and low perceived self-efficacy.
Depression is frequently comorbid with chronic physical conditions and has a deleterious impact on health status. Mental health interventions and chronic disease management tailored to differences among local and displaced communities may reduce disease burden and disability.
慢性病和抑郁症是导致流离失所者和当地居民发病率的主要因素。
本研究旨在探讨已知患有慢性病的约旦和叙利亚女性中，共病抑郁症的患病率和危险因素。
为了为心理健康干预计划提供依据，我们进行了一项横断面调查，以研究安曼地区患有慢性病的叙利亚女性难民和约旦女性的抑郁决定因素。2017 年 6 月至 8 月，我们从安曼的 4 家诊所招募了 272 名患有慢性病的叙利亚女性难民和约旦女性。我们比较了人口统计学和健康特征以及抑郁程度，并通过多变量有序回归确定了抑郁的预测因素。
55.9%的参与者报告了中高度抑郁水平，其中约旦人为 41.1%，叙利亚人为 70.6%。患有慢性病的叙利亚人出现更高水平抑郁的几率是其约旦同龄人 2.73 倍。调整年龄、收入、配偶就业状况、胃肠道或泌尿生殖系统疾病状况和自我效能感后，叙利亚人报告更高水平抑郁的几率没有显著增加。更高抑郁水平的风险因素包括配偶失业、诊断为胃肠道或泌尿生殖系统疾病以及自我效能感低。
抑郁症常与慢性躯体疾病共病，并对健康状况产生有害影响。针对当地和流离失所社区之间差异的心理健康干预和慢性病管理可能会减轻疾病负担和残疾。
