Rufai Ahmad Idris, Grema Bukar Alhaji, Bello Musa Muhammad, Michael Godpower Chinedu
Department of Family Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
Department of Community Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
J Neurosci Rural Pract. 2022 Mar 10;13(2):246-253. doi: 10.1055/s-0042-1743456. eCollection 2022 Apr.
Depression is a common psychological disorder in women with infertility, which causes significant morbidity and mortality. Little attention is currently given to depression by health care providers who manage infertility, and there is a scarcity of studies on depression among women with infertility in northern Nigeria. This study aimed at assessing the association between family functionality, sociodemographic factors, and depression severity in women with infertility attending a gynecology clinic in northwest Nigeria. This was a cross-sectional study involving 415 females systematically selected from women with infertility attending a gynecology clinic in a Nigerian hospital. They were interviewed using Beck's Depression Inventory and Family APGAR (Adaptability, Partnership, Growth, Affection, Resolve) questionnaires over 12 weeks. Data regarding participants' sociodemographic and infertility characteristics were also collected. The association between categorical variables was assessed using the chi-square or Fisher's exact test. The determinants of depression severity were assessed using logistic regression analysis. A -value of < 0.05 was considered significant. The mean age of respondents was 30.9 ± 6.6 years; the prevalence of depression was 44.6% (32.5% were of mild severity). Most families (73.5%) were highly functional. Association between family functionality and depression severity was not statistically significant (chi-square =5.143, = 0.259). Respondents' religion (chi-square = 10.813, = 0.029), education (chi-square = 36.835, = 0.001), and monthly income (chi-square = 9.261, = 0.010) were associated with depression severity. Being a Muslim (odds ratio [OR] = 2.9, 95% confidence interval [CI] = 1.8-5.6, = 0.001) and having formal education (OR = 10.2, 95% CI = 4.7-16.5, = 0.001) were determinants of depression severity. The prevalence of depression was high among the respondents. Although no association was found between family functionality and depression severity, respondents who are Muslims or had formal education were at increased risk of depression. Therefore, a high index of suspicion for depression and holistic care is required to manage women with infertility.
抑郁症是不孕女性中常见的心理障碍，会导致严重的发病和死亡。目前，治疗不孕不育的医疗服务提供者对抑郁症关注甚少，尼日利亚北部不孕女性中关于抑郁症的研究也很匮乏。 本研究旨在评估尼日利亚西北部一家妇科诊所中不孕女性的家庭功能、社会人口学因素与抑郁严重程度之间的关联。 这是一项横断面研究，从一家尼日利亚医院妇科诊所的不孕女性中系统选取了415名女性。在12周内，使用贝克抑郁量表和家庭APGAR（适应度、伙伴关系、成长、情感、解决能力）问卷对她们进行访谈。还收集了参与者的社会人口学和不孕特征数据。分类变量之间的关联使用卡方检验或费舍尔精确检验进行评估。抑郁严重程度的决定因素使用逻辑回归分析进行评估。P值<0.05被认为具有统计学意义。 受访者的平均年龄为30.9±6.6岁；抑郁症患病率为44.6%（轻度严重程度的占32.5%）。大多数家庭（73.5%）功能良好。家庭功能与抑郁严重程度之间的关联无统计学意义（卡方=5.143，P=0.259）。受访者的宗教信仰（卡方=10.813，P=0.029）、教育程度（卡方=36.835，P=0.001）和月收入（卡方=9.261，P=0.010）与抑郁严重程度相关。成为穆斯林（优势比[OR]=2.9，95%置信区间[CI]=1.8 - 5.6，P=0.001）和接受正规教育（OR=10.2，95%CI=4.7 - 16.5，P=0.001）是抑郁严重程度的决定因素。 受访者中抑郁症患病率较高。虽然未发现家庭功能与抑郁严重程度之间存在关联，但穆斯林或接受过正规教育的受访者患抑郁症的风险增加。因此，需要对抑郁症保持高度怀疑指数并提供全面护理来管理不孕女性。
