慢性疾病患者和一般人群的心理困扰，埃塞俄比亚西北部：一项比较性横断面研究。
Psychological distress among people living with chronic medical illness and the general population, Northwest Ethiopia: A comparative cross-sectional study.
机构信息
Department of Psychiatry, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Surgery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
出版信息
PLoS One. 2022 Dec 1;17(12):e0278235. doi: 10.1371/journal.pone.0278235. eCollection 2022.
BACKGROUND
Psychological distress is often linked to and negatively affects the outcomes of chronic medical conditions; however, data on psychological distress and its predictors among individuals with chronic medical illnesses are scarce in developing countries like Ethiopia. The main objective of this study was to assess the magnitude and predictors of psychological distress among people living with chronic medical illness and the general population.
METHODS
A comparative cross-sectional study was conducted in Mecha demographic research center, Northwest Ethiopia. The participants were selected from the general population and outpatient departments. Kessler-10 (K-10) was used to assess psychological distress.
RESULT
The magnitude of psychological distress among people living with chronic medical illness and those from the general population was 62.0% and 35.1%, respectively. The odds of psychological distress in people living with chronic medical illness was three times more than the one in the general population. Divorced marital status, family history of chronic medical illness, and low social support were statistically significantly associated with psychological distress in both groups.
CONCLUSION
The magnitude of psychological distress was significantly higher among people living with chronic medical illness. Routine screening of such cases for psychological distress during their visits for their medical illness helps take appropriate therapeutic interventions.
背景
心理困扰常常与慢性疾病的结果有关，并对其产生负面影响；然而，在像埃塞俄比亚这样的发展中国家，关于患有慢性疾病的个体的心理困扰及其预测因素的数据却很少。本研究的主要目的是评估患有慢性疾病的人群和一般人群中心理困扰的程度和预测因素。
方法
在埃塞俄比亚西北部的 Mecha 人口研究中心进行了一项比较性的横断面研究。参与者是从一般人群和门诊部门中选取的。使用 Kessler-10（K-10）量表评估心理困扰。
结果
患有慢性疾病的人群和一般人群中心理困扰的程度分别为 62.0%和 35.1%。患有慢性疾病的人群发生心理困扰的几率是一般人群的三倍。在这两个群体中，离异的婚姻状况、慢性疾病的家族史和低社会支持与心理困扰均具有统计学显著相关性。
结论
患有慢性疾病的人群中心理困扰的程度显著更高。在这些人因医疗疾病就诊期间，对他们进行常规的心理困扰筛查有助于采取适当的治疗干预措施。
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