Munie Birhanu Mengist, Birhan Zelalem, Legas Getasew, Asnakew Sintayehu, Belete Amsalu, Beyene Getnet Mihretie, Shiferaw Kirubel, Mulu Anemut Tilahun, Kassie Yohannes Tesfahun, Aytenew Tigabu Munye, Tedla Assasahegn
Department of Psychiatry, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Front Psychiatry. 2024 Sep 20;15:1422104. doi: 10.3389/fpsyt.2024.1422104. eCollection 2024.
Severe mental illness results in an enormous social and economic burden on affected individuals, their families, and communities, especially in developing countries, such as Ethiopia.
The aim of this study was to assess the level of depression among caregivers of patients with severe mental illness in Debre Tabor Town, Northwest Ethiopia in 2023.
This institution-based explanatory mixed study was conducted at Debre Tabor Compressive Specialized Hospitals between September 30 to October 30, 2023. A systematic random sampling technique was used to select 260 study participants, and a public health questionnaire was used to assess depression. Epicollect5 was used to collect data, which were then exported to the SPSS-25 for analysis. Variables with a -value <0.25 were considered candidates for the multivariate logistic regression analysis. The odds ratios with a 95% confidence interval were used to determine the strength of the association. An in-depth interview was conducted with 11 participants, selected using purposive sampling.
The prevalence of depression was 31.3% (95% CI = 29.7-38.6). The multivariate analysis showed that being female (AOD = 2.43, CI = 1.42-7.23), divorced/widowed (AOD = 1.8, CI = 1.32-6.34), poor social support (AOD = 2.2, CI = 1.9-5.87), and perceived stigma (AOD = 2.33, CI = 0.24-13.22) were positively associated with depression. The qualitative results suggest that being female, illiterate, severity of the illness, poor social support, and stigma were factors for depression.
The prevalence of depression was high among caregivers of patients with severe mental illness. Female sex, being divorced or widowed, being illiterate, poor social support, and perceived stigma were the contributing factors. This implies that a greater focus on caregivers and the government increases mental health literacy and mental health community services.
严重精神疾病给患者本人、其家庭及社区带来了巨大的社会和经济负担，在埃塞俄比亚等发展中国家尤为如此。
本研究旨在评估2023年埃塞俄比亚西北部德布雷塔博尔镇严重精神疾病患者照料者的抑郁水平。
本基于机构的解释性混合研究于2023年9月30日至10月30日在德布雷塔博尔综合专科医院开展。采用系统随机抽样技术选取260名研究参与者，并使用一份公共卫生问卷评估抑郁情况。使用Epicollect5收集数据，随后将其导出至SPSS-25进行分析。P值<0.25的变量被视为多因素逻辑回归分析的候选变量。使用95%置信区间的比值比来确定关联强度。对采用目的抽样法选取的11名参与者进行了深入访谈。
抑郁患病率为31.3%（95%CI=29.7-38.6）。多因素分析表明，女性（比值比=2.43，CI=1.42-7.23）、离婚/丧偶者（比值比=1.8，CI=1.32-6.34）、社会支持差（比值比=2.2，CI=1.9-5.87）以及感知到耻辱感（比值比=2.33，CI=0.24-13.22）与抑郁呈正相关。定性结果表明，女性、文盲、疾病严重程度、社会支持差以及耻辱感是导致抑郁的因素。
严重精神疾病患者照料者的抑郁患病率较高。女性、离婚或丧偶、文盲、社会支持差以及感知到耻辱感是促成因素。这意味着应更加关注照料者，政府应提高心理健康素养并增加社区心理健康服务。
