Abaatyo Joan, Favina Alain, Twine Margaret, Lutasingwa Dan, Ricciardelli Rosemary, Rukundo Godfrey Zari
Department of Psychiatry, King Ceasor University, Kampala, Uganda.
Department of Psychiatry, Uganda Christian University, Kampala, Uganda.
BMC Public Health. 2025 Mar 6;25(1):898. doi: 10.1186/s12889-025-22024-8.
Marking the lives of healthcare professionals (HCPs) are tensions arising from the conflict between fulfilling their duty of care and the demands of the healthcare setting, creating concern for HCPs' mental. In our study, we aim to determine the prevalence of major depressive disorder (MDD) and generalized anxiety disorder (GAD) among HCPs in Southwestern Uganda and to establish how the disorders' prevalence affects professional quality of life and resilience.
In total, 200 HCPs from two health facilities (one private and one public) in Southwestern Uganda enrolled in an analytical cross-sectional study. We used the Patient Health Questionnaire-9 (PHQ-9) to determine MDD, the Generalized Anxiety Disorder-7 (GAD-7) to determine GAD, the Professional Quality of Life Scale-5 (ProQOL-5) to determine professional quality of life and the Nicholson McBride Resilience Questionnaire (NMRQ) to determine resilience.
The prevalence of MDD was 11.0% and of GAD was 14.5%. High compassion fatigue increased the likelihood of MDD [aPR = 3.38, p value < 0.001]. However, high compassion satisfaction and exceptional resilience reduced the likelihood of GAD i.e., [aPR = 0.50, p value < 0.001] and [aPR = 0.50, p value < 0.001] respectively. Being male [aPR = 2.41, p value = 0.005] and being married [aPR = 1.79, p value = 0.017] increased the likelihood of having MDD. The likelihood of GAD among HCPs decreased with age, [aPR = 0.97, p value = 0.022].
There is a significant occurrence of MDD and GAD among healthcare professionals (HCPs) in Southwestern Uganda. Compassion fatigue is linked to an elevated prevalence of MDD, while compassion satisfaction and high resilience scores are associated with a reduced prevalence of GAD. We recommend creation and execution of extensive mental health initiatives designed for HCPs.
医疗保健专业人员（HCPs）的生活面临着履行护理职责与医疗环境要求之间冲突所产生的紧张关系，这引发了对HCPs心理健康的担忧。在我们的研究中，我们旨在确定乌干达西南部HCPs中重度抑郁症（MDD）和广泛性焦虑症（GAD）的患病率，并确定这些疾病的患病率如何影响职业生活质量和恢复力。
总共200名来自乌干达西南部两家医疗机构（一家私立和一家公立）的HCPs参与了一项分析性横断面研究。我们使用患者健康问卷-9（PHQ-9）来确定MDD，广泛性焦虑症量表-7（GAD-7）来确定GAD，职业生活质量量表-5（ProQOL-5）来确定职业生活质量，以及尼科尔森·麦克布莱德恢复力问卷（NMRQ）来确定恢复力。
MDD的患病率为(11.0%)，GAD的患病率为(14.5%)。高同情疲劳增加了患MDD的可能性([aPR = 3.38，p值 < 0.001])。然而，高同情满意度和超强恢复力降低了患GAD的可能性，即分别为([aPR = 0.50，p值 < 0.001])和([aPR = 0.50，p值 < 0.001])。男性([aPR = 2.41，p值 = 0.005])和已婚([aPR = 1.79，p值 = 0.017])会增加患MDD的可能性。HCPs中患GAD的可能性随着年龄的增长而降低，([aPR = 0.97，p值 = 0.022])。
在乌干达西南部的医疗保健专业人员（HCPs）中，MDD和GAD的发生率很高。同情疲劳与MDD患病率的升高有关，而同情满意度和高恢复力得分与GAD患病率的降低有关。我们建议为HCPs制定并实施广泛的心理健康倡议。
