Determinates of depressive disorder among adult patients with cardiovascular disease at outpatient cardiac clinic Jimma University Teaching Hospital, South West Ethiopia: cross-sectional study

• Published in: International journal of mental health systems Vol. 13; no. 1; pp. 13 - 12
• Main Authors: Umer, Halima, Negash, Alemayehu, Birkie, Mengesha, Belete, Asmare
• Format: Journal Article
• Language: English
• Published: London BioMed Central 05.03.2019; BioMed Central Ltd; Springer Nature B.V; BMC
• Subjects: Analysis; Cardiac patients; Cardiovascular disease; Cardiovascular diseases; Clinical Psychology; Comorbidity; Coronary artery disease; Cross-sectional studies; Depression; Depression (Mood disorder); Determinants; Ethiopia; Exercise; Health; Health Administration; Health surveys; Heart diseases; Major depressive disorder; Medical research; Medicine; Medicine & Public Health; Mental depression; Mental disorders; Mortality; Patient health questionnaire-9; Patient outcomes; Physical activity; Prevalence studies (Epidemiology); Psychiatry; Psychological aspects; Public health; Regression analysis; Risk factors; Social interactions; Social support; Studies; Suicide; Systematic review; Teachers; Youth; Ethiopia; Depression; Cardiovascular disease; Determinants; Patient health questionnaire-9; Ethiopia
• ISSN: 1752-4458; 1752-4458
• DOI: 10.1186/s13033-019-0269-8

Background Depression and heart disease are an important public-health problem. Depression is one of the most prevalent and disabling psychiatric disorders with more than three times increased risk among patients with cardiovascular disorders. Objective To identify the prevalence and associated factors of depressive disorder among adult patients with cardiovascular disease. Methods Institution based cross-sectional study design was used to conduct this study on 293 study participants attending an outpatient cardiac clinic at Jimma University Teaching Hospital. All eligible patients were recruited into the study consecutively. Depression was assessed using patient health questionnaire-9. The patient health questionnaire-9 had a total score of 27, from which 0–4: no/minimal depression, 5–9: mild depression, 10–14: moderately depression, 15–19: moderately severe depression and 20–27 severe depression. The data was feed into Epi-data version 3.1 and lastly exported to SPSS version 21 for analysis. Bivariate analysis was used to analyze the statistical association of covariates of interest with depressive disorder among patients with cardiovascular disease. Then, logistic regression analysis was used as a final model to control confounders. The strength of association was measured by a 95% confidence interval. Results A total of 293 adult patients diagnosed with the cardiovascular disease were included in the study with 97% (n = 284) of response rate, 47.2% (n = 134) males and 52.8% (n = 150) females, making female to a male ratio around 1.1:1. The prevalence of depression was 52.8% (n = 150/284). Out of the subjects with depression 52.67% (n = 79), 36.0% (n = 54) and 11.33% (n = 17) were mild, moderate and severe depression, respectively. Variables such as employed, unemployed, physical activity, current cigarette user and poor social support were independently associated with depression in the final model. Conclusions In this study, depression was found to be highly prevalent psychiatric comorbidity in adult cardiovascular disease patients.