Key result
Among heart failure patients in Northwest Ethiopia, 51.1% had depressive symptoms, with factors like current smoking (AOR 4.96) and female sex (AOR 2.70) significantly associated with depression.
Why the study?
Depression is a comorbid condition in heart failure, but little is known about depression among heart failure patients in low-income countries and none was studied in Ethiopia.
What is the prevalence of depression and its associated factors among heart failure patients in Northwest Ethiopia?
Cross-Sectional (n=403)
Yes
What is the prevalence of depression and its associated factors among heart failure patients in Northwest Ethiopia?
Around half of heart failure patients in Northwest Ethiopia experience depressive symptoms, highlighting the need for targeted mental health screening and support in this population.
May support depression screening in HF; leaves open whether targeting associated factors improves outcomes.
BACKGROUND: Depression is a comorbid disorder in patients with heart failure and it is a major public health problem worldwide. Little is known about the depression among heart failure patients in low-income countries, while, in Ethiopia, none was studied. OBJECTIVE: This study is to assess the prevalence of depression and associated factors among heart failure patients at cardiac follow-up clinics at Amhara Region Referral Hospitals, Northwest Ethiopia, 2017. METHODS: A hospital based cross-sectional study was conducted between March 30, 2017, and May 15, 2017, G.C., by using a systematic random sampling technique to select 422 of 1395 HF patients. Structured interviewer-administered questionnaires and patient card review with a checklist that incorporates the PHQ-9 tool for depression measurement were used. The collected data were checked, coded, and entered into Epi-info version 7 and exported to SPSS version 20. Bivariate logistic regression at p-value <0.2 was exported to multivariate logistic regressions and p-value <0.05 was considered statistically significant. RESULTS: A total of 403 were included with a response rate of 95.5%. Among the participants, 51.1% had depressive symptoms. Factors associated with depressive symptoms were poor self-care behavior 1.60 [AOR (95% CI=1.01, 2.55)], poor social support 1.90 [AOR (95% CI=1.16, 3.12)], being female 2.70 [AOR (95% CI=1.44, 5.07)], current smoking history 4.96 [AOR (95% CI=1.54, 15.98)], and duration of heart failure (>1 year) 1.64 [AOR (95% CI=1.04, 2.59)]. CONCLUSIONS: Around half of the patients were depressive. The patients who had poor self-care behavior, were females, had poor social support, had a current history of smoking, and had duration of chronic heart failure >1 year need special attention. Therefore, all referral hospitals need efforts to focus on those problems and target improvements of depressive symptoms.
No takes yet. Share an insight, caveat, or question.
Yazew et al. (2019) conducted a cross-sectional in Heart failure (n=403). Heart failure was evaluated on Prevalence of depression. Among heart failure patients in Northwest Ethiopia, 51.1% had depressive symptoms, with factors like current smoking (AOR 4.96) and female sex (AOR 2.70) significantly associated with depression.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: