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March 14, 2019BMC Research Notes15 citationsOpen Access

Magnitude and correlates of cognitive impairment among major depressive disorder patients in Addis Ababa: institution based cross-sectional study

AAAbebe AmbawGTGetachew Tesfaw

Key Result

The prevalence of cognitive impairment among patients with major depressive disorder was 54.4%, with significant risk factors including older age, lower education, unemployment, and illness relapse.

Study Design

Type

Cross-Sectional (n=395)

Multicenter

No

Structured PICO

P
Population
395 outpatients with major depressive disorder in Ethiopia, with a mean age of 37.2 years, assessed for cognitive impairment.
O
Outcome
Prevalence of cognitive impairment measured by the Mini-Mental Status Examination (MMSE) and its associated factors

Cognitive impairment is highly prevalent (54.4%) among patients with major depressive disorder in Ethiopia, and is strongly associated with older age, lower education, unemployment, longer illness duration, and relapse.

Limitations

  • Cross-sectional design makes it difficult to determine temporal relationships between explanatory and outcome variables.
  • The Mini-Mental Status Examination (MMSE) scale used for screening was not validated in Ethiopia.
  • Cross-sectional design makes it difficult to determine temporal relationships between explanatory and outcome variables
  • MMSE scale was not validated in Ethiopia

Abstract

OBJECTIVE: Cognitive impairments are now widely recognized and emerging as an important therapeutic target in a patient with a major depressive disorder (MDD). It associated with a more deteriorating course of illness among MDD patients. Therefore, understanding the level of cognitive impairment and associated factors is crucial to provide optimal care for MDD patients. RESULT: The proportion of cognitive impairment among MDD patients was found to be 54.4% (95%, CI (49.6, 59.3). Factors significantly associated with having cognitive impairment were age adjusted odds ratio (AOR) = 3.00, 95%, confidence interval (CI): (1.49, 6.03), educational status, (AOR = 5.36, 95% CI 2.16, 13.26), employment status (AOR = 3.63, 95 CI 1.99, 6.62), duration of the illness (AOR = 3.16, 95% CI 1.31, 7.64), having co-morbid psychiatric illnesses (AOR = 2.16, 95% CI 1.26, 3.71), and illness relapse (AOR = 2.97, 95% CI 1.54, 5.73).

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Cite This Study

Ambaw et al. (2019) conducted a cross-sectional in Major depressive disorder (n=395). Major depressive disorder was evaluated on Cognitive impairment (95% CI 49.6-59.3). The prevalence of cognitive impairment among patients with major depressive disorder was 54.4%, with significant risk factors including older age, lower education, unemployment, and illness relapse.

synapsesocial.com/papers/6a22b016d5ef0a743714cb56https://doi.org/10.1186/s13104-019-4184-5
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