Browsing by Author "Yared Mahlet"

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    Common Symptoms of Depression among Patients with Depressive Disorders Receiving Outpatient Care in Tertiary Hospitals in A.A., Ethiopia:A Cross Sectional Study
    (Addis Ababa University, 2022-01) Solomon Eyerusalem; Milkias Barkot; Yared Mahlet ; Medhin Girmay
    Background: The major assessment tool that is of use in Ethiopia to diagnose and treat depressive disorders isDSM 5. However, DSM -5 might not represent the diverse symptomatology of depression in acountry with diverse ethnic and cultural background. Having a clear knowledge of the type of common presentations or complaints of patients with depression coming to outpatient services intertiary hospitals has significant implication for clinicians to provide appropriate patient care. Objective :To identify the common presenting symptoms of depressive disorders among patients who cameto receive outpatient care for depressive disorders in tertiary hospitals in Addis Ababa. Anotherobjective is to identify common symptoms along the domains and to investigate its associationwith sociodemographic factors of the study participants. Method :A cross sectional facility-based study design was used. The study participants included patients who visited outpatient psychiatric services in 3 tertiary hospitals in Addis Ababa in the past 2years, by mainly focusing on patients who are currently visiting the OPDs and going back up to 2years until the sample size was reached. Potentially eligible patients were selected by filtering those who have been diagnosed with depressive disorders. Then, using the inclusion and exclusion criteria samples were identified until the sample size which was needed reached starting from the most recently recorded patient (consecutive sampling). Consecutive patientswere recruited starting from those currently on follow up to until about those who were seen in the past 2 years at least once. Study participants were interviewed through Face to Face interview. Descriptive statistical methods were used to summarize the collected data and to help us understand the collected information. The most distressing symptom domains were analyzed.Cross tabulation was done to see association between sociodemographic and symptom domains. Results- Feeling down, depressed or hopeless were the most frequently endorsed symptomsoccurring in >90% of the patients. All items were rated with fainting spells being the lowest rated occurring in only 10.9% of the patients. At least one symptom was seen in 98.8% of themfrom somatic domain, 96.4% from affective, 93.3% from other and 78.2% from cognitive domains. From the patients who reported most distressing symptoms, around 58(35.2%) of them mentioned symptoms from the affective domain as their most distressing symptom, 46(27.8%) mentioned symptoms from somatic domain, 21(12.7%) mentioned two or more symptom combinations from different domains, 12(7.2%) from cognitive and 1(0.6%) from other domain. Conclusion- Above 90 % of the study participants reported to have symptoms from the 3 domains of depression which are affective, somatic, and other. Around 78% of the patients also reported to have one or more symptoms from cognitive domain of depression. When expressing symptoms which are most distressing to them, significant proportion of the patients reported symptoms which are combinations from all the 4 domains of depression. Symptoms which are not included in DSMcriteria and screening tools being used in clinical setup are shown to be reported in high frequency and also as most distressing in this study.
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    Common Symptoms of Depression among Patients with Depressive Disorders Receiving Outpatient Care in Tertiary Hospitals in A.A., Ethiopia:A Cross Sectional Study
    (Addis Ababa University, 2022-01) Solomon Eyerusalem; Milkias Barkot; Yared Mahlet ; Medhin Girmay
    Background :The major assessment tool that is of use in Ethiopia to diagnose and treat depressive disorders isDSM 5. However, DSM -5 might not represent the diverse symptomatology of depression in acountry with diverse ethnic and cultural background. Having a clear knowledge of the type ofcommon presentations or complaints of patients with depression coming to outpatient services intertiary hospitals has significant implication for clinicians to provide appropriate patient care. Objective :To identify the common presenting symptoms of depressive disorders among patients who cameto receive outpatient care for depressive disorders in tertiary hospitals in Addis Ababa. Anotherobjective is to identify common symptoms along the domains and to investigate its associationwith sociodemographic factors of the study participants. Method :A cross sectional facility-based study design was used. The study participants included patientswho visited outpatient psychiatric services in 3 tertiary hospitals in Addis Ababa in the past 2years, by mainly focusing on patients who are currently visiting the OPDs and going back up to 2years until the sample size was reached. Potentially eligible patients were selected by filteringthose who have been diagnosed with depressive disorders. Then, using the inclusion andexclusion criteria samples were identified until the sample size which was needed reached starting from the most recently recorded patient (consecutive sampling). Consecutive patientswere recruited starting from those currently on follow up to until about those who were seen inthe past 2 years at least once. Study participants were interviewed through Face to Faceinterview. Descriptive statistical methods were used tosummarize the collected data and to helpus understand the collected information. The most distressing symptom domains were analyzed.Cross tabulation was done to see association between sociodemographic and symptom domains. Results- Feeling down, depressed or hopeless were the most frequently endorsed symptomsoccurring in >90% of the patients. All items were rated with fainting spells being the lowest rated occurring in only 10.9% of the patients. At least one symptom was seen in 98.8% of themfrom somatic domain, 96.4% from affective, 93.3% from other and 78.2% from cognitivedomains. From the patients who reported most distressing symptoms, around 58(35.2%) of themmentioned symptoms from the affective domain as their most distressing symptom, 46(27.8%) mentioned symptoms from somatic domain, 21(12.7%) mentioned two or more symptomcombinations from different domains, 12(7.2%) from cognitive and 1(0.6%) from other domain. Conclusion- Above 90 % of the study participants reported to have symptoms from the 3 domainsof depression which are affective, somatic, and other. Around 78% of the patients also reported tohave one or more symptoms from cognitive domain of depression. When expressing symptomswhich are most distressing to them, significant proportion of the patients reported symptoms whichare combinations from all the 4 domains of depression. Symptoms which are not included in DSMcriteria and screening tools being used in clinical setup are shown to be reported in high frequencyand also as most distressing in this study.
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    Determinants of Health-Related Quality of Life in Patients with Schizophrenia at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia
    (Addis Abeba University, 2019-11) Yared Mahlet; Araya Mesfin; Teferra Solomon
    Introduction: Quality of life of patients living with schizophrenia has been shown to be lowercompared with those that are not affected byit,Understanding the possible contributing factors could create awareness as well as help design patient centered therapeutic interventions Objective: To determine socio-demographic, clinical and psychosocial characteristics associated Quality of life of patients with schizophrenia. Methods: Study participants who filled the SF-36 questionnaire were included in this study, theassociation between socio-demographic, clinical and psychosocial parameters with health relatedquality of life of patients living with schizophrenia was determined. Result: The study sample consisted of 200 patients living with schizophrenia. The mean score ofthe study participants was found to be lower than the general population, the female participantsscored lower than the male and those who use substances overall score was also lower. The totalscore of PANSS showed negative association with the SF-36 domains, duration of illnessshowed no significant association with quality of life.Khat and tobacco use did not show significant association but consumption of alcohol was foundto be associated in the mental health and bodily pain domains. Conclusion: The variables Sex, occupation, PANSS total score and alcohol use showed associations with the SF-36 domains
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    Determinants of Health-Related Quality of Life in Patients with Schizophrenia at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia
    (Addis Abeba University, 2019-11) Yared Mahlet; Araya Mesfin; Teferra Solomon
    Introduction: Quality of life of patients living with schizophrenia has been shown to be lower compared with those that are not affected by it, Understanding the possible contributing factors could create awareness as well as help design patient centered therapeutic interventions Objective: To determine socio-demographic, clinical and psychosocial characteristics associated Quality of life of patients with schizophrenia. Methods: Study participants who filled the SF-36 questionnaire were included in this study, the association between socio-demographic, clinical and psychosocial parameters with health related quality of life of patients living with schizophrenia was determined. Result: The study sample consisted of 200 patients living with schizophrenia. The mean score of the study participants was found to be lower than the general population, the female participants scored lower than the male and those who use substances overall score was also lower. The total score of PANSS showed negative association with the SF-36 domains, duration of illness showed no significant association with quality of life.Khat and tobacco use did not show significant association but consumption of alcohol was found to be associated in the mental health and bodily pain domains. Conclusion: The variables Sex, occupation, PANSS total score and alcohol use showed associations with the SF-36 domains.