Depression and Associated Factors Amongparents who Have Children Diagnosed with Cancer at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia 2017
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Date
2017-06
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Addis Ababa University
Abstract
Background: Cancer affects all human kind involving all age groups and gender. When thedisease occurs in children, parents are negatively influenced socially and psychologically leadingthem to the development of depression representing a group prone to high levels of depression.The period following their child’s diagnosis and the initiation of treatment may be stressful anddisturbing leading them to depression.
Objective: the aim of the study was to assess the prevalence of depression and its associatedfactors among parents of children diagnosed with cancer at Tikur Anbessa specialized Hospital.
Methods: A mixed approach quantitative and qualitative cross-sectional study design wasemployed from April 1st to May 15th 2017. Systematic random sampling technique was usedevolving 275 study participants for the quantitative part and participants for the qualitative partwere included conveniently. Study subjects for the qualitative study were subjects who are notinvolved in the quantitative study. Structured interviewer guided instrument was used to gatherinformation from study subjects for the quantitative part and an in-depth interview guide wasused for the qualitative section. Descriptive statistics including, frequencies and proportions wasemployed to describe the sociodemographic characteristics Bivariate and multivariate analysisusing Odds ratio was utilized to evaluate association between dependent and independentvariables. P-value less than 0.05 was considered as level of significance for associations.
Result: the prevalence of depression among parents of children diagnosed with cancer in thisstudy was borderline depression, 7.3 %, moderate depression 6.2%, severe depression, 6.5 % andextreme severe depression 3.3%. Four variables showed statically significant association withparental depression which include, single parents {AOR=6.2; 95% CI (2.66-14.52) } , incomegreater than 4500 birr {AOR=0.34; 95% CI (0.02-0.87) }, no previous history of depression{AOR=0.18; 95% CI (0.07-0.43) } } and support source from insurance company {AOR=12.89;95% CI (3.12-53.18) } are respectively.
Conclusion and recommendation: parents of children diagnosed with cancer are at a greaterrisk of development of depression due to the fact that the disease is life threatening. Factorsassociated to the development of parental depression involves being single parenting, income,presence of history of depression and other support sources. Therefore, linking the parents to thesupport groups, psychosocial support from health care providers, governmental and non-governmental organizations collaboration help to alleviate the condition.
Key words, Parental depression, cancer, parents
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Parental depression Cancer Parents