Common Symptoms of Depression among Patients with Depressive Disorders Receiving Outpatient Care in Tertiary Hospitals in A.A., Ethiopia:A Cross Sectional Study
| dc.contributor.advisor | Milkias Barkot | |
| dc.contributor.advisor | Yared Mahlet | |
| dc.contributor.advisor | Medhin Girmay | |
| dc.contributor.author | Solomon Eyerusalem | |
| dc.date.accessioned | 2022-04-05T07:09:36Z | |
| dc.date.accessioned | 2025-01-08T14:43:15Z | |
| dc.date.available | 2022-04-05T07:09:36Z | |
| dc.date.available | 2025-01-08T14:43:15Z | |
| dc.date.issued | 2022-01 | |
| dc.description.abstract | 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. | en_US |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/31141 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Ababa University | en_US |
| dc.subject | Depression,Patients,depressive disorders | en_US |
| dc.title | Common Symptoms of Depression among Patients with Depressive Disorders Receiving Outpatient Care in Tertiary Hospitals in A.A., Ethiopia:A Cross Sectional Study | en_US |
| dc.type | Thesis | en_US |