Help-seeking behaviour for depressive disorders among adult cardiovascular outpatient cardiac clinic Jimma University Teaching Hospital, Jimma, South-West Ethiopia: crosssectional study

Abstract

BackgroundDepression in healthy person without cardiac disease has been associated with the development of coronary artery disease and cardiovascular disease also risk factor for development of depression. This has devastating effect the patient’s quality of live, illness progression, morbidity and mortality. Despite this fact help seeking behavior of cardiovascular patients with depression has not been addressed in Ethiopia.ObjectiveTo assess help-seeking behaviors of adult cardiovascular patients with depression for their depressive disorders in Jimma university teaching hospital.MethodInstitution based cross sectional study conducted October to December in 2014. The study was conducted on 353 cardiovascular patients who attended at cardiac clinic. Depression was assessed using patient health questionnaire version nine (PHQ-9), which is validated in Ethiopia, Help seeking behavior using actual help seeking questionnaire and social support using Oslo social support-3 item scale.ResultFrom the total of 339 participants, 57.5% (n = 195) of them fulfill the case definition of depression and 12.1% (n = 41) of participant reported idea of hurting themselves. Only 33.3% sought help for their depression. Of those participants who sought help, 88.6% sought help from one or more of an informal help source. Occupation (odds of = 4.24, 95% confidence interval (CI) 1. 31, 13.78), education level (AOR 7.6, CI 2. 13, 27.11), the presence of a history of mental illness in the family (AOR 7.33, CI 2. 72, 19.80), ideal of hurting themselves, knowing the availability of the psychiatric service in this hospital and having previous seeking help were significantly associated with help seeking behavior.Conclusion and recommendationThe number of patients not seeking help for depression is high. There for scaling up mental health service in tertiary hospitals through multidisciplinary approach should be given high priority.

Patterns of help-seeking behavior among people with mental illness in Ethiopia: a systematic review and meta-analysis

“…After full text review of these 55 articles, 39 were excluded due to a) not being written in English, b) reporting on a study conducted outside Ethiopia, c) reporting on a study with a different target group, or d) the outcomes not being well defined. Finally, articles reporting on a total of 16 empirical studies ( 4 , 38 – 52 ) were included ( Figure 1 ).…”

“…Regarding geographical region, five studies ( 4 , 38 , 40 , 43 , 45 ) were conducted in Oromia, five ( 41 , 44 , 48 , 50 , 52 ) in Amhara, five ( 39 , 42 , 46 , 47 , 49 ) in the SNNPR, and one ( 51 ) in the Tigray region ( Table 1 ).…”

“…The quality of each study was evaluated using the Joanna Briggs Institute (JBI) quality appraisal criteria ( 59 ). All sixteen studies included ( 4 , 38 – 52 ) were appraised as cross-sectional studies using JBI checklist. Among the sixteen studies, eleven studies scored “yes” on seven of eight questions (87.5%; low risk), three studies scored “yes” on six of eight questions (75%; low risk), and the remaining two studies scored “yes” on five of eight questions (62.5%; low risk) ( Supplementary Table 2 ).…”

“…All the studies included in this review scored between 5 and 7 out of a total of 8 points. Thus, all studies included in the review ( 4 , 38 – 52 ) were of high quality.…”

“…A study was categorized as “low risk” when eight or more questions had a “yes” response, “moderate risk” when six or seven questions had a “yes” response, and “high risk” when five or fewer questions had a “yes” response. Therefore, all studies included ( 4 , 38 – 52 ) had low risk of bias (i.e., were of high quality) ( Supplementary Table 3 ).…”