Prevalence of Anxiety and Depression in Persons With Ostomies

Abstract

PURPOSE: The purpose of this study was to measure the prevalence of anxiety and depression in adults with ostomies and to identify associated factors. DESIGN: A descriptive cross-sectional study. SUBJECTS AND SETTING: The sample comprised 120 adults; all reside in a health region in the state of Minas Gerais in southeastern Brazil. METHODS: Participants responded to a questionnaire designed for purposes of this study. The questionnaire included 2 validated instruments—the Beck Depression Inventory and the Beck Anxiety Inventory. In addition to measuring the prevalence of depression and anxiety, we used logistic regression models to identify factors associated with depression and anxiety. A backward method was adopted and the goodness-of-fit of the model was evaluated through the Hosmer and Lemeshow goodness-of-fit test. An odds ratio (OR) with a 95% confidence interval (95% CI) was used to measure the effect size of these associations. RESULTS: The prevalence of depression in our sample was 26.7% (n = 32; 95% CI, 18.6-34.6). Slightly more than half of respondents (53.1%, n = 17) had mild depression, 34.3% (n = 11) had moderate depression, and 12.6% (n = 4) had had severe depression. The prevalence of anxiety in our sample was 52.5% (n = 63; 95% CI, 43.4-61.5). Slightly less than half 47.6% (n = 30) had mild anxiety; 36.5% (n = 23) reported moderate and 15.9% (n = 10) reported severe anxiety. The final multiple logistic regression model indicated that respondents with less supportive family relationships were more likely to have depression than respondents with greater family support (OR, 3.83; 95% CI, 1.30-11.25). Similarly, respondents with anxiety were more likely to experience depression when compared to individuals reporting no anxiety (OR, 6.32; 95% CI, 2.26-17.65). CONCLUSIONS: Anxiety and depression are prevalent in adults living with an ostomy; anxiety was more prevalent than depression. Respondents with less support from their family and those with anxiety were more likely to experience depression.

The prevalence of anxiety and depression in patients with ostomy: A systematic review and meta‐analysis

“…The total sample size for anxiety related studies was 3394 patients (average 242 patients in each study) and the total sample size in depression related studies was 3821 patients (average 211 patients in each study). The studies were conducted in 12 different countries including United Kingdom, 22,23 Spain, 24 Netherlands, 16 USA, 15,25 Iran, 18,26 Jordan, 27 South Korea, 28,29 Pakistan, 30 Sri Lanka, 5 China, 31 Australia, 32,33 Brazil 17,34 and 5 different regions including Europe, North America, South America, Asia and Oceania. The most used instrument in both variables was the Hospital Anxiety and Depression Scale.…”

“…15 The prevalence of anxiety and depression in patients with ostomy, respectively, were reported to be 13.4% and 17.5% in US (15), 27.6% and 26.8% in Netherlands 16 and 52.5% and 26.7% in Brazil. 17 Surprisingly, in Iran, a study by Rafiei et al reported that 92.1% of patients with ostomy had experienced some degree of anxiety, and 87% of these patients had experienced some degree of depression. 18 Accurate estimation of the prevalence of depression and anxiety in patients with ostomy is important for prevention, treatment and improved quality of life 11 and can have important consequences for the patient and the health care system.…”

“…Anxiety and depression are two important risk factors for adverse clinical outcomes such as less adherence to treatment, reduced quality of life, increased use and cost of health care, and increased readmission rates in patients with ostomy 15 . The prevalence of anxiety and depression in patients with ostomy, respectively, were reported to be 13.4% and 17.5% in US(15), 27.6% and 26.8% in Netherlands 16 and 52.5% and 26.7% in Brazil 17 . Surprisingly, in Iran, a study by Rafiei et al.…”

Prevention and Management of Pseudoverrucous Lesions: A Review and Case Scenarios

“…These lesions are often associated with crusts on the stoma and skin related to alkaline urine output. 5,12 In some cases, they have been known to cause hemorrhage and pain. 4,10 Given compromised skin integrity, the cycle of pouch leakage, further skin erosion, and more leakage occurs.…”

“…With a sample size of 120 adults, researchers found that the prevalence of depression was 26.7%, whereas anxiety was 52.5%. 5 Combine the ostomy with a peristomal skin complication, and the mental health impact is magnified.…”