Quality of life of adult individuals with intestinal stomas in Uganda: a cross sectional study

Ssewanyana, Yasin; Ssekitooleko, Badru; Suuna, Bashir; Bua, Emmanuel; Wadeya, Joseph; Makumbi, Timothy; Ocen, William; Omona, Kizito

doi:10.4314/ahs.v21i1.53

Cited by 14 publications

(24 citation statements)

References 33 publications

(39 reference statements)

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“…Both diagnostic and screening tools were used to assess depression among different populations in Uganda ( Table 1 ). The tools used included: (i) Depression sub-section of the Hopkins Symptom Checklist (DHSCL) ( n = 34, 26.8%) [ 35 , 55 , 61 , 63 , 65 – 68 , 71 , 73 , 74 , 79 – 82 , 84 , 92 , 100 , 108 , 110 , 111 , 113 , 125 , 135 , 136 , 138 , 140 , 141 , 144 , 147 , 151 , 155 , 166 ], (ii) Patient Health Questionnaire (PHQ) ( n = 33, 26.0%) [ 16 , 21 , 32 , 34 , 36 , 37 , 52 , 86 , 88 – 90 , 93 , 98 , 99 , 101 , 102 , 112 , 116 – 118 , 120 – 123 , 126 – 128 , …”

Section: Resultsmentioning

confidence: 99%

“…Depression among special patient groups in Uganda. The prevalence of depression ranged from 0.4% among outpatients in northern Uganda [109] and 88% among patients with stomas [32]. The prevalence among those who (i) were elderly was 18% [57], (ii) had tuberculosis was 23.7% [152], (iii) had post-tuberculosis lung diseases was 24% [122], (iv) had cancer was 26% [17], (v) with post-stroke was 31.5% [131], (vi) were physically ill was 33.7% [124], (vii) had diabetes mellitus was 34.8% [115], (viii) had sickle cell disease was 68.2% [54], and (ix) had rheumatoid arthritis was 70.8% [33].…”

Section: Plos Onementioning

confidence: 99%

“…These adverse events put many Ugandans at risk of developing depression due to the multiple physical, psychological, emotional, and social difficulties they are associated with. The effects of these difficulties are evidenced by the high levels of depression within various study groups in the country, such as women, children, students, individuals living with HIV, refugees, and members of the general public, with many groups reporting depression prevalence rates of over 70% [14,[31][32][33][34][35][36][37].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of depression in Uganda: A systematic review and meta-analysis

Kaggwa

Najjuka²,

Bongomin³

et al. 2022

PLoS ONE

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Background Depression is one of the most studied mental health disorders, with varying prevalence rates reported across study populations in Uganda. A systematic review and meta-analysis was carried out to determine the pooled prevalence of depression and the prevalence of depression across different study populations in the country. Methods Papers for the review were retrieved from PubMed, Scopus, PsycINFO, African Journal OnLine, and Google Scholar databases. All included papers were observational studies regarding depression prevalence in Uganda, published before September 2021. The Joanna Briggs Institute Checklist for Prevalence Studies was used to evaluate the risk of bias and quality of the included papers, and depression pooled prevalence was determined using a random-effects meta-analysis. Results A total of 127 studies comprising 123,859 individuals were identified. Most studies were conducted among individuals living with HIV (n = 43; 33.9%), and the most frequently used instrument for assessing depression was the Depression sub-section of the Hopkins Symptom Checklist (n = 34). The pooled prevalence of depression was 30.2% (95% confidence interval [CI]: 26.7–34.1, I2 = 99.80, p<0.001). The prevalence of depression was higher during the COVID-19 pandemic than during the pre-pandemic period (48.1% vs. 29.3%, p = 0.021). Refugees had the highest prevalence of depression (67.6%; eight studies), followed by war victims (36.0%; 12 studies), individuals living with HIV (28.2%; 43 studies), postpartum or pregnant mothers (26.9%; seven studies), university students (26.9%; four studies), children and adolescents (23.6%; 10 studies), and caregivers of patients (18.5%; six studies). Limitation Significantly high levels of heterogeneity among the studies included. Conclusion Almost one in three individuals in Uganda has depression, with the refugee population being disproportionately affected. Targeted models for depression screening and management across various populations across the country are recommended. Trial registration Protocol registered with PROSPERO (CRD42022310122).

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Section: Resultsmentioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of depression in Uganda: A systematic review and meta-analysis

Kaggwa

Najjuka²,

Bongomin³

et al. 2022

PLoS ONE

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“…These included studies conducted between 2011 and 2021, where participants ranged from 29 to 1,903. Two studies involved participants of any of two genders [i.e., female ( 65 ) and male ( 53 )], whereas the lowest number of female participants was 11 ( 66 ) and the highest was 1,492 ( 39 ), and the percentage of female participants ranged from 21% ( 66 ) to 82% ( 48 ). Most of the studies reported participants' mean age ( n = 37), ranging between 31 and 45 years.…”

Section: Resultsmentioning

confidence: 99%

Psychometrics of the Patient Health Questionnaire (PHQ-9) in Uganda: A Systematic Review

et al. 2022

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BackgroundDepression is screened by many psychological tools, whereas the Patient Health Questionnaire-9 (PHQ-9) is one of the most commonly used self-administered tools. Uganda is a culturally diverse country with a wide variety of tribes, ethnic groups, languages, and disease conditions; it is urgent to know the psychometrics of the used PHQ-9 across different cohorts. However, there is no prior review to assess its reliability in this culturally diverse country, where this review fulfills the knowledge gap.MethodsAdhering to the PRISMA guideline, a systematic search was performed in several databases (i.e., PubMed, Africa-Wide Information, AJOL, and PsycINFO, among others), and a total of 51 articles were included in this review, confirming the study inclusion criteria (e.g., using the PHQ-9).ResultsThe PHQ-9 has been used among individuals above 10 years and both genders, and the tool has been used most among the HIV patient group (n = 28). The tool is frequently administered by interviews and has been translated into several languages (mostly Luganda, n = 31). A cutoff of 10 was commonly used to identify clinical or major depression (n = 23), and its prevalence ranged from 8 to 67%. It has been validated for use in two populations, (i) HIV-positive participants and (ii) the general population attending a health facility. The sensitivity and specificity were 92 and 89%, respectively, at a cutoff score of 10, whereas 67 and 78%, respectively, at a cutoff score of 5. The Cronbach alpha ranged between 0.68 and 0.94.ConclusionThe PHQ-9 has been used in several studies in Uganda but validated in only two populations and is commonly used in one language. Thus, validation of the tool in various populations and languages is warranted to improve the tool's acceptance in Uganda.

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“…Another study found that the psychosocial needs and anxiety arising from the stoma formation were also significant in predicting patients' psychosocial behavioral reactions post-stoma (15). Despite the presence of multiple studies examining the prevalence of anxiety and depression among these patients, there has not yet been a meta-analysis to establish the prevalence of depressive symptoms in patients with stomas, or to ascertain whether stoma placement is associated with a higher risk of depression in patients (16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of depression and its potential contributing factors in patients with enterostomy: A meta-analytical review

et al. 2022

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ObjectiveIn patients with intestinal pathologies, the placement of a stoma bag affects multiple aspects of their perceived quality of life. This meta-analysis aims to evaluate the prevalence of depression among patients with enterostomy and to determine the underlying factors that could explain the potential heterogeneity of this prevalence.MethodsRelevant published studies were identified by searching PubMed, Embase, PsycINFO, Cochrane, CINAHL, Scopus, and Web of Science until May 2022. The random-effects model was used to determine the pooled prevalence of depression among patients with enterostomy using cross-sectional studies from various countries. Meta-regression and subgroup analysis were performed to identify factors contributing to heterogeneity. Quality assessment of the included studies was conducted using the Newcastle-Ottawa scale for nonrandomized studies.ResultsThe pooled prevalence of depressive symptoms among patients with enterostomy, as calculated using the random-effects model, was 41.6% (95% confidence interval [CI]: 25.4–59.7%, Q-value = 145.794, df = 8, p < 0.001, tau∧2 = 1.124, I∧2 = 94.513). The meta-regression found that mean age and gender were not significant moderators for the observed heterogeneity in prevalence. Subgroup analysis according to the indications for enterostomy formation showed that the prevalence of depression was highest in patients with colorectal cancer, at 34.4% (95% CI: 27.2–42.4%). Subgroup analysis by region showed that patients in Africa had the highest prevalence of depression, at 88.2% (95% CI: 76.1–94.6%), compared to other regions. Subgroup analysis by stoma indication was not significant.ConclusionThis meta-analysis reports that the pooled prevalence of depression among patients with enterostomy is 41.6%. Indications for enterostomy formation, as well as geographical region, were identified as potential sources of heterogeneity. These findings highlight the need for appropriate psychosocial support and interventions at different stages of enterostomy placement.

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Quality of life of adult individuals with intestinal stomas in Uganda: a cross sectional study

Cited by 14 publications

References 33 publications

Prevalence of depression in Uganda: A systematic review and meta-analysis

Prevalence of depression in Uganda: A systematic review and meta-analysis

Psychometrics of the Patient Health Questionnaire (PHQ-9) in Uganda: A Systematic Review

Prevalence of depression and its potential contributing factors in patients with enterostomy: A meta-analytical review

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