The prevalence of depression and its associated factors among patients with diabetes mellitus attending a tertiary clinic in Gaborone, Botswana

Moshomo, Thato; Rivera, Yordanka Piña; Boshe, Judith; Rwegerera, Godfrey Mutashambara

doi:10.4102/sajpsychiatry.v28i0.1647

Cited by 3 publications

(2 citation statements)

References 66 publications

(100 reference statements)

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“…The result was higher than in studies conducted in different parts of Ethiopia Bahir Dar, 13 Gondar, 16 Dessie, 11 Addis Ababa, 22 Mekelle, 43 Adama, 15 Hawassa, 9 and Mizan Tepi. 44 It was also higher than other studies conducted in Dubai, 21 Vietnam, 45 Sudan, 18 Botswana, 46 Spain, 20 and Saudi Arabia. 19 , 47 The higher prevalence of depression among diabetic patients in the Amhara region might be due to the poor quality of care of the patients, low socioeconomic capacity, and lower knowledge of patients about depression in the study area.…”

Section: Discussionmentioning

confidence: 59%

Psychosocial and clinical factors associated with depression among diabetic patients in Amhara region comprehensive specialized hospitals, Ethiopia, 2022; a multicenter prevalence study

Belew,

Getu,

Getahun

et al. 2024

Health Science Reports

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BackgroundDepression commonly coexists with diabetes leads to complications and worsens the outcome. Even though the problem affects low‐ and middle‐income countries including Ethiopia, only a few studies have been done to show the magnitude of the problem and factors associated with it. So, the study was conducted to fill those gapsObjectiveThe main objective of this study was to assess psychosocial and clinical factors associated with depression among diabetic patients in Amhara region comprehensive specialized hospitals, Ethiopia, 2022.MethodsA hospital‐based cross‐sectional study was conducted in randomly selected hospitals of Amhara region from January 7 to February 10, 2022. A total of 426 diabetic patients who were on outpatient follow‐up were selected using a multistage sampling technique. A p‐value of ≤0.25 in the bivariable analysis was used to select variables for the multivariable analysis. A p‐value < 0.05 within a 95% confidence interval was considered to be significantly associated factors.ResultOut of 426 interviewed diabetes patients 203 (47.7%) had depression. Moderate physical activity (AOR = 0.50, 95% CI (0.29, 0.86)). low medication adherence (AOR = 2.10, 95% CI (1.22, 3.62)), medium medication adherence (AOR = 1.78, 95% CI (1.04, 3.06)), and high social support (AOR = 0.54, 95% CI (0.33, 0.91)) were significantly associated with depression among diabetic patients.ConclusionThe overall prevalence of depression among diabetic patients was higher than in other developing countries. Hence, special attention to preventing depression and maintaining mental illness among patients with chronic illnesses, especially diabetes should be given.

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Section: Discussionmentioning

confidence: 59%

Psychosocial and clinical factors associated with depression among diabetic patients in Amhara region comprehensive specialized hospitals, Ethiopia, 2022; a multicenter prevalence study

Belew,

Getu,

Getahun

et al. 2024

Health Science Reports

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“…Common chronic diseases such as diabetes mellitus (DM) and Human Immunodeficiency Virus (HIV) further increase the prevalence and impact of depression (Anderson et al, 2001 ; Eaton, 2002 ; Lawler et al, 2011 ; Lewis et al, 2012 ; Pouwer et al, 2010 ). The prevalence of depression among patients with DM in Botswana was 30% (Moshomo et al, 2022 ), vs. the global prevalence of 4.4% (World Health Organization, 2017 ). The prevalence of depression among HIV positive individuals in Botswana was reported to be 38% (Lawler et al, 2011 ), which is significantly higher than the estimated rates ranging between 4.5%—5.9% in the African general population (World Health Organization, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Implementation Planning for Integrating Depression Screening in Diabetes Mellitus and HIV Clinics in Botswana

Molebatsi

Ho-Foster

Ntsayagae

et al. 2022

Glob Implement Res Appl

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Depression is highly prevalent and, when comorbid with other medical conditions, can worsen health outcomes. Implementing routine depression screening within medical clinics can ensure that patients receive suitable treatment and improve overall health outcomes. Unfortunately, depression screening within medical settings is rare, particularly in low- and middle-income countries. This qualitative study evaluated patient and clinician perspectives on implementing depression screening within HIV and diabetes clinics in Botswana. Seven clinicians and 23 patients within these clinics were purposively selected and interviewed using a guide informed by the Consolidated Framework for Implementation Research (CFIR) to understand barriers and facilitators to depression screening in medical clinics in Botswana. Interviews were recorded, transcribed, and analyzed using NVivo. Three general themes emerged: (1) Appropriateness and Acceptability: attitudes and beliefs from clinicians and patients about whether depression screening should occur in this setting; (2) Stigma as an important barrier: the need to address the negative associations with depression to facilitate screening; and (3) Recommendations to facilitate screening including improving knowledge and awareness about depression, offering incentives to complete the screening, providing staff training, ensuring resources for treatment, the need to preserve confidentiality, and utilizing leadership endorsement. These results offer insights into how to implement depression screening within medical clinics in Botswana. These results can help design implementation strategies to increase depression screening in these clinics, which can be tested in future studies. Supplementary Information The online version contains supplementary material available at 10.1007/s43477-022-00062-3.

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Depression among people living with HIV at a district hospital in KwaZulu-Natal, South Africa

Vezi,

Rangiah,

Naidoo

2024

South African Family Practice

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Background Depression is a debilitating condition worldwide and a major contributor to the overall global burden of disease. The prevalence of depression is estimated to be higher in people living with HIV and AIDS (PLWHA) compared to the general population, with disease related complications increasing when mental health problems remain untreated. The aim of the study was to determine the prevalence of depression among PLWHA who attend a district hospital ART clinic in KwaZulu-Natal (KZN), South Africa (SA). Methods Using strict systematic sampling, a descriptive cross-sectional study was employed with 121 adult outpatients attending an antiretroviral clinic at a district hospital in KZN, SA. Their biographical and clinical characteristics were obtained through a questionnaire and medical records, while depression was evaluated using the PHQ-9 scale. The data were analysed using descriptive and inferential statistics. Results A total of 121 participants were recruited for this study. The prevalence of depression was 19.8% and significantly associated with a poor support system (adjusted odds ratio [aOR] = 3.60, p = 0.010). Female patients were more likely to have depressive symptoms than males (aOR = 0.73; confidence interval: 0.28–1.90) although this was not statistically significant. Age, marital status and viral load were not contributors to depression. Conclusion Routine screening for depression among PLWHA at primary health care (PHC) level may improve detection rates, earlier treatment and overall health outcomes. Contribution The results emphasise the need for patient-centeredness and holistic care that involves addressing mental health for PLWHA, given that HIV is a lifelong condition.

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The prevalence of depression and its associated factors among patients with diabetes mellitus attending a tertiary clinic in Gaborone, Botswana

Cited by 3 publications

References 66 publications

Psychosocial and clinical factors associated with depression among diabetic patients in Amhara region comprehensive specialized hospitals, Ethiopia, 2022; a multicenter prevalence study

Psychosocial and clinical factors associated with depression among diabetic patients in Amhara region comprehensive specialized hospitals, Ethiopia, 2022; a multicenter prevalence study

Implementation Planning for Integrating Depression Screening in Diabetes Mellitus and HIV Clinics in Botswana

Depression among people living with HIV at a district hospital in KwaZulu-Natal, South Africa

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