Magnitude, Symptom Presentation and Correlates of Psychological Distress Among People with Epilepsy in Southern Ethiopia: A Cross-Sectional Study

Birhanie Mekuriaw,1 Bahru Mantefardo,2 Alemayehu Molla,1 Getasew Berhanu,3 Tsegaye Mehare,4 Zelalem Belayneh1 1Department of Psychiatry, College of Health and Medical Science, Dilla University, Dilla, Ethiopia; 2Department of Internal Medicine, College of Health and Medical Science, Dilla University...

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Autores principales: Mekuriaw B, Mantefardo B, Molla A, Berhanu G, Mehare T, Belayneh Z
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:6940c004a1ec4a82b8ab587df7d8a2cf2021-12-02T10:12:20ZMagnitude, Symptom Presentation and Correlates of Psychological Distress Among People with Epilepsy in Southern Ethiopia: A Cross-Sectional Study1178-2021https://doaj.org/article/6940c004a1ec4a82b8ab587df7d8a2cf2020-09-01T00:00:00Zhttps://www.dovepress.com/magnitude-symptom-presentation-and-correlates-of-psychological-distres-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Birhanie Mekuriaw,1 Bahru Mantefardo,2 Alemayehu Molla,1 Getasew Berhanu,3 Tsegaye Mehare,4 Zelalem Belayneh1 1Department of Psychiatry, College of Health and Medical Science, Dilla University, Dilla, Ethiopia; 2Department of Internal Medicine, College of Health and Medical Science, Dilla University, Dilla, Ethiopia; 3Department of Statistics, College of Natural and Computational Science, Dilla University, Dilla, Ethiopia; 4Biomedical Department, College of Health and Medical Science, Dilla University, Dilla, EthiopiaCorrespondence: Birhanie Mekuriaw Email birhanie2013@gmail.comBackground: Psychological distress is a common co-morbid condition among people with epilepsy. Untreated comorbid psychosocial problems are associated with increased morbidity and health-care costs, and negatively affects treatment outcome of people with epilepsy. Therefore, the aim of this study was to describe the prevalence of psychological distress and to identify its associated factors among people with epilepsy attending outpatient treatment in Gedeo zone public hospitals, Southern Ethiopia.Patients and Methods: This was an institution-based cross-sectional study conducted at Gedeo zone public hospitals from July 1st to October 1st, 2019. Self-reporting questionnaire was used to screen individuals with epilepsy for the presence of co-morbid psychological distress. A face to face interview was conducted among 321 anti-epileptic medication followers. The collected data were entered into Epi-Data version 3.1 and then exported to SPSS version 20 for further analysis. Binary logistic regression was computed to identify factors associated with psychological distress. Statistically, significant association was set at p-values of < 0.05 in the final model with a corresponding 95% confidence interval.Results: The prevalence of psychological distress was found to be 38.3% with 95% CI (34.1, 42.7) among people with epilepsy attending outpatient follow-up in Gedeo zone public hospitals. Being female [OR=1.57 (95% CI: 1.01– 4.80)], uncontrolled seizures [OR=1.96 (95% CI: 1.21– 3.18)], and longer duration of illness [OR= 3.16 (95% CI: 1.75– 5.73)] were variables found to have statistically significant association with psychological distress.Conclusion: The findings of this study revealed that more than one-third of people with epilepsy screened positive for psychological distress. Therefore, this demonstrates a need to design and implement programs focusing on the prevention, early screening, and providing appropriate interventions for psychological distress among people with epilepsy.Keywords: psychological distress, mental distress, epilepsy, seizure, common mental disorder, comorbidity, EthiopiaMekuriaw BMantefardo BMolla ABerhanu GMehare TBelayneh ZDove Medical Pressarticlepsychological distressmental distressepilepsyseizurecommon mental disordercomorbidityethiopiaNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 16, Pp 2143-2151 (2020)
institution DOAJ
collection DOAJ
language EN
topic psychological distress
mental distress
epilepsy
seizure
common mental disorder
comorbidity
ethiopia
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle psychological distress
mental distress
epilepsy
seizure
common mental disorder
comorbidity
ethiopia
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Mekuriaw B
Mantefardo B
Molla A
Berhanu G
Mehare T
Belayneh Z
Magnitude, Symptom Presentation and Correlates of Psychological Distress Among People with Epilepsy in Southern Ethiopia: A Cross-Sectional Study
description Birhanie Mekuriaw,1 Bahru Mantefardo,2 Alemayehu Molla,1 Getasew Berhanu,3 Tsegaye Mehare,4 Zelalem Belayneh1 1Department of Psychiatry, College of Health and Medical Science, Dilla University, Dilla, Ethiopia; 2Department of Internal Medicine, College of Health and Medical Science, Dilla University, Dilla, Ethiopia; 3Department of Statistics, College of Natural and Computational Science, Dilla University, Dilla, Ethiopia; 4Biomedical Department, College of Health and Medical Science, Dilla University, Dilla, EthiopiaCorrespondence: Birhanie Mekuriaw Email birhanie2013@gmail.comBackground: Psychological distress is a common co-morbid condition among people with epilepsy. Untreated comorbid psychosocial problems are associated with increased morbidity and health-care costs, and negatively affects treatment outcome of people with epilepsy. Therefore, the aim of this study was to describe the prevalence of psychological distress and to identify its associated factors among people with epilepsy attending outpatient treatment in Gedeo zone public hospitals, Southern Ethiopia.Patients and Methods: This was an institution-based cross-sectional study conducted at Gedeo zone public hospitals from July 1st to October 1st, 2019. Self-reporting questionnaire was used to screen individuals with epilepsy for the presence of co-morbid psychological distress. A face to face interview was conducted among 321 anti-epileptic medication followers. The collected data were entered into Epi-Data version 3.1 and then exported to SPSS version 20 for further analysis. Binary logistic regression was computed to identify factors associated with psychological distress. Statistically, significant association was set at p-values of < 0.05 in the final model with a corresponding 95% confidence interval.Results: The prevalence of psychological distress was found to be 38.3% with 95% CI (34.1, 42.7) among people with epilepsy attending outpatient follow-up in Gedeo zone public hospitals. Being female [OR=1.57 (95% CI: 1.01– 4.80)], uncontrolled seizures [OR=1.96 (95% CI: 1.21– 3.18)], and longer duration of illness [OR= 3.16 (95% CI: 1.75– 5.73)] were variables found to have statistically significant association with psychological distress.Conclusion: The findings of this study revealed that more than one-third of people with epilepsy screened positive for psychological distress. Therefore, this demonstrates a need to design and implement programs focusing on the prevention, early screening, and providing appropriate interventions for psychological distress among people with epilepsy.Keywords: psychological distress, mental distress, epilepsy, seizure, common mental disorder, comorbidity, Ethiopia
format article
author Mekuriaw B
Mantefardo B
Molla A
Berhanu G
Mehare T
Belayneh Z
author_facet Mekuriaw B
Mantefardo B
Molla A
Berhanu G
Mehare T
Belayneh Z
author_sort Mekuriaw B
title Magnitude, Symptom Presentation and Correlates of Psychological Distress Among People with Epilepsy in Southern Ethiopia: A Cross-Sectional Study
title_short Magnitude, Symptom Presentation and Correlates of Psychological Distress Among People with Epilepsy in Southern Ethiopia: A Cross-Sectional Study
title_full Magnitude, Symptom Presentation and Correlates of Psychological Distress Among People with Epilepsy in Southern Ethiopia: A Cross-Sectional Study
title_fullStr Magnitude, Symptom Presentation and Correlates of Psychological Distress Among People with Epilepsy in Southern Ethiopia: A Cross-Sectional Study
title_full_unstemmed Magnitude, Symptom Presentation and Correlates of Psychological Distress Among People with Epilepsy in Southern Ethiopia: A Cross-Sectional Study
title_sort magnitude, symptom presentation and correlates of psychological distress among people with epilepsy in southern ethiopia: a cross-sectional study
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/6940c004a1ec4a82b8ab587df7d8a2cf
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