Depression and the associated factors among traumatized patients admitted at University of Gondar and Felege-Hiwot comprehensive specialized hospital, Northwest, Ethiopia

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Abstract

Abstract Background Depression is the main factor of impairment in many areas of function that affects almost all age groups and which also influences on mental and physical health. However, it negatively impacts quality of life and social activities, research into depression and the associated factors among people with traumatized patients in low-and middle-income countries are limited. Therefore, the present study was aimed at identifying the magnitude and associated factors of depression among traumatized patients have a pivotal role for further intervention these vulnerable people. Methods An institutional-based cross-sectional study was conducted at Felege-Hiwot and the University of Gondar comprehensive specialized hospital from March 11/2020 to April 12/2020, by using a structured and semi-structured questionnaire. A systematic random sampling was used to recruit a total of 422 patients. The standard patient health questionnaire (PHQ-9) was used to identify the prevalence of depression by employing a face to face interview. Bivariate and multivariate logistic regression analysis was used to identify associated factors with depression. Statistical significance was declared on 95% of confidence interval at P ˂ 0.05. Results The prevalence of depression was found to be 37.2% with 95% (CI: 32.7–41.5%). In the multivariate logistic regression; being single (AOR = 2.36, 95%, CI: 1.31, 4.21), history of chronic medical illness (AOR = 3.79, 95%, CI: 1.19, 12.08), anxiety symptoms (AOR = 3.81, 95%, CI: 2.11, 6.85), poor and moderate social supports (AOR = 4.59, 95%, CI: 2.36, 8.91) and (AOR = 4.34, 95%, CI: 2.23, 8.45), respectively, and moderate perceived threat to life (AOR = 2.66, 95%, CI: 1.58, 4.47) were factors significantly associated with depression. Conclusion In this study revealed that depression among physical trauma patients was considerable too high. Being single, chronic medical illness, anxiety, poor and moderate social support, and moderate perceived stress were factors significantly associated with depression. The ministry of health and other concerned health organizations may find the current finding useful for early detection, prevention, and intervention strategies to minimize the factor of depression in trauma survivors.

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