PREVALENCE AND ASSOCIATED FACTORS OF DEPRESSION AMONG CHRONIC KIDNEY DISEASE PATIENTS AT ST. PAUL’S HOSPITAL MILLENNIUM MEDICAL COLLEGE ADDIS ABABA, ETHIOPIA.

Abstract

Abstract Background: Depression is the most common mental health problem for people with CKD and is associated with increased morbidity and mortality. Current estimates suggest that 20 to 30% magnitude of depression that meets diagnostic criteria in people with CKD.CKD can result in depression through direct effect and other psychological distress related with its prognosis and treatment. Untreated depression on these groups of patient negatively affects the prognosis and treatment response. Objective: To assess prevalence and associated factors of depression among chronic kidney patients in nephrology outpatient clinic, SPHMMC, Addis Ababa, Ethiopia. Method: Facility based cross sectional study design was used to determine prevalence and associated factors of depression among chronic kidney patients, from April –May, 2019. In the Study, CKD patients (n=146) visiting the nephrology OPD of SPHMMC, AA, Ethiopia , were Screened for depression using the PHQ 9 Amharic and Afaan Oromo versions. Data was collected by using interviewer administered structured questionnaire on demographic and CKD related factors. Simple and multiple logistic regression analyses were also performed. SPSS 25.0 version was used to perform statistical analysis. Results: The majority, 79(54.1%), of the study participants were males. The mean age of the participants was 48.07 (S.D ±16.7) years. Out of the total, 37(25.3%) met the criteria for depression. CKD patients on hemodialysis had significant association (p=0.007) with depression. Variables such as age between 25 and 44 years (AOR=2.09, 95% CI:0.63,6.89) ,patients who attended primary school(AOR=3.01, 95% CI:0.94,9.6) ,CKD stage IV and above(AOR=1.56, 95% CI:0.5,4.8) and poor social support(AOR=2.04, 95% CI:0.92,4.5) were more likely to have depression compared to their counter parts. Conclusion and recommendation: The prevalence of depression among CKD patients was high. Patients on hemodialysis was main predictor of depression. Primary school level of education, age between 25-44years and poor social support had higher risk of depression among CKD patients. Developing guidelines, giving training for health care providers at SPHMMC nephrology OPD, early screening diagnoses and treatment will benefit patients with chronic kidney diseases.