PREVALENCE OF SELECTED MOOD DISORDERS AND ASSOCIATED FACTORS AMONG ADULT PATIENTS ATTENDING FOLLOW UP CLINIC OF PYSCHIATRY DEPARTMENT, SPHMMC, ADDIS ABABA

Abstract

Abstract Background: Mood disorders are one of the most common psychiatric illnesses dealt with a clinician working in psychiatric clinics and they have a significant impact both on the lives of patients and capacity of health facilities. During the clinical attachment of Psychiatry department, one can easily appreciate the magnitude of the problem. Objectives: The main aim of this research will be to assess the magnitude of mood disorders and distribution of selected mood disorders seen in the follow up clinic of SPHMMC and the various factors associated with them. Methods: The research was conducted in a cross- sectional retrospective study design by reviewing medical records over a two year period. The study population is adult clients who have their follow up with in the study period in the outpatient clinic of psychiatry department, SPHMMC. A sample size of 377 generated by simple random sampling technique was used to determine sample population and operational definitions are guided by the criteria of 5th edition of Diagnostic and Statistical Manual of Psychiatric disorders. All data collection, entry, analysis and presentation were handled by the investigator. Data was analyzed using Statistical Package for Social Sciences software version 21. Results: Out of 377 clients, 154 (40.8 %.) were diagnosed to have mood disorder, where the distribution for specific selected mood disorders was as follows: major depressive disorder 77.9%, bipolar type one disorder 20.7%, persistent depressive disorder 16.8%, and no cases of bipolar type two disorder were encountered. Except for bipolar disorders, bivariate and multivariate analysis revealed statistically significant higher risk in women, in those with chronic medical illness and those with a family history of mental illness for both major depression and dysthymia. Conclusion: Affective disorders are fairly common in adult clients who have their follow up in the outpatient clinics of psychiatry department, SPHMMC. Majority of the cases are Major Depressive Disorder and several associated factors have been identified for the selected mood disorders studied.