Emotional Distress Among Caregivers of Patients With Epilepsy in Katsina State, Northern Nigeria.

Emotional distress among caregivers of patients with epilepsy in Katsina State, Northern Nigeria.

Filed under: Depression Treatment

Afr J Psychiatry (Johannesbg). 2013 Jan; 16(1): 41-44
Yusuf AJ, Nuhu FT, Olisah VO

OBJECTIVE: Caregivers of patients with epilepsy experience onsiderable emotional distress. The study aimed to assess the magnitude of the problem in a developing country. METHOD: A total 166 patients-caregivers were enrolled for the study. They were interviewed using a socio-demographic data collecting sheet and the Hospital Anxiety-Depression Scale (HADS). Data obtained were analysed using Statistical Package for Social Sciences Windows version 13. All statistical tests were carried out at a 5% level of probability. RESULTS: The mean age of the caregivers was 45.44 ± 6.67 years. Emotional distress was found among 109(65.7%) of the caregivers. This is was significantly associated with male gender of both care giver and patient as well as residing in a rural area. CONCLUSION: The study demonstrated a high level of emotional distress associated with caring for patients with epilepsy, which is comparable to other studies carried out in other parts of the world.
HubMed – depression


Effectiveness of a nurse facilitated cognitive group intervention among mild to moderately-depressed-women in KwaZulu-Natal, South Africa.

Filed under: Depression Treatment

Afr J Psychiatry (Johannesbg). 2013 Jan; 16(1): 29-34
Chetty D, Hoque ME

OBJECTIVE: The purpose of the study was to determine the effectiveness of a nurse-facilitated-cognitive-group (NFCG) intervention as an adjunct to antidepressant medication, in mild to moderately, depressed women. METHOD: This was a quasi-experimental, nonequivalent, control group design study. A sample of 30 consenting participants was selected from an urban, community psychiatric clinic, and the participants were randomly allocated to the control and the intervention groups. The effectiveness of the intervention was measured using the Beck Depression Inventory (BDI). RESULTS: After six weeks of implementation of the NFCG intervention, there was a decrease in the BDI scores of the intervention group, and an increase in the BDI scores in the control group (CG) – but the difference in scores was not significant (Student’s t-test=1.076, p=0.291). After 12 weeks of the group intervention, the BDI scores for the intervention group, showed a considerable reduction in their levels of depression, whilst the participants of the control group had a further increase in their scores. There was a statistically significant difference between the groups, with respect to the BDI scores (p<0.001). The Friedman test indicated that the mean BDI scores, were statistically significant (p<0.001) within the intervention group, meaning that the BDI scores improved, at the end of the intervention for all the participants. Analysis of the BDI scores, using the Friedman test, showed that there was no improvement in the control group (p=0.597). CONCLUSION: The NFCG intervention, as an adjunct to antidepressant medication, contributed to a reduction in depressive symptoms. HubMed – depression


Prevalence of depression among older adults with dementia living in low- and middle-income countries: a cross-sectional study.

Filed under: Depression Treatment

Eur J Public Health. 2013 Feb 14;
Andreasen P, Lönnroos E, von Euler-Chelpin MC

BACKGROUND: The prevalence of depression has been evaluated in populations of low- and middle-income (LMI) countries but the risk of depression has not been specified among persons with dementia. This cross-sectional analysis aimed to assess the prevalence and risk of depression among older people with dementia living in LMI countries. METHODS: The study analysed data from a population-based survey conducted by 10/66 Dementia Research Group in 2004. Altogether, 17 031 participants from eight different countries aged 65 years and above were assessed. Logistic regression was used to calculate prevalence and odds ratio (OR) of depression on persons with dementia. Adjustments by age and education were included in the analysis. ORs of depression on different types of dementia were determined. RESULTS: Depression was identified in 5.8% (4.4% of men, 6.6% of women) of all the 17 031 participants and in 12.4% (18.9% of men, 10.1% of women) of the 1612 persons with dementia. Persons with dementia had an increased risk of depression compared with persons without dementia, the age- and education-adjusted OR was 2.38 [95% confidence interval (CI0 1.99-2.84]); 3.86 (95% CI 2.83-5.26) for men and 1.88 (95% CI 1.51-2.35) for women. Compared with Alzheimer’s disease, Lewy body [OR 2.75 (95% CI 1.40-3.72)] and vascular dementia [OR 2.35, (95% CI 1.49-3.72)] were associated with a higher risk of depression. CONCLUSIONS: Persons with dementia were twice as likely to have depression as persons without dementia. Among persons with dementia, the prevalence of depression was higher for men than women, and the risk of depression varied by the type of dementia.
HubMed – depression


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