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A random effect logistic regression model of major depressive disorder among ageing Nigerians
Published 2016Subjects: “…Major Depressive Disorder…”
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Page will reload when a filter is selected or excluded.- Depression 25 results 25
- Nigeria 4 results 4
- Perinatal depression 4 results 4
- Primary care 4 results 4
- Adolescents 3 results 3
- Disability 3 results 3
- Elderly 3 results 3
- Hypertension 3 results 3
- Quality of life 3 results 3
- Stress 3 results 3
- Adolescent 2 results 2
- Anxiety 2 results 2
- Coping strategies 2 results 2
- Diabetes 2 results 2
- Epidemiology 2 results 2
- Perceived social support 2 results 2
- Post-stroke depression 2 results 2
- Psychosocial interventions 2 results 2
- Social support 2 results 2
- Women 2 results 2
- depression 2 results 2
- "Background—Chronic pain is quite common in the elderly and is often associated with co morbid depression, limitation of functioning and reduced quality of life. The aim of this study was to ascertain whether there is a differential risk of depression among persons with pain in different anatomical sites and to determine which pain conditions are independent risk factors for depression. Methods—Data is from the Ibadan Study of Ageing (ISA), a community based longitudinal survey of persons aged 65 years and older from eight contiguous Yoruba Speaking states in Nigeria (n = 2152). Data was collected in face-to-face interviews; depression was assessed using the World Mental Health initiative version of the Composite International Diagnostic Interview (CIDI) while chronic pain was assessed by self-report (response rate = 74%). Results—Estimates of persistent pain (lasting more than 6 months), in different anatomical sites range from 1.3% to 12.8%, with the commonest being joint pains (12.8%), neck or back (spinal) pain (7.6%) and chest pain (3.0%). Significantly more pain conditions were reported by females and by respondents who were aged over 80 years. The risk for depression was higher in respondents with spinal, joint and chest pain. However, only chest pain was independently associated with depression after adjustments were made for pains at other sites and for functional disability. Conclusion—Our data suggests that, among elderly persons, there is a differential association of depression with chronic pain that is related to the anatomical site of the pain." 1 results 1
- "Comorbidity of depression and diabetes is common, and each disorder has a negative impact on the outcome of the other. The direction of causality is not certain as each disorder seems to act as both a risk factor and consequence for the other in longitudinal studies. This bidirectional association is possibly mediated by shared environmental and genetic risk factors. Comorbid depression is associated with reduced adherence to medication and self-care management, poor glycaemic control, increased health care utilization, increased costs and elevated risk of complications, as well as mortality in patients with diabetes. Psychological and pharmacological interventions are shown to be effective in improving depression symptoms; however, collaborative care programs that simultaneously manage both disorders seem to be most effective in improving diabetes-related outcomes." 1 results 1
- "Depression 1 results 1
- Abstract :Recent decline in stroke mortality engendered by improved treatment has led to an increase in post-stroke morbidity and related healthcare cost. Most of post-stroke morbidity is due to depression. Few studies have examined the association of contextual factors with post-stroke depression (PSD) using a multilevel framework. This study used multilevel modelling to examine both individual and contextual predictors of PSD in southwest, Nigeria. The study used secondary data from a comparative cross sectional study of one hundred and thirty (130) stroke survivors. Participants were consenting adult (aged ≥18 years) residing in southwest Nigeria who have survived stroke in the last 3 to 24 months preceding the time of the study. Data were preliminarily analyzed using descriptive statistics including percentages and frequency tables. Bivariate association tests were carried out using Chi-square test. Multivariate analyses were performed using multilevel logit modeling and results were presented as odds ratio and their 95% Confidence Intervals (95% CI). All analyses were performed at 5% significance level. The mean (±standard deviation) age of participants was 59.54 ± 11.08 and most participants (53.6%) were female. Exactly half of the participants were retirees while most of them were currently married (82.3%), resided in urban (76.7%), and never used alcohol (73.8%). Prevalence of PSD in this study was 41.5%. Post-stroke depression was more likely among younger stroke survivors (OR=1.47; 95% CI: 1.16, 1.85), female (OR=1.37; 95% CI: 1.16, 1.60), alcohol users (OR=1.21; 95% CI: 1.04, 1.47), and the retired (OR=1.23; 95% CI: 1.04, 1.45). PSD was significantly associated with history of stressful life events and all depressed stroke survivors had considered suicide. Post stroke depression was common in younger survivors. Female survivors and alcohol users were more depressed. History of stressful life event is predictive of post stroke depression in this sample. Interventions focusing on women, alcohol users and people with history of stressful life events that had survived a stroke may reduce the burden of post stroke depression and possibilities of suicide. 1 results 1
- Adaptation to stroke may require complex long-term change in stroke patients’ lives. This study examined the psychosocial variables influencing depression tendency and quality of life among stroke patients. The independent variables are personality traits and demographic variables while the dependent variables are depression and quality of life. Data were collected on stroke patients using a cross-sectional design and standardized questionnaires. A total of 112 stroke survivors took part in the study in which 57 (50.9%) were males and 55 (49.1%) were females with a mean age of 50.63 and standard deviation of 8.657 with age ranging from 30 to 74 years. Four hypotheses were tested using the multiple regression analysis and t-test for independent measures. The first hypothesis shows that jointly, agreeableness, conscientiousness, extraversion, openness to experience and neuroticism significantly predicted Quality of life among the stroke patients in the study. The result revealed that conscientiousness and extraversion independently predicts Quality of life of Stroke patients while agreeableness, openness to experience and neuroticism did not independently predict Quality of life. The second hypothesis predicted that agreeableness, conscientiousness, extraversion, openness to experience and neuroticism significantly and jointly predicted depression among stroke patients. The result also demonstrated that there was independent influence of agreeableness, openness to experience and neuroticism on the level of depression in Stroke patients while conscientiousness and extraversion did not independently predict depression among stroke patients. The result shows that male stroke patients were more depressed than female stroke patients. However, female stroke patients have better quality of life than male stroke patients. The results were discussed exhaustively in relation to the existing literature and it was concluded that efforts should be made to consider personality factors such as agreeableness, openness to experience, neuroticism, conscientiousness and extraversion as a prerequisite in conducting rehabilitation programs among stroke patients this will go a long way to boost their recovery and increase their level of wellbeing. Rehabilitation programs for this group of people (stroke survivors) would be more effective if they are based upon a holistic approach 1 results 1
- Adolescent perinatal depression"· Primary care"· Social support"· Theory"· mHealth 1 results 1
- Adolescent pregnancy 1 results 1
- Adolescents have one of the highest rates of suicidal behaviours found in research. Hence, health research and interventions have become a key preference among them. This study therefore, examined Depression And Suicidal Ideation And Moderating Effect of Suicide Resilience Among In-School Adolescents In Ibadan South East And Oluyole Local areas of Oyo state. The descriptive survey design was used for the study and a combination of random and purposive sampling techniques were employed to select 275 participants with age ranges between 15 and 19years, x =16.87, SD=1.02 into this study. A structured questionnaire focusing on socio-demographic profile, Depression, Suicide Resilience and Suicidal Ideation was administered to the participants. Five hypotheses were formulated, tested and all were confirmed. Data were analyzed using descriptive statistics, simple regression and independent sample for ttest, point-biserial correlation, biserial correlation multiple regression and hierarchical regression analysis. The results showed that Depression (R2= 0.061, F = 17.753, p<.01) significantly predicted suicidal ideation and behaviour, while gender had significant influence on suicide behavior (t (273) = -4.597, p<.01) among in-school adolescents. In addition t-test, point-biserial correlation results showed gender (rpb= .265, n=273, p= .01). accounted for 7% variance observed in the reported Suicidal behavior among in-school Adolescent. Age also had significant influence on suicide behavior (t (273) = -3.300, p<.01) among in-school adolescents. In addition t-test, biserial correlation results showed Age (rpb= -.175, n=273, p= .05). accounted for 3% variance observed in the reported Suicidal behavior among in-school Adolescent. Additionally, Suicide Resilience and Depression [F(2,272)= 11.74, R=.14, R2 =.02,p<.01] jointly predicted Suicide behavior (ΔR2 =0 .81, p < .001). Meanwhile, the effect of depression on suicidal ideation and behavior was moderated by the interaction between depression and suicide resilience (b = -.285, p < .05) Suicide Resilience can reduce the impact of Depression on suicidal Ideation and Behavior. It suggests that when suicide resilience was high, the association between depression and suicide behavior was the weakest; when suicide resilience was low, the association was the strongest. Additional clinical implications, limitations of the study, and suggestions for future research are addressed. 1 results 1
- Antidepressant medications 1 results 1
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