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Depressive symptoms and associated factors among persons with physical disabilities in disability care homes of Kathmandu district, Nepal: A mixed method study

Depression is one of the most common mental disorders, affecting 300 million people worldwide and 75% of these occur in low- and middle-income countries. Persons with physical disabilities are vulnerable groups and are more prone to experience depressive symptoms than the general population. This st...

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Autores principales: Karki, Prabin, Shahi, Prasant Vikram, Sapkota, Krishna Prasad, Bhandari, Rabindra, Adhikari, Nabin, Shrestha, Binjwala
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021957/
https://www.ncbi.nlm.nih.gov/pubmed/36962869
http://dx.doi.org/10.1371/journal.pgph.0001461
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author Karki, Prabin
Shahi, Prasant Vikram
Sapkota, Krishna Prasad
Bhandari, Rabindra
Adhikari, Nabin
Shrestha, Binjwala
author_facet Karki, Prabin
Shahi, Prasant Vikram
Sapkota, Krishna Prasad
Bhandari, Rabindra
Adhikari, Nabin
Shrestha, Binjwala
author_sort Karki, Prabin
collection PubMed
description Depression is one of the most common mental disorders, affecting 300 million people worldwide and 75% of these occur in low- and middle-income countries. Persons with physical disabilities are vulnerable groups and are more prone to experience depressive symptoms than the general population. This study investigated the prevalence of depressive symptoms and the associated factors among persons with a physical disability. We conducted a concurrent triangulation mixed methods design using Beck’s Depression Inventory scale among 162 persons with physical disabilities in the Kathmandu district. In parallel, eight in-depth interviews were conducted with an interview guideline to collect the participants’ perceptions and experiences of disability. Both quantitative and qualitative findings were integrated into the results. We found that about 77% of the participants with a physical disability had experienced depressive symptoms. Unemployment status (adjusted odds ratio (AOR) 2.7, 95% confidence interval (CI) 1.0–7.3) and comorbidity (AOR 2.5, 95% CI 1.0–6.0) had a statistically significant association with depressive symptoms. The majority of people with physical disabilities had negative experiences with societal prejudice and coping with their limitations. They were depressed as well as angry over having to stop their careers, education, and possibilities. Nevertheless, they were significantly happier and less sad than in their earlier years of life because of the possibilities, family environment, improved means of subsistence, therapeutic facilities, and supportive atmosphere at disability care homes. The policymakers should focus on preventing comorbidity and providing technical skills to persons with physical disabilities to improve their employment status and promote a healthy lifestyle.
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spelling pubmed-100219572023-03-17 Depressive symptoms and associated factors among persons with physical disabilities in disability care homes of Kathmandu district, Nepal: A mixed method study Karki, Prabin Shahi, Prasant Vikram Sapkota, Krishna Prasad Bhandari, Rabindra Adhikari, Nabin Shrestha, Binjwala PLOS Glob Public Health Research Article Depression is one of the most common mental disorders, affecting 300 million people worldwide and 75% of these occur in low- and middle-income countries. Persons with physical disabilities are vulnerable groups and are more prone to experience depressive symptoms than the general population. This study investigated the prevalence of depressive symptoms and the associated factors among persons with a physical disability. We conducted a concurrent triangulation mixed methods design using Beck’s Depression Inventory scale among 162 persons with physical disabilities in the Kathmandu district. In parallel, eight in-depth interviews were conducted with an interview guideline to collect the participants’ perceptions and experiences of disability. Both quantitative and qualitative findings were integrated into the results. We found that about 77% of the participants with a physical disability had experienced depressive symptoms. Unemployment status (adjusted odds ratio (AOR) 2.7, 95% confidence interval (CI) 1.0–7.3) and comorbidity (AOR 2.5, 95% CI 1.0–6.0) had a statistically significant association with depressive symptoms. The majority of people with physical disabilities had negative experiences with societal prejudice and coping with their limitations. They were depressed as well as angry over having to stop their careers, education, and possibilities. Nevertheless, they were significantly happier and less sad than in their earlier years of life because of the possibilities, family environment, improved means of subsistence, therapeutic facilities, and supportive atmosphere at disability care homes. The policymakers should focus on preventing comorbidity and providing technical skills to persons with physical disabilities to improve their employment status and promote a healthy lifestyle. Public Library of Science 2023-01-12 /pmc/articles/PMC10021957/ /pubmed/36962869 http://dx.doi.org/10.1371/journal.pgph.0001461 Text en © 2023 Karki et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Karki, Prabin
Shahi, Prasant Vikram
Sapkota, Krishna Prasad
Bhandari, Rabindra
Adhikari, Nabin
Shrestha, Binjwala
Depressive symptoms and associated factors among persons with physical disabilities in disability care homes of Kathmandu district, Nepal: A mixed method study
title Depressive symptoms and associated factors among persons with physical disabilities in disability care homes of Kathmandu district, Nepal: A mixed method study
title_full Depressive symptoms and associated factors among persons with physical disabilities in disability care homes of Kathmandu district, Nepal: A mixed method study
title_fullStr Depressive symptoms and associated factors among persons with physical disabilities in disability care homes of Kathmandu district, Nepal: A mixed method study
title_full_unstemmed Depressive symptoms and associated factors among persons with physical disabilities in disability care homes of Kathmandu district, Nepal: A mixed method study
title_short Depressive symptoms and associated factors among persons with physical disabilities in disability care homes of Kathmandu district, Nepal: A mixed method study
title_sort depressive symptoms and associated factors among persons with physical disabilities in disability care homes of kathmandu district, nepal: a mixed method study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021957/
https://www.ncbi.nlm.nih.gov/pubmed/36962869
http://dx.doi.org/10.1371/journal.pgph.0001461
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