Cargando…

Insomnia and common mental disorder among patients with pre-existing chronic non-communicable diseases in southern Ethiopia: a survey during COVID-19 pandemic

BACKGROUND: COVID-19 has been causing significant mental health problems and other health-related issues. Despite the fact that COVID-19 has a significant impact on chronic disease patients, there is scant research on insomnia, common mental health disorders (CMD), and their associated factors among...

Descripción completa

Detalles Bibliográficos
Autores principales: Ayalew, Mohammed, Deribe, Bedilu, Hussen, Siraj, Defar, Semira, Tesfaye, Emnet, Gedefaw, Abel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540445/
https://www.ncbi.nlm.nih.gov/pubmed/37779630
http://dx.doi.org/10.3389/fpsyt.2023.1142926
_version_ 1785113720876171264
author Ayalew, Mohammed
Deribe, Bedilu
Hussen, Siraj
Defar, Semira
Tesfaye, Emnet
Gedefaw, Abel
author_facet Ayalew, Mohammed
Deribe, Bedilu
Hussen, Siraj
Defar, Semira
Tesfaye, Emnet
Gedefaw, Abel
author_sort Ayalew, Mohammed
collection PubMed
description BACKGROUND: COVID-19 has been causing significant mental health problems and other health-related issues. Despite the fact that COVID-19 has a significant impact on chronic disease patients, there is scant research on insomnia, common mental health disorders (CMD), and their associated factors among chronic disease patients. OBJECTIVE: The purpose of this study was to assess the prevalence of insomnia and common mental disorders (CMD) and their associated factors among patients with pre-existing chronic NCDs in Sidama, southern Ethiopia. METHODS: A multicenter cross-sectional study was undertaken between June 1 and September 1, 2021. The study included 633 participants. CMD and insomnia were assessed using a 20-item Self-Reported Questionnaire (SRQ-20) and a 7—item Insomnia Severity Index (ISI) scale, respectively. To describe the various variables, descriptive statistics were used. We performed multivariable logistic regression analysis to identify independent factors associated with CMD and insomnia. A value of p < 0.05 was considered statistically significant at a 95% confidence interval. RESULTS: The prevalence of insomnia and CMD was found to be 39.3% and 46.8%, respectively. Being merchant (AOR = 0.33; 95% CI = 0.13, 0.82), having a diagnosis of diabetes mellitus (AOR = 1.89; 95% CI = 1.04, 3.46), comorbid diagnosis (AOR = 3.96; 95% CI = 2.27, 6.89), low social support (poor (AOR = 3.37; 95% CI = 1.51, 7.57) and moderate (AOR = 3.13; 95% CI = 1.46, 6.69)), symptoms of insomnia (AOR = 12.08; 95% CI = 7.41, 19.72) and poor quality of life (QOL) (AOR = 1.67; 95% CI = 1.04, 2.72) were independent predictors of CMD. We also found out that, having cardiovascular disorders (CVDs) (AOR = 2.48; 95% CI = 1.18, 5.19), CMD (AOR = 12.09; 95% CI = 7.46, 19.61), and poor QOL (AOR = 2.04; 95% CI = 1.27, 3.26) were significantly associated with insomnia symptoms. CONCLUSION: Our study suggests that substantially high prevalence of CMD and insomnia. Significant association between CMD and occupation, diagnosis, comorbidity, social support, insomnia, and QOL were found. We also revealed that having CVDs, CMD, and poor QOL were significantly associated with insomnia symptoms. Therefore, dealing with the mental health problems of patients with chronic NCDs is an essential component of public health intervention during the COVID-19 pandemic.
format Online
Article
Text
id pubmed-10540445
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-105404452023-09-30 Insomnia and common mental disorder among patients with pre-existing chronic non-communicable diseases in southern Ethiopia: a survey during COVID-19 pandemic Ayalew, Mohammed Deribe, Bedilu Hussen, Siraj Defar, Semira Tesfaye, Emnet Gedefaw, Abel Front Psychiatry Psychiatry BACKGROUND: COVID-19 has been causing significant mental health problems and other health-related issues. Despite the fact that COVID-19 has a significant impact on chronic disease patients, there is scant research on insomnia, common mental health disorders (CMD), and their associated factors among chronic disease patients. OBJECTIVE: The purpose of this study was to assess the prevalence of insomnia and common mental disorders (CMD) and their associated factors among patients with pre-existing chronic NCDs in Sidama, southern Ethiopia. METHODS: A multicenter cross-sectional study was undertaken between June 1 and September 1, 2021. The study included 633 participants. CMD and insomnia were assessed using a 20-item Self-Reported Questionnaire (SRQ-20) and a 7—item Insomnia Severity Index (ISI) scale, respectively. To describe the various variables, descriptive statistics were used. We performed multivariable logistic regression analysis to identify independent factors associated with CMD and insomnia. A value of p < 0.05 was considered statistically significant at a 95% confidence interval. RESULTS: The prevalence of insomnia and CMD was found to be 39.3% and 46.8%, respectively. Being merchant (AOR = 0.33; 95% CI = 0.13, 0.82), having a diagnosis of diabetes mellitus (AOR = 1.89; 95% CI = 1.04, 3.46), comorbid diagnosis (AOR = 3.96; 95% CI = 2.27, 6.89), low social support (poor (AOR = 3.37; 95% CI = 1.51, 7.57) and moderate (AOR = 3.13; 95% CI = 1.46, 6.69)), symptoms of insomnia (AOR = 12.08; 95% CI = 7.41, 19.72) and poor quality of life (QOL) (AOR = 1.67; 95% CI = 1.04, 2.72) were independent predictors of CMD. We also found out that, having cardiovascular disorders (CVDs) (AOR = 2.48; 95% CI = 1.18, 5.19), CMD (AOR = 12.09; 95% CI = 7.46, 19.61), and poor QOL (AOR = 2.04; 95% CI = 1.27, 3.26) were significantly associated with insomnia symptoms. CONCLUSION: Our study suggests that substantially high prevalence of CMD and insomnia. Significant association between CMD and occupation, diagnosis, comorbidity, social support, insomnia, and QOL were found. We also revealed that having CVDs, CMD, and poor QOL were significantly associated with insomnia symptoms. Therefore, dealing with the mental health problems of patients with chronic NCDs is an essential component of public health intervention during the COVID-19 pandemic. Frontiers Media S.A. 2023-09-15 /pmc/articles/PMC10540445/ /pubmed/37779630 http://dx.doi.org/10.3389/fpsyt.2023.1142926 Text en Copyright © 2023 Ayalew, Deribe, Hussen, Defar, Tesfaye and Gedefaw. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Ayalew, Mohammed
Deribe, Bedilu
Hussen, Siraj
Defar, Semira
Tesfaye, Emnet
Gedefaw, Abel
Insomnia and common mental disorder among patients with pre-existing chronic non-communicable diseases in southern Ethiopia: a survey during COVID-19 pandemic
title Insomnia and common mental disorder among patients with pre-existing chronic non-communicable diseases in southern Ethiopia: a survey during COVID-19 pandemic
title_full Insomnia and common mental disorder among patients with pre-existing chronic non-communicable diseases in southern Ethiopia: a survey during COVID-19 pandemic
title_fullStr Insomnia and common mental disorder among patients with pre-existing chronic non-communicable diseases in southern Ethiopia: a survey during COVID-19 pandemic
title_full_unstemmed Insomnia and common mental disorder among patients with pre-existing chronic non-communicable diseases in southern Ethiopia: a survey during COVID-19 pandemic
title_short Insomnia and common mental disorder among patients with pre-existing chronic non-communicable diseases in southern Ethiopia: a survey during COVID-19 pandemic
title_sort insomnia and common mental disorder among patients with pre-existing chronic non-communicable diseases in southern ethiopia: a survey during covid-19 pandemic
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540445/
https://www.ncbi.nlm.nih.gov/pubmed/37779630
http://dx.doi.org/10.3389/fpsyt.2023.1142926
work_keys_str_mv AT ayalewmohammed insomniaandcommonmentaldisorderamongpatientswithpreexistingchronicnoncommunicablediseasesinsouthernethiopiaasurveyduringcovid19pandemic
AT deribebedilu insomniaandcommonmentaldisorderamongpatientswithpreexistingchronicnoncommunicablediseasesinsouthernethiopiaasurveyduringcovid19pandemic
AT hussensiraj insomniaandcommonmentaldisorderamongpatientswithpreexistingchronicnoncommunicablediseasesinsouthernethiopiaasurveyduringcovid19pandemic
AT defarsemira insomniaandcommonmentaldisorderamongpatientswithpreexistingchronicnoncommunicablediseasesinsouthernethiopiaasurveyduringcovid19pandemic
AT tesfayeemnet insomniaandcommonmentaldisorderamongpatientswithpreexistingchronicnoncommunicablediseasesinsouthernethiopiaasurveyduringcovid19pandemic
AT gedefawabel insomniaandcommonmentaldisorderamongpatientswithpreexistingchronicnoncommunicablediseasesinsouthernethiopiaasurveyduringcovid19pandemic