1660. Prevalence and Predictors of Anxiety and Depression among Leprosy Patients using the Hospital Anxiety and Depression Scale-Pilipino Score in a Tertiary Hospital

BACKGROUND: This study was prompted by significant reports of anxiety and depression among people with skin disorders in clinical settings and primarily focuses on leprosy patients. METHODS: This is a cross-sectional descriptive study conducted at Dr Jose N. Rodriguez Memorial Hospital located at Tala, Caloocan City, Philippines. All patients admitted at the Custodial ward and seen at the outpatient during the study period will be included using convenience sampling. The prevalence of anxiety and depression was determined by a score of 8 points or higher on the HADS-P. Logistic regression analysis was utilized to determine the relationship between the socio demographic data and clinical variables with anxiety and depression. Odds ratio were calculated and P-value < 0.05 were considered as statistically significant. RESULTS: Among the 150 Leprosy patients included in the study with a HADS-P score of 8 and above per category showed that 86 (57.33%) of the respondents have anxiety and 37 (24.67%) have depression. Running a logistic model that predicts a person having an anxiety, having hypertension as well as having a minor disability were proven to be significant with p-value 0.02 and 0.09 respectively. An odds ratio of 3.01 denotes that a person with hypertension is twice (2.01) as likely to have anxiety than a person with no comorbidities. Running a logistic model that predicts a person having a depression, educational attainment was shown to be significant at p-value equal to .04. Having a high school degree in particular is significant at .05 alpha. An odds ratio of 3.01 denotes that a person with hypertension is twice (2.01) as likely to have anxiety than a person with no comorbidities. Table 1. HADS-P Scores of Participants [Image: see text] Table 2. Predictors of Anxiety [Image: see text] Table 3. Predictors of Depression [Image: see text] CONCLUSION: In this study, the prevalence of anxiety is 57.33% and depression is 24.67%. Factors predictive of depression is lower educational attainment and factors predictive of anxiety is presence of comorbidity specifically Hypertension and minor physical disability. This psychiatric comorbidity will have impact on the overall well being of patients. Therefore, the need for psychiatric evaluation among patients with leprosy cannot be overemphasized, as this will provide a holistic approach in the management of these patients. DISCLOSURES: All Authors: No reported disclosures