PREVALENCE OF MOOD DISORDER AND ASSOCIATED FACTORS AMONG ADULT PATIENTS ATTENDING FOLLOW UP CLINIC OF PYSCHIATRY DEPARTMENT, WOLKITE UNIVERSITY SPECIALIZED HOSPITAL, IN 2016 E.C.

Abstract

Abstract Background: Mood disorders are among the most frequently encountered psychiatric conditions faced by clinicians in psychiatric settings, significantly affecting both the lives of patients and the capacity of healthcare facilities. During clinical attachments in the Psychiatry department, one can readily observe the scale of this issue. Objectives: This research primarily aims to evaluate the prevalence of mood disorders observed in the follow-up clinic at WUSTH in 2016 E.C, as well as the various factors associated with it. Methods: A cross-sectional, retrospective study design was used, involving a review of medical records from the past year (2016 E.C). The study population consists of adult clients attending follow-up sessions in the outpatient Psychiatry department at WUSTH during the study period. The sample size (n = 275) was selected through simple random sampling, by using Microsoft excel software. The data was analyzed using software analysis (SPSS) and presented by charts, figures and text form. Descriptive statistics was conducted using frequency distributions along with bivariate and multivariable logistic regression statistical model (with CI = 95% and p < 0.05). Results: Out of 275 patients, 106 (38.5%) were diagnosed to have mood disorders, where the distribution for specific selected mood disorders was as follows: major depressive disorder 56.6%, bipolar disorder 42.5%, persistent depressive disorder 0.9%. Multivariable logistic regression analysis shows that there is statistically significant association (p < 0.05) between mood disorders and associated factors that are stated below; female sex (AOR = 2.889 (1.635-5.107), 95% CI), Marital status – Divorced (AOR = 6.386 (1.666-24.479), 95% CI), substance use (AOR = 2.074 (1.121-3.837), 95% CI), and chronic medical illnesses (AOR = 2.444 (1.070-5.581), 95% CI). Conclusion: In this study, the prevalence of mood disorders is high with MDD highest of the selected mood disorders. Female sex, divorce, substance use and chronic medical illnesses are factors with significant association. Recommendations: Routine mental health screening, expanding mental health Services and developing preventive Strategies are necessary to reduce/prevent this problem.