Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

CORRELATES OF DEPRESSION AMONG OBSTETRIC FISTULA PATIENTS AT FISTULA CENTRE SOKOTO, NORTHWESTERN NIGERIA

Author

Tukur I, Obembe P, Bello A, Magaji B, Karuthan C

Institution

Department of Social and Preventive Medicine, University of Malaya

Abstract

Objectives: Previous literature suggests that little attention is being paid to the psychosocial circumstances of these patients, supposedly at an increase risk of mental health disorders. The aim of this study is to describe the trend and correlates of depression among obstetric fistula patients managed at a Fistula referral centre Sokoto, Nigeria.

Methods: A repeated measure study of 71 obstetric fistula patients was conducted using a validated Patient Health Questionnaire (PHQ-9). Generalized linear model statistics were performed and reported.

Results: The mean age and standard deviation was 25±3 years. Divorcees 47% and 97% have no formal education. Overall depression was 46.5% and 53.3% for moderate and severe depressions respectively. Mean depression was higher at baseline compared to the immediately after surgery and upon discharge. General linear model shows that marital status (F test 0.039; 95% CI 0.17, 6.69) and the advance age (0.039; 95% CI 0.09, 0.33) are the most significant independent predictors for depression.

Conclusion: This study found high prevalence of depression which improves along the line of management which is consistent with previous findings. This could be attributed to advance age of onset and been married. A holistic approach in management of obstetric fistula will prevent the psychological burden among these patients.