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The Prevalence of Depression and Its Association With Self-Management Behaviors in Chronic Disease Patients Publisher



Daniali SS1 ; Darani FM1 ; Tavassoli E2 ; Afshari A1 ; Forouzande F3 ; Eslami AA1
Authors
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Authors Affiliations
  1. 1. Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Public Health, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
  3. 3. Isfahan Health Care Center, Isfahan, Iran

Source: Iranian Journal of Psychiatry and Behavioral Sciences Published:2019


Abstract

Background: Co-morbid depression in patients with chronic disease is associated with weak self-care and high complications. Objective: The study aimed to determine the relationship of self-care behaviors and the kind of chronic disease with depression in adults with chronic disease in Isfahan, Iran. Methods: This cross-sectional study was conducted in government healthcare centers. A total of 483 eligible consent respondents participated from March 2015 to June 2015. The “Stanford self-management questionnaire” and the patient health questionnaire (PHQ-9) were used for the assessment of self-management behaviors and depression. Data were analyzed using the SPSS 17 software. Results: The prevalence of depression in participants was 14.7%. There was a significant relationship between self-management behaviors such as physical activity (P < 0.05) and medication adherence (P < 0.001), and depression. The risk of depression was greater in rheumatoid arthritis disease patients (OR = 4.41, 95% CI (0.47 - 5.38), P > 0.001) and skeletal disease patients (OR = 1.70, 95% CI (1.03 - 2.77), P < 0.05) than in other chronic disease patients. Conclusions: We found a negative association between depression and self-care activities in Iranian patients with chronic diseases. Psychological treatment for depression should be considered to improve the prognosis of chronic diseases. ©2018, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License
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