High levels of depressive symptoms amongst people with lower limb lymphoedema in Rwanda: a cross-sectional study

Semrau, Maya, Davey, Gail, Bayisenge, Ursin and Deribe, Kebede (2020) High levels of depressive symptoms amongst people with lower limb lymphoedema in Rwanda: a cross-sectional study. Transactions of The Royal Society of Tropical Medicine and Hygiene, 114 (12). pp. 974-982. ISSN 0035-9203

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Abstract

Background
There is a growing body of evidence that mental distress and disorder are common among people with lower limb lymphoedema, although no research has been conducted on this subject in Rwanda.

Methods
This research was embedded within a mapping study to determine the national prevalence and geographical distribution of podoconiosis in Rwanda. Using a cluster sampling design, adult members of households within 80 randomly selected sectors in all 30 districts of Rwanda were first screened and 1143 patients were diagnosed with either podoconiosis (n=914) or lower limb lymphoedema of another cause (n=229). These 1143 participants completed the Patient Health Questionnaire (PHQ)-9 to establish the prevalence of depressive symptoms.

Results
Overall, 68.5% of participants reported depressive symptoms- 34.3% had mild depressive symptoms, 24.2% had moderate, 8.8% moderately severe and 1.2% severe depressive symptoms. The mean PHQ-9 score was 7.39 (SD=5.29) out of a possible 0 (no depression) to 27 (severe depression). Linear regression showed unemployment to be a consistently strong predictor of depressive symptoms; the other predictors were region (province), type of lymphoedema and, for those with podoconiosis, female gender, marital status and disease stage.

Conclusions
Levels of depressive symptoms were very high among people with lower limb lymphoedema in Rwanda, which should be addressed through holistic morbidity management and disability prevention services that integrate mental health, psychosocial and economic interventions alongside physical care.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Global Health and Infection
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 03 Nov 2020 08:11
Last Modified: 18 Jan 2021 10:45
URI: http://sro.sussex.ac.uk/id/eprint/94759

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