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Prevalence, symptom patterns and comorbidity of anxiety and depressive disorders in primary care in Qatar

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Abstract

Aim

The aim of this study was to assess the prevalence of anxiety and depressive disorders in a Qatari population who attend the primary health care settings and examine their symptom patterns and comorbidity.

Design

This is a prospective cross-sectional study conducted during the period from July 2009 to December 2009.

Setting

Primary Health Care Center and the Supreme Council of Health in the State of Qatar.

Subjects

A total of 2,080 Qatari subjects aged 18–65 years were approached and 1,660 (79.8%) patients participated in this study.

Methods

The study was based on a face-to-face interview with a designed diagnostic screening questionnaire, which consisted of 14 items for anxiety and depression disorders. Socio-demographic characteristics, comorbidity factors, and medical history of patients were collected. The Hospital Anxiety and Depression Rating Scale (HADS), which consisted of seven items for anxiety (HADS-A) and seven for depression (HADS-D), was used. The items are scored on a 4-point scale from zero (not present) to 3 (considerable). The HADS-A had an optimal cut-off ≥8 (sensitivity 0.87 and specificity 0.78), and the HADS-D had an optimal cut-off ≥8 (sensitivity 0.82 and specificity 0.86). The HADS scales generally used the cut-off score ≥8 to identify respondents with the possible presence of anxiety or depression.

Results

Of the studied Qatari subjects, 46.2% were males and 53.8% were females. The mean HADS-A anxiety symptom scores were 4.1 ± 3.6 for males and 4.9 ± 3.7 for females (p = 0.048) and with a prevalence of 18.7% among males and 24.6% among females (p = 0.017). The mean HADS-D depressive symptom scores were 8.0 ± 6.3 for males and 10.8 ± 7.5 for females (p = 0.041) and with a prevalence of 26.6% among males and 30.1% among females (p = 0.219). Qatari women were at higher risk for depression (53.1 vs. 46.9%) and anxiety disorder (56.7 vs. 43.3%) as compared to men. More than half of the sufferers with anxiety (56.7%) and depression (53.1%) were Qatari women with a higher frequency in the age group 18–34 years. There were significant differences between men and women with depression in terms of age group (p = 0.004), marital status (p = 0.04), occupation (p < 0.001), and household income (p = 0.002). Nervousness was the most common symptom in subjects with anxiety disorders (68.4%), whereas sleep difficulty was the most common symptom in subjects with depressive disorder (59.4%). Diabetes mellitus (23.4 vs. 19.2%), hypertension (25.7 vs. 25.0%), headache and migraine (21.6 vs. 25.4%), and low back pain (22.2 vs. 28.6%) were the frequent comorbidity conditions in both anxiety and depressive disorders, respectively, in the studied subjects.

Conclusion

The findings of this study revealed that depression was more prevalent in the Qatari population than anxiety disorders. Women were likelier than men to have depression and anxiety disorders. The high-risk groups of depression and anxiety disorders were female gender, being married, middle aged, and highly educated.

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References

  1. Prince M, Patel V, Saxena S, Maj M, Maselko J, Philips MR, Rahman A (2007) No health without mental health. Lancet 8(370):859–877

    Article  Google Scholar 

  2. Mechanic D (2007) Barriers to help-seeking, detection, and adequate treatment for anxiety and mood disorders: implications for health care policy. J Clin Psychiatry 68:20–26

    Article  PubMed  Google Scholar 

  3. Ghuloum S, Bener A, Burgut FT (2010) Epidemiological Survey of Knowledge, Attitude and Health Literacy concerning Mental Illness in a National Community Sample: a global burden disease. J Prim Care Commun Health 1(2):111–118

    Google Scholar 

  4. Bener A, Ghuloum S (2010) Gender differences on the knowledge attitude and practice towards mental health illness in a very rapid arab developing society. Int J Soc Psychiatry 56(5):1–7. doi:10.1177/0020764010374415

    Google Scholar 

  5. Olssøn I, Mykletun A, Dahl AA (2005) The hospital anxiety and depression rating scale: a cross-sectional study of psychometrics and case finding abilities in general practice. BMC Psychiatry 5:46. doi:10.1186/1471-244X-5-46

  6. Bjelland I, Dahl AA, Haug TT, Neckelmann D (2002) The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res 52:69–77

    Article  PubMed  Google Scholar 

  7. World Health Organization (2000) Women’s mental health: an evidence based review Mental Health Determinants and Populations. Department of Mental Health and Substance Dependence, WHO

  8. Watson D, Clark LA, Weber K, Assenheimer JC, Strauss ME, McCormick RA (1995) Testing a tripartite model: II Exploring the symptom structure of anxiety and depression in student, adult, and patient samples. J Abnorm Psychol 104:15–25

    Article  PubMed  CAS  Google Scholar 

  9. Gigantesco A, Palumbo G, Mirabella F, Pettinelli M, Morosini P (2006) Prevalence of psychiatric disorders in an Italian Town: low prevalence confirmed with two different interviews. Psychother Psychosom 75:170–176

    Article  PubMed  Google Scholar 

  10. Terluin B, Brouwers EP, van Marwijk HW, Verhaak PF, van der Horst HE (2009) Detecting depressive and anxiety disorders in distressed patients in primary care; comparative diagnostic accuracy of the Four-Dimensional Symptom Questionnaire (4DSQ) and the Hospital Anxiety and Depression Scale (HADS). BMC Fam Pract 10:58

    Article  PubMed  Google Scholar 

  11. Bener A, Kamal A, Fares A, Sabuncuoglu O (2004) The prospective study of anxiety, depression and stress on development of hypertension. Arab J Psychiatry 15:131–136

    Google Scholar 

  12. World Health Organization (2002) The World Health Report 2002: reducing risks, promoting health life. WHO, Geneva

    Google Scholar 

  13. Johnson J, Horwath E, Weissmann MM (1991) The validity of Major depression with psychotic feature based on a community study. Arch Gen Psychiatry 48:1075–1081

    Article  PubMed  CAS  Google Scholar 

  14. Spijker J, De Graaf R, Bijl RV et al (2002) Duration of major depressive episodes in the general population: results from the Netherlands Mental health Survey and Incidence study NEMEISIS. Br J Psychiatry 181:208–213

    Article  PubMed  Google Scholar 

  15. Mirza I, Jenkins R (2004) Risk factors, prevalence and treatment of anxiety and depression disorders in Pakistan: a systematic review. BMJ 328:794

    Article  PubMed  Google Scholar 

  16. El-Rufaie OEF (1995) Referrals by general practitioners to a primary health care psychiatric clinic diagnostic status and socio-demographic characteristics. Arab J Psychiatry 6(1):82–92

    Google Scholar 

  17. Karam EG, Mneimneh ZN, Fayyad JA, Dimassi H, Karam AN, Nasser SC (2008) Lifetime prevalence of mental health disorders: First onset, treatment and exposure to war—the LEBANON study. PLOS Med 5((4):61

    Article  Google Scholar 

  18. World The WHO, Consortium Mental Health Survey (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 291:2581–2590

    Article  Google Scholar 

  19. Weiller E, Besserbe JC, Maier W et al (1998) Prevalence of Anxiety symptoms in 5 European primary care settings. Br J Psychiatry 173:18–23

    Google Scholar 

  20. Jacobi F, Wittchen HU, Holting C et al (2004) Prevalence, co-morbidity and correlates of mental disorders in the general population, results from the German Health Interview and Examination survey (GHS). Psychol Med 34:597–611

    Article  PubMed  CAS  Google Scholar 

  21. Mckenzie K, Croworoft NS (1996) Describing race, ethnicity and culture in medical science. BMJ 312:1054

    Article  PubMed  CAS  Google Scholar 

  22. Lang AJ, Stein MB (2002) Screening for anxiety in primary care; why bother? Gen Hosp Psychiatry 24:365–366

    Article  PubMed  Google Scholar 

  23. Arber S, Cooper M (1999) Gender disorder, health in later life: the new paradox? Soc Sci Med 48:61–76

    Article  PubMed  CAS  Google Scholar 

  24. King M (2008) Prevalence of common mental disorders in general practice attendees across Europe the British. J Psychiatry 192:362–367

    Article  Google Scholar 

  25. Wittchen HU (2002) Generalized anxiety disorder: prevalence, burden, and cost to society. Depression Anxiety 16:162–171

    Article  Google Scholar 

  26. Olfson M, Shea S, Feder A, Fuentes M, Nomura Y, Gameroff M, Weissman MM (2000) Prevalence of anxiety, depression, and substance use disorders in an urban general medicine practice. Arch Fam Med 9:876–883

    Article  PubMed  CAS  Google Scholar 

  27. Karam EG, Mneimneh Z, Karam AN, Fayyad J, Soumana C, Nasser S (2006) Prevalence and treatment of mental disorders in Lebanon: a national epidemiological survey. Lancet 367(9515):1000–1006

    Article  PubMed  Google Scholar 

  28. Ohayon MM, Schatzberg AF (2002) Prevalence of depressive episodes with psychotic features in the general population. Am J Psychiatry 159:1855–1861

    Article  PubMed  Google Scholar 

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Acknowledgments

This study was generously supported and funded by the Qatar National Research Fund—QNRF NPRP 30-6-7-38. The authors would like to thank the Hamad Medical Corporation for their support and ethical approval.

Conflict of interest

We have no financial interest to declare.

Author information

Authors and Affiliations

  1. Department of Medical Statistics and Epidemiology, Hamad General Hospital, Hamad Medical Corporation and Weill Cornell Medical College, PO Box 3050, Doha, Qatar

    Abdulbari Bener

  2. Department of Public Health, Weill Cornell Medical College, Doha, Qatar

    Abdulbari Bener

  3. Department of Evidence for Population Health Unit, School of Epidemiology and Health Sciences, The University of Manchester, Manchester, UK

    Abdulbari Bener

  4. Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar

    Suhaila Ghuloum

  5. Division of Mental Health, St George’s, University of London, Cranmer Terrace, London, UK

    Mohammed T. Abou-Saleh

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  1. Abdulbari Bener
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  2. Suhaila Ghuloum
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  3. Mohammed T. Abou-Saleh
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Correspondence to Abdulbari Bener.

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Bener, A., Ghuloum, S. & Abou-Saleh, M.T. Prevalence, symptom patterns and comorbidity of anxiety and depressive disorders in primary care in Qatar. Soc Psychiatry Psychiatr Epidemiol 47, 439–446 (2012). https://doi.org/10.1007/s00127-011-0349-9

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  • DOI: https://doi.org/10.1007/s00127-011-0349-9

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