Common Mental Disorder and Associated Factors among Adult Epileptic Patients Who Are On Follow Up In West Shewa Zone Public Hospitals, Oromia, Ethiopia

Abstract

Background: Common mental disorder is the most frequent psychiatric disorders among people with epilepsy and has a substantial impact on seizure control and negatively affects the treatment outcomes. Most of the studies done so far have focused mainly on a specific mental disorder like depression. However, to the best of my‟ knowledge, there has been no study done in the study area focusing on the magnitude of common mental disorders and associated factors among epileptic patients. Objective: To assess the magnitude and factors associated with common mental disorder in epilepsy patients who attended in west shewa zone public hospitals Oromia, Ethiopia, 2023 Methods: A cross-sectional study was conducted in West Shewa zone public hospitals from January to March 2023, involving 383 epileptic patients. The study assessed common mental disorder using the Self-Reporting Questionnaire-20 (SRQ-20). A systematic random sampling technique was applied and the collected data were entered into Epi-Data version 4.6.6 and analyzed using SPSS version 21. A binary logistic regression analysis was conducted to identify factors associated with common mental disorders. Variables with p-values less than 0.25 were considered for the multivariate model, with p values less than 0.05 indicating statistically significant associations in the final model. Results: A total of 383 participants were included in the study with a response rate of 100%. About 52.2% with 95% CI(47.19_57.24)study participants had common mental disorder. Multivariable analysis showed that Poor social supports (AOR= 7.734, [95% CI: 3.514, 17.023]), Family history of mental disorder (AOR=1.959, [95% CI: 1.217, 3.404]) and history of relapse (AOR=3.235, [95% CI: 1.198, 8.700]) were significantly associated with common mental disorder. Conclusions: The findings of this study revealed that common mental disorder among epileptic patient was relatively high.And also having poor social support,Family history of mental disorder and History of relapse were factors significantly associated with common mental disorder. Therefore; it is recommended that great attention should be given to common mental disorder besides controlling seizure attacks.