Assessment of depression and internalized-stigma among adult asthma patients in Bangladesh: a cross-sectional study

Objective Suboptimal asthma control among patients is associated with psychosocial factors, including depression and stigma, hindering effective asthma management. This study aimed to assess depressive symptoms and internalized stigma among adult asthma patients while investigating their relationshi...

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Bibliographic Details
Published in:Discover social science and health 2024-12, Vol.4 (1), p.8-20, Article 8
Main Authors: Ahmed-Chowdhury, Saquib, Ahmad, Sohail, Sarker, Md. Moklesur Rahman, Ismail, Nahlah Elkudssiah
Format: Article
Language:English
Subjects:
Adults
Age differences
Asthma
Bangladesh
Biomedicine
Body mass index
Committees
Cross-sectional studies
Depression
Drug stores
Drugs
Ethics
Gender
Illnesses
Internalization
Medical diagnosis
Mental depression
Psychosocial factors
Quality of life
Questionnaires
Rural areas
Rural communities
Sample size
Social Sciences
Sociodemographics
Stigma
Symptoms
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Summary:Objective Suboptimal asthma control among patients is associated with psychosocial factors, including depression and stigma, hindering effective asthma management. This study aimed to assess depressive symptoms and internalized stigma among adult asthma patients while investigating their relationships with sociodemographic and asthma-related medical factors. Methods In this cross-sectional study, 325 adult asthma patients (aged > 18 years old) were recruited from the National Asthma Centre in Dhaka, Bangladesh, using a researcher-administered questionnaire and convenience sampling. The questionnaire included sections on sociodemographic characteristics, medical data, the 9-item Patient Health Questionnaire (PHQ-9) to assess depressive symptoms, and a 22-item stigma scale to assess internalized stigma. Data were analyzed using descriptive and inferential statistics. Results The majority of participants were aged 18–40 years (54.2%), male (53.5%), from rural areas (50.8%), with a monthly family income of  5 years (46.5%). The mean PHQ-9 score was 7.36 (± 6), indicating mild depressive symptoms, and the internalized stigma score was 62.2 (± 10.26), indicating moderate internalized stigma. Depression and stigma varied significantly across several factors, including age, education, ED visits, hospitalizations for asthma, number of asthma medicines, home nebulizer use, PEF rate, BMI, comorbidities, and asthma symptom control (p 
ISSN:2731-0469
2731-0469
DOI:10.1007/s44155-024-00065-5