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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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| Published in: | Discover social science and health 2024-12, Vol.4 (1), p.8-20, Article 8 |
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| container_end_page | 20 |
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| container_title | Discover social science and health |
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| creator | Ahmed-Chowdhury, Saquib Ahmad, Sohail Sarker, Md. Moklesur Rahman Ismail, Nahlah Elkudssiah |
| description | 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 |
| doi_str_mv | 10.1007/s44155-024-00065-5 |
| format | article |
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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 < US$250 (55.1%), and diagnosed with asthma for > 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 < 0.05). Stigma was correlated with depression and negatively correlated with age and years since asthma diagnosis (p < 0.01).
Conclusion
This study highlights associations between depressive symptoms, internalized stigma, and various sociodemographic and medical factors among asthma patients. Notably, stigma was higher among younger adults and recently diagnosed patients. Effective interventions are needed to mitigate stigma and depression in this patient population.</description><identifier>ISSN: 2731-0469</identifier><identifier>EISSN: 2731-0469</identifier><identifier>DOI: 10.1007/s44155-024-00065-5</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>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</subject><ispartof>Discover social science and health, 2024-12, Vol.4 (1), p.8-20, Article 8</ispartof><rights>The Author(s) 2024</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2955-f486d98216b89022ca41bc3be55e07ab46c244dbf92ec1fae0558f16635482783</cites><orcidid>0000-0002-4274-8581 ; 0000-0002-2121-7343 ; 0000-0001-6458-7697 ; 0000-0001-9795-0608</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2923652783/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2923652783?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,12846,25753,27924,27925,30999,37012,44590,75126</link.rule.ids></links><search><creatorcontrib>Ahmed-Chowdhury, Saquib</creatorcontrib><creatorcontrib>Ahmad, Sohail</creatorcontrib><creatorcontrib>Sarker, Md. Moklesur Rahman</creatorcontrib><creatorcontrib>Ismail, Nahlah Elkudssiah</creatorcontrib><title>Assessment of depression and internalized-stigma among adult asthma patients in Bangladesh: a cross-sectional study</title><title>Discover social science and health</title><addtitle>Discov Soc Sci Health</addtitle><description>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 < US$250 (55.1%), and diagnosed with asthma for > 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 < 0.05). Stigma was correlated with depression and negatively correlated with age and years since asthma diagnosis (p < 0.01).
Conclusion
This study highlights associations between depressive symptoms, internalized stigma, and various sociodemographic and medical factors among asthma patients. Notably, stigma was higher among younger adults and recently diagnosed patients. Effective interventions are needed to mitigate stigma and depression in this patient population.</description><subject>Adults</subject><subject>Age differences</subject><subject>Asthma</subject><subject>Bangladesh</subject><subject>Biomedicine</subject><subject>Body mass index</subject><subject>Committees</subject><subject>Cross-sectional studies</subject><subject>Depression</subject><subject>Drug stores</subject><subject>Drugs</subject><subject>Ethics</subject><subject>Gender</subject><subject>Illnesses</subject><subject>Internalization</subject><subject>Medical diagnosis</subject><subject>Mental depression</subject><subject>Psychosocial factors</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Rural areas</subject><subject>Rural communities</subject><subject>Sample size</subject><subject>Social Sciences</subject><subject>Sociodemographics</subject><subject>Stigma</subject><subject>Symptoms</subject><issn>2731-0469</issn><issn>2731-0469</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9kU9v1DAQxaOKSq1Kv0BPljgHbMd2bG6l4k-lSlzgbE3sSZpVNl483kP59Hg3CDhx8nj03m8085rmTvC3gvP-HSkltG65VC3n3OhWXzTXsu9Ey5Vxr_6pr5pbol0Vyd44Zbvrhu6JkGiPa2FpZBEPuX7ntDJYI5vXgnmFZf6JsaUyT3tgsE_rxCAel8KAynNtHaDMFUBVzz7AOi0QkZ7fM2AhJ6KWMJSKhIVROcaX183lCAvh7e_3pvn-6eO3hy_t09fPjw_3T22Qru4zKmuis1KYwTouZQAlhtANqDXyHgZlglQqDqOTGMQIyLW2ozCm08rK3nY3zePGjQl2_pDnPeQXn2D250bKk4dc5rCgh2hd6DuwVqvTNaEH56Ry2EcuYRgq683GOuT044hU_C4dT6chL53sjD4NrCq5qc57Zxz_TBXcn7LyW1a-ZuXPWXldTd1moipeJ8x_0f9x_QKGy5c6</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Ahmed-Chowdhury, Saquib</creator><creator>Ahmad, Sohail</creator><creator>Sarker, Md. Moklesur Rahman</creator><creator>Ismail, Nahlah Elkudssiah</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><general>Springer</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4274-8581</orcidid><orcidid>https://orcid.org/0000-0002-2121-7343</orcidid><orcidid>https://orcid.org/0000-0001-6458-7697</orcidid><orcidid>https://orcid.org/0000-0001-9795-0608</orcidid></search><sort><creationdate>20241201</creationdate><title>Assessment of depression and internalized-stigma among adult asthma patients in Bangladesh: a cross-sectional study</title><author>Ahmed-Chowdhury, Saquib ; Ahmad, Sohail ; Sarker, Md. Moklesur Rahman ; Ismail, Nahlah Elkudssiah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2955-f486d98216b89022ca41bc3be55e07ab46c244dbf92ec1fae0558f16635482783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adults</topic><topic>Age differences</topic><topic>Asthma</topic><topic>Bangladesh</topic><topic>Biomedicine</topic><topic>Body mass index</topic><topic>Committees</topic><topic>Cross-sectional studies</topic><topic>Depression</topic><topic>Drug stores</topic><topic>Drugs</topic><topic>Ethics</topic><topic>Gender</topic><topic>Illnesses</topic><topic>Internalization</topic><topic>Medical diagnosis</topic><topic>Mental depression</topic><topic>Psychosocial factors</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Rural areas</topic><topic>Rural communities</topic><topic>Sample size</topic><topic>Social Sciences</topic><topic>Sociodemographics</topic><topic>Stigma</topic><topic>Symptoms</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahmed-Chowdhury, Saquib</creatorcontrib><creatorcontrib>Ahmad, Sohail</creatorcontrib><creatorcontrib>Sarker, Md. Moklesur Rahman</creatorcontrib><creatorcontrib>Ismail, Nahlah Elkudssiah</creatorcontrib><collection>Springer_OA刊</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>Discover social science and health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmed-Chowdhury, Saquib</au><au>Ahmad, Sohail</au><au>Sarker, Md. Moklesur Rahman</au><au>Ismail, Nahlah Elkudssiah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of depression and internalized-stigma among adult asthma patients in Bangladesh: a cross-sectional study</atitle><jtitle>Discover social science and health</jtitle><stitle>Discov Soc Sci Health</stitle><date>2024-12-01</date><risdate>2024</risdate><volume>4</volume><issue>1</issue><spage>8</spage><epage>20</epage><pages>8-20</pages><artnum>8</artnum><issn>2731-0469</issn><eissn>2731-0469</eissn><abstract>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 < US$250 (55.1%), and diagnosed with asthma for > 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 < 0.05). Stigma was correlated with depression and negatively correlated with age and years since asthma diagnosis (p < 0.01).
Conclusion
This study highlights associations between depressive symptoms, internalized stigma, and various sociodemographic and medical factors among asthma patients. Notably, stigma was higher among younger adults and recently diagnosed patients. Effective interventions are needed to mitigate stigma and depression in this patient population.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><doi>10.1007/s44155-024-00065-5</doi><tpages>20</tpages><orcidid>https://orcid.org/0000-0002-4274-8581</orcidid><orcidid>https://orcid.org/0000-0002-2121-7343</orcidid><orcidid>https://orcid.org/0000-0001-6458-7697</orcidid><orcidid>https://orcid.org/0000-0001-9795-0608</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Discover social science and health, 2024-12, Vol.4 (1), p.8-20, Article 8 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Publicly Available Content Database (Proquest) (PQ_SDU_P3); Springer Nature - SpringerLink Journals - Fully Open Access |
| 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 |
| title | Assessment of depression and internalized-stigma among adult asthma patients in Bangladesh: a cross-sectional study |
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