Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item The prevalence of depression and its correlates in garment factory employees in Hambantota District, Sri Lanka(Sri Lanka Medical Association, 2021) Obadaarachchi LN, L.N.; Amila, I.L.L.; Vipuladasa, D.D.M.L.; Williams, S.S.Introduction and objectives Garment factory employees are a high-risk population for depression in developing Asian countries. The objective of the study was to determine the prevalence of depression and its association with selected socio-demographic, occupational, personal and family factors in garment factory workers in Hambantota district. Method A cross sectional study using multi stage random sampling was conducted following ethical approval by a recognized ethics review committee. General Health Questionnaire-12 and Beck Depression Inventory–II, previously validated for the Sri Lankan population were used to screen for depression. A specifically designed data collection form was also administered after written informed consent by trained investigators. Results Out of a total sample of 390, the majority were females (n=325, 83.3%). The mean age was 32.9 years (SD 10.45 years). The estimated point prevalence of depression in the study sample was 17.2 % (95 % CI=13.3-21.8%). Depression was associated with presence of a chronic medical condition (OR-3.15, CI 1.53-6.44, p=0.002), family history of psychiatric illness (OR-5.57, CI 2.31-13.47, p<0.001), history of deliberate self-harm (OR-11.23, CI 5.03-25.04, p<0.001), history of psychiatric illness (OR-6.12, CI 2.39-15.73, p<0.001), and being divorced or separated from their partner(OR-3.39, CI 1.51-7.58, p=0.003). The only job-related factor which showed an association with depression was working extra duty hours (CI 1.01-3.02, p=0.04). Conclusions The prevalence of depression among garment factory employees in Hambantota district is higher in comparison to other populations in Sri Lanka. However, it is lower in comparison to garment factory populations in other developing Asian countries.Item Anxiety and depression among patients at a tertiary care respiratory clinic in Sri Lanka(Sri Lanka College of Psychiatrists, 2018) Galhenage, J.S.; Rupasinghe, J.P.N.; Weerasinghe, W.B.D.D.; Abeywardena, G.S.; Williams, S.S.; Gunasena, B.BACKGROUND: Chronic respiratory diseases are associated with increased risk of mood and anxiety disorders. These disorders in turn may lead to frequent hospital admissions and lower treatment adherence among patients with respiratory disease. AIMS: The objective of this study was to describe the prevalence of anxiety and depression among patients with chronic lung diseases and their association with socio demographic factors. Methods: A descriptive cross sectional study was conducted among patients at a respiratory outpatient clinic at the National Hospital for Respiratory Diseases, Welisara. Demographic data was collected using an interviewer administered questionnaire; a selfadministered Hospital Anxiety and Depression scale was used to examine for the presence of anxiety or depression. Consecutive patients who gave written informed consent to were included in the study. RESULTS: A total of 451 patients were participated in the study, of whom 274 (60.8%) were females. The mean age was 57.4 (SD=15.3) years and the majority (74.7%) were married. The education level of 226 (50.1%) was between grade 5 and grade 11. There was no permanent income for 196 (43.5%). The majority had bronchial asthma (60.3%) and 151 (33.5%) had one or more co-morbid medical illness. The mean score for the anxiety component was 6.78 (SD=3.59) and for the depression component it was 7.03 (SD=3.11). Seventy (15.5%) screened positive for anxiety and another 100 (22.2%) were doubtful cases. Sixty five (14.4%) screened positive for depression and another 128 (28.4%) were doubtful cases. Participants who were unmarried, divorced, separated or widowed had significantly higher levels of anxiety compared to those who were married (p=0.005). Patients who had a monthly income also had more anxiety compared to those who did not have an income (p=0.003). Conclusions: One fifth of the patients attending the respiratory clinic screened positive for anxiety and depression. This indicates the importance of addressing the psychological morbidity among patients with chronic lung disease.