Depression among caregivers of thalassemia children in two government hospitals in Klang Valley / Dr. Mastura Mat Rosly

Background: Caregiving for patients with chronic diseases causes distress that predispose the caregivers to depression. Thalassemia is a chronic debilitating illness that is common in this country. It has been proposed that caregiving for children with thalassemia increases risk of developing depres...

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Main Author:	Mat Rosly, Dr. Mastura
Format:	Thesis
Language:	English
Published:	2020
Subjects:	Depression Affective disorders Diseases of children and adolescents
Online Access:	https://ir.uitm.edu.my/id/eprint/88995/1/88995.pdf
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id	my-uitm-ir.88995
record_format	uketd_dc
spelling	my-uitm-ir.889952024-01-04T09:47:06Z Depression among caregivers of thalassemia children in two government hospitals in Klang Valley / Dr. Mastura Mat Rosly 2020 Mat Rosly, Dr. Mastura Depression. Affective disorders Diseases of children and adolescents Background: Caregiving for patients with chronic diseases causes distress that predispose the caregivers to depression. Thalassemia is a chronic debilitating illness that is common in this country. It has been proposed that caregiving for children with thalassemia increases risk of developing depression. Objective: This study aims to determine the prevalence of Major Depressive Disorder among caregivers of children with thalassemia in Hospital Selayang and Hospital Sungai Buloh. It also aims to determine the associated factors of depression among the caregivers. Methodology: This is a cross-sectional study involving 64 caregivers of children with thalassemia under follow up at Hospital Selayang and Hospital Sungai Buloh. Those who fulfilled the inclusion criteria and gave informed consent were recruited. Caregivers’ sociodemographic, clinical and children’s clinical data were obtained from an interview with the caregivers and from the medical records. The diagnosis of Major Depressive Disorder was confirmed by Mini International Neuropsychiatric Interview (M.I.N.I.) for Major Depressive Episode. The level of caregiver strain was assessed using the Caregiver Strain Index (CSI) tool. Data was analysed using the Statistical Package for Social Sciences (SPSS) version 26. Results: The prevalence of depression among the caregivers is 17%. From bivariate analysis, factors found to be associated with depression were caregivers’ age (p= 0.155), marital status (p=0.177), education level (p=0.100), household income (p=0.176), financial support (p=0.006), history of death in the family (p=0.201), personal history of mental illness (p=0.172), duration of illness (p= 0.093), comorbidities (p=0.201) and high caregiver strain (0.001). From multivariate analysis the factor found to be significantly associated with depression is high caregiver strain (OR: 10.04, CI: 1.41-71.58, p= 0.021). Conclusion: High caregiver strain is a good predictor for depression among caregivers of children with thalassemia disease. Early recognition and intervention of depression among caregivers can improve quality of care for the children with thalassemia. 2020 Thesis https://ir.uitm.edu.my/id/eprint/88995/ https://ir.uitm.edu.my/id/eprint/88995/1/88995.pdf text en public masters Universiti Teknologi MARA (Kampus Sg. Buloh) Faculty of Medicine Shuib, Dr. Norley
institution	Universiti Teknologi MARA
collection	UiTM Institutional Repository
language	English
advisor	Shuib, Dr. Norley
topic	Depression Affective disorders Diseases of children and adolescents
spellingShingle	Depression Affective disorders Diseases of children and adolescents Mat Rosly, Dr. Mastura Depression among caregivers of thalassemia children in two government hospitals in Klang Valley / Dr. Mastura Mat Rosly
description	Background: Caregiving for patients with chronic diseases causes distress that predispose the caregivers to depression. Thalassemia is a chronic debilitating illness that is common in this country. It has been proposed that caregiving for children with thalassemia increases risk of developing depression. Objective: This study aims to determine the prevalence of Major Depressive Disorder among caregivers of children with thalassemia in Hospital Selayang and Hospital Sungai Buloh. It also aims to determine the associated factors of depression among the caregivers. Methodology: This is a cross-sectional study involving 64 caregivers of children with thalassemia under follow up at Hospital Selayang and Hospital Sungai Buloh. Those who fulfilled the inclusion criteria and gave informed consent were recruited. Caregivers’ sociodemographic, clinical and children’s clinical data were obtained from an interview with the caregivers and from the medical records. The diagnosis of Major Depressive Disorder was confirmed by Mini International Neuropsychiatric Interview (M.I.N.I.) for Major Depressive Episode. The level of caregiver strain was assessed using the Caregiver Strain Index (CSI) tool. Data was analysed using the Statistical Package for Social Sciences (SPSS) version 26. Results: The prevalence of depression among the caregivers is 17%. From bivariate analysis, factors found to be associated with depression were caregivers’ age (p= 0.155), marital status (p=0.177), education level (p=0.100), household income (p=0.176), financial support (p=0.006), history of death in the family (p=0.201), personal history of mental illness (p=0.172), duration of illness (p= 0.093), comorbidities (p=0.201) and high caregiver strain (0.001). From multivariate analysis the factor found to be significantly associated with depression is high caregiver strain (OR: 10.04, CI: 1.41-71.58, p= 0.021). Conclusion: High caregiver strain is a good predictor for depression among caregivers of children with thalassemia disease. Early recognition and intervention of depression among caregivers can improve quality of care for the children with thalassemia.
format	Thesis
qualification_level	Master's degree
author	Mat Rosly, Dr. Mastura
author_facet	Mat Rosly, Dr. Mastura
author_sort	Mat Rosly, Dr. Mastura
title	Depression among caregivers of thalassemia children in two government hospitals in Klang Valley / Dr. Mastura Mat Rosly
title_short	Depression among caregivers of thalassemia children in two government hospitals in Klang Valley / Dr. Mastura Mat Rosly
title_full	Depression among caregivers of thalassemia children in two government hospitals in Klang Valley / Dr. Mastura Mat Rosly
title_fullStr	Depression among caregivers of thalassemia children in two government hospitals in Klang Valley / Dr. Mastura Mat Rosly
title_full_unstemmed	Depression among caregivers of thalassemia children in two government hospitals in Klang Valley / Dr. Mastura Mat Rosly
title_sort	depression among caregivers of thalassemia children in two government hospitals in klang valley / dr. mastura mat rosly
granting_institution	Universiti Teknologi MARA (Kampus Sg. Buloh)
granting_department	Faculty of Medicine
publishDate	2020
url	https://ir.uitm.edu.my/id/eprint/88995/1/88995.pdf
_version_	1794192185366675456

Depression among caregivers of thalassemia children in two government hospitals in Klang Valley / Dr. Mastura Mat Rosly

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