Prevalence and determinants of depression among patients under the care of traditional health practitioners in a Kenyan setting: Policy implications

Transcultural Psychiatry
Christine W MusyimiDavid M Ndetei

Abstract

In Kenya, there is paucity of information on depression among traditional health practitioner (THP) patients, particularly in rural areas. The aim of this study was to estimate prevalence and identify determinants of major depressive disorder (MDD) among patients of THP in rural Kenya using the World Health Organization (WHO) Mental Health Gap Action Programme Intervention Guideline (mhGAP-IG). All adult patients seeking care from trained THPs (either traditional healers such as diviners and herbalists or faith healers, who use treatments such as prayers, laying hands on patients, or providing holy water and ash to their patients) over a period of 3 months (September 2014 to November 2014) were screened for depression using mhGAP-IG and their sociodemographic characteristics recorded. Overall, the prevalence of depression among THP patients was 22.9%. Being older, female, single, divorced or separated, as well as unemployment and lack of education were found to be significant determinants of depression. Patients with MDD frequently presented with suicidal behavior (32.9%, OR = 5.94, p < .0001) compared to those that had at least one psychotic symptom (26.3%, OR = 3.65, p < .0001). A measure of the accuracy of THPs' assessment o...Continue Reading

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Citations

May 1, 2019·Social Psychiatry and Psychiatric Epidemiology·Yue ZhangUNKNOWN with input from the INCOMAS Study Team
Dec 3, 2016·Community Mental Health Journal·Christine W MusyimiDavid M Ndetei
Oct 28, 2019·Culture, Medicine and Psychiatry·Kristen N HerloskyAlyssa N Crittenden
May 10, 2017·Health and Quality of Life Outcomes·Christine W MusyimiJoske Bunders
Jan 15, 2021·Substance Abuse Treatment, Prevention, and Policy·Supa Pengpid, Karl Peltzer
Dec 10, 2020·International Journal of Mental Health Systems·Supa Pengpid, Karl Peltzer
Jan 9, 2021·International Journal of Mental Health Systems·Tony V PhamBrandon A Kohrt
May 1, 2021·Dementia·Christine W MusyimiNicolas Farina

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Software Mentioned

IG
MINIPLUS
mhGAP

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