Prevalence of Depression, Anxiety and Stress among Adult Population: Results of Yazd Health Study

  • Mohsen Mirzaei Yazd Cardiovascular Research Centre, Shahid Sadoughi University of Medical Sciences, Yazd-Iran http://orcid.org/0000-0002-4153-5023
  • Seyed Mojtaba Yasini Ardekani Department of Psychiatry, Research center of addiction and behavioral sciences, shahid Sadoughi University of medical sciences, Yazd, Iran
  • Masoud Mirzaei Yazd Cardiovascular Research Centre, Shahid Sadoughi University of Medical Sciences, Yazd-Iran http://orcid.org/0000-0001-6455-0747
  • Ali Dehghani Department of Epidemiology and Biostatistics, School of Public Health, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran
Keywords: Anxiety, Depression, Anxiety and Stress Scale (DASS), Iran, Prevalence, Stress

Abstract

Objective: The burden of mental disorders continues to grow with significant impacts on health. This study aimed to investigate the prevalence of stress, anxiety, and depression in Yazd adult population and to examine the associated socioeconomic factors.

Method: In a 2-step cluster sampling process, 10 000 residents of Yazd Greater Area (200 clusters of 50) were selected during 2014-2015. The short version of Depression, Anxiety and Stress Scale (DASS) Questionnaire was used to assess relevant depression, anxiety, and stress. Data were analyzed by chi-square test. All statistical analyses were done using SPSS version 16.0. P-values less than 0.05 were considered statistically significant.

Results: Depression, anxiety, and stress were seen in 29%, 32.2%, and 34.8% of adult residents of Yazd Greater Area, respectively. The symptoms of the disorders were moderate, severe, and very severe in 18.2%, 20.2%, and 23.4% of the population, respectively. Also, a significant difference was found between the symptoms of depression, anxiety, and stress and sex, age group, education, employment, marriage status, and country of birth. Of the total population under study, 3.7% were depressed, 7.7% were anxious, 9.5% had stress alone and 16.4% had symptoms of all the 3 disorders. Frequency of depression among Zoroastrians was more than muslims (42.1% vs 29.7%).

Conclusion: Despite achievemments in higher education and economic development of Yazd population over the past 2 decades, the trend of these disorders has alarmingly been increased. Considering the findings, it is necessary to develop evidence-based and appropriate community-based primary and secondary mental health prevention programs.

References

Mohammadi M-R, Davidian H, Noorbala AA, Malekafzali H, Naghavi HR, Pouretemad HR, et al. An epidemiological survey of psychiatric disorders in Iran. Clinical practice and epidemiology in mental health. 2005;1(1):16. https://doi.org/10.1186/1745-0179-1-16

Noorbala AA FS, Kamali K, Bagheri Yazdi SA, Hajebi A, Mousavi MT, Akhondzadeh S, Faghihzadeh E, Nouri B. . Mental health survey of the adult population of Iran in 2015. Arch Iran Med. 2017; 20(3):128-34. https://www.ncbi.nlm.nih.gov/pubmed/28287805. doi: 0172003/AIM.003.

Organization WH. Mental health action plan 2013-20202013.

Wahed WYA, Hassan SK. Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students. Alexandria Journal of Medicine. 2017;53(1):77-84. https://doi.org/10.1016/j.ajme.2016.01.005

Organization WH. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva2017.

Vos T, Allen C, Arora M, Barber R, Bhutta Z, Brown A, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. 2016. DOI: https://doi.org/10.1016/S0140-6736(16)31678-6

Association D-AP. Diagnostic and statistical manual of mental disorders. Arlington: American Psychiatric Publishing; 2013.189–95.

Craske MG SM. Anxiety.Lancet.2016;388:3048–59. DOI: https://doi.org/10.1016/S0140-6736(16)30381-6

Cohen S, Kessler RC, Gordon LU. Strategies for measuring stress in studies of psychiatric and physical disorders. Measuring stress: A guide for health and social scientists. 1995:3-26.

Reeves WC, Pratt LA, Thompson W, Dhingra SS, McKnight-Eily LR, Harrison L, et al. Mental illness surveillance among adults in the United States. 2011.

Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. International journal of epidemiology. 2014;43(2):476-93. https://doi.org/10.1093/ije/dyu038

Vandad Sharifi M, Hajebi A, Radgoodarzi R. Twelve-month prevalence and correlates of psychiatric disorders in Iran: the Iranian Mental Health Survey, 2011. Arch Iran Med. 2015; 18(2):76-84. https://www.ncbi.nlm.nih.gov/pubmed/25644794. DOI:015182/AIM.004

Noorbala AA, Akhondzadeh S. Mental health study process into prevalence of mental disorders in iran. Arch Iran Med. 2015;18(2):74-5. https://www.ncbi.nlm.nih.gov/pubmed/25644793. DOI:015182/AIM.003

Yousefi-Nooraie R, Mohammadi MR, Salesian N, Amin-Esmaeeli M, Mansouri N, Mesgarpour B, et al. Prevalence of psychiatric disorders in Iran: A systematic review. Iranian Journal of Psychiatry. 2007;2(4):137-50.

http://ijps.tums.ac.ir/index.php/ijps/article/view/454

Fallahzadeh H MM, Nikokaran J. . Prevalence of depression, anxiety and stress in Yazd (2013). TB. 2016;15(3):155-64.

Montazeri A OS, Azin A,Aeenparast A,Jahangiri K,Sadighi J,et al. Happiness among iranian population findings from the iranian health perception survey(IHPS). Payesh. 2012;11(4):467-75.

Mazloomy S, Mirzaei A, Mohammadi S. Study of depression prevalence in the patients with type II diabetes referring to Yazd diabetes research centers in 2008. TOLOO-E-BEHDASHT. 2008;7(1-2):30-6.

Baghiani Moghadam M-H EM-H, Rahimi B, Aminian A-H, Aram M. . Assessment of depression among college students in health and nursing Yazd University of Medical Sciences in 2008. Journal of Medical Education Development Center. 2011;6(1):17–24.

Vakili M, Eslami Farsani S, Hossein S, Dehghani Tafti M. Prevalence of depression and its related factors among truck drivers in Yazd Province-2008. Iran Occupational Health. 2010;6(4):69-76.

Mirzaei M , Salehi-Abargouei A, Mirzaei M, Mohsenpour MA. . The Yazd Health Study (YaHS): a population -based study of adult aged 20-70 years ( study design and baseline population data). International Journal of Epidemiology. 2017. https://www.ncbi.nlm.nih.gov/pubmed/29186588. DOI:10.1093/ije/dyx231

Sahebi A AM, Salari R. . Validation of Depression Anxiety and Stress Scale (DASS-21) for an Iranian population. Journal of Iranian Psychologists 2005;1(4):36-54.

Samani S JB. Reliability and Validity of the Short Form of the Depression Anxiety Stress Scales in Iran. Journal of Social and Human Sciences. 2007;26(3):65-77.

Noorbala AA DB, Riazi-Isfahani S. Evaluation of mental disorders incidence trend in Iran. . daneshvarmed. 2014;21(112):1-10.

Ahmadi N MM, Yassini Ardekani SM, Sadr SM, Mirzaei M,Mehrparvar AH, Nilforoshan N. Epidemiology of psychiatric disorders in childeren and adolescents and comorbidity in Yazd province. 2018.

Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine J, et al. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. Jama. 2004;291(21):2581-90. doi:10.1001/jama.291.21.2581

Mohamadi M, Kamal SHM, Vameghi M, Rafiey H, Sajjadi ASFH. A meta-analysis of studies related prevalence of depression in Iran. J Research Health 2017;7(1):581- 93.

Eftekhari MB, Forouzan AS, Mirabzadeh A, Sajadi H, Dejman M, Rafiee H, et al. Mental Health Priorities in Iranian Women: Overview of Social Determinants of Mental Health. Iranian journal of psychiatry. 2014;9(4):241-247. http://ijps.tums.ac.ir/index.php/ijps/article/view/62

Kvrgic S, Harhaji S, Jovanovic VM, Nikolic EA, Radic I, Cankovic S, et al. Gender differences in mental health among adult population in Vojvodina, Serbia. Iranian journal of public health. 2013;42(8):833-41.

https://www.ncbi.nlm.nih.gov/pubmed/26056637

Li SH, Graham BM. Why are women so vulnerable to anxiety, trauma-related and stress-related disorders? The potential role of sex hormones. The Lancet Psychiatry. 2017;4(1):73-82. DOI:10.1016/S2215-0366(16)30358-3

Divkolaye NSH, Burkle Jr FM. The Enduring Health Challenges of Afghan Immigrants and Refugees in Iran: A Systematic Review. PLoS currents. 2011;9. doi: 10.1371/currents.dis.449b4c549951e359363a90a7f4cf8fc4.

Kirmayer LJ, Narasiah L, Munoz M, Rashid M, Ryder AG, Guzder J, et al. Common mental health problems in immigrants and refugees: general approach in primary care. Canadian Medical Association Journal. 2011;183(12):E959-E67. https://www.ncbi.nlm.nih.gov/pubmed/20603342 doi: 10.1503/cmaj.090292.

Iqbal S, Ahmad R, Ayub N. Level of depression among adolescents of religious minorities and their dominant counterparts in Pakistan. Journal of Child & Adolescent Mental Health. 2012;24(2):163-71.

Noorbala A, Yazdi SB, Yasamy M, Mohammad K. Mental health survey of the adult population in Iran. The British Journal of Psychiatry. 2004;184(1):70-3. https://www.ncbi.nlm.nih.gov/pubmed/14702230

Kingston S. Economic adversity and depressive symptoms in mothers: Do marital status and perceived social support matter? American journal of community psychology. 2013;52(3-4):359-66. https://doi.org/10.1007/s10464-013-9601-7

Silva M, Loureiro A, Cardoso G. Social determinants of mental health: a review of the evidence. The European Journal of Psychiatry. 2016;30(4):259-92.

Dong X, Chen R, Li C, Simon MA. Understanding depressive symptoms among community-dwelling Chinese older adults in the greater Chicago area. Journal of aging and health. 2014;26(7):1155-71. https://www.ncbi.nlm.nih.gov/pubmed/25239971. doi: 10.1177/0898264314527611.

van der Waerden JE, Hoefnagels C, Hosman CM, Jansen MW. Defining subgroups of low socioeconomic status women at risk for depressive symptoms: the importance of perceived stress and cumulative risks. International Journal of Social Psychiatry. 2014;60(8):772-82. https://www.ncbi.nlm.nih.gov/pubmed/24599903. doi: 10.1177/0020764014522751.

Stankunas M, Kalediene R, Starkuviene S, Kapustinskiene V. Duration of unemployment and depression: a cross-sectional survey in Lithuania. BMC public health. 2006;6(1):174. https://doi.org/10.1186/1471-2458-6-174

Published
2019-05-08
How to Cite
1.
Mirzaei M, Yasini Ardekani SM, Mirzaei M, Dehghani A. Prevalence of Depression, Anxiety and Stress among Adult Population: Results of Yazd Health Study. Iran J Psychiatry. 14(2):137-146.
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Original Article(s)