The anxiety and depression prevalence in patients who admitted in general medicine wards
Article Sidebar
Main Article Content
Abstract
Abstract
Background: This descriptive study aimed to examine the incidence of anxiety and depression among patients admitted on their first day of hospitalization to the general medical wards under the Department of Medical and Psychiatric Nursing, Siriraj Hospital.
Method: The study sample consisted of 106 patients admitted between May 2022 and August 2023. Data were collected using a personal information questionnaire and the Thai version of the Hospital Anxiety and Depression Scale (Thai HADS). A score equal to or greater than 8 on each subscale was considered indicative of anxiety or depression. Data were analyzed using SPSS software, employing frequency, percentage, mean, standard deviation, and chi-square tests to determine associations between variables.
Results: On the first day of hospitalization, 24.5% of the patients (95% CI: 17–34%) experienced anxiety, and 30.2% (95% CI: 22–40%) experienced depression. Lighting conditions in the wards were found to be significantly associated with the incidence of anxiety, while infectious diseases—identified as the cause of hospitalization—were significantly associated with depression.
Conclusion: Lighting in the hospital ward has a direct impact on patients’ sleep quality and is associated with anxiety. Therefore, it is recommended that nighttime lighting in hospital wards be adjusted to promote adequate rest. Additionally, patients hospitalized with
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Reference
World Health Organization. Mental disorders. (Internet).2022 June 8(cited 2025 June 1); Available from: URL: https://www.who.int/news-room/fact-sheets/detail/mental-disorders
Department of mental health. Report of a patient receiving psychiatric services. (Internet) (cited2025 June 1); Available from: URL: https://dmh.go.th/report/datacenter/hdc/reds.asp Thai.
AlBekairy A, AbuRuz S, Alsabani B, et al. Exploring factors associated with depression and anxiety among hospitalized patients with type 2 diabetes mellitus. Med Princ Pract.2018;26(6):547-53.
Alexandri A, Georgiadi E, Mattheou P, Polikandrioti M. Factors associated with anxiety and depression in hospitalized patients with first episode of acute myocardial infarction. Arch Med Sci Atheroscler Dis.2017;2:90-9
Zhou X, Li J, Gu W, et al. Prevalence and associated factors of anxiety and depression among patients with chronic respiratory diseases in eight general hospitals in Jiangsu Province of China: A cross-sectional study. Psychiatry research. 2017; 251:48-53.
Walker ER, McGee RE, Druss BG. Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA psychiat.2015;72(4):334-41.
Fattouh N, Hallit S, Salameh P, Choueiry G, Kazour F, Hallit R. Prevalence and factors affecting the level of depression, anxiety, and stress in hospitalized patients with a chronic disease. Perspect Psychiatr Care. 2019;55(4):592-9.
Vadakkiniath IJ. Prevalence and correlates of stress, anxiety, and depression in patients with chronic diseases: a cross-sectional study. Middle East Current Psychiatry. 2023 ;30(1): 1-14.
Liu R, He WB, Cao LJ, Wang L, Wei Q. Association between chronic disease and depression among older adults in China: the moderating role of social participation. Public Health.2023; 221: 73-8.
Pajaree Sramyuura. Prevalence of Anxiety and Depression Among Type2 Diabetic Patient in Chiang Rai Prachanukroh Hospital. PCFM.2021 ;4(1):11-2. Thai.
Sastra Khemboobpa. Prevalence and Factors Associated with Depression in Chronic Kidney Disease Patients at Bandan Hospital, Buriram Province. MEDICAL JOURNAL OF SISAKET SURIN BURIRAM HOSPITALS.2022;37(1):91–102. Thai.
Gurhan N, Beser NG, Polat U, Koc M. Suicide risk and depression in individuals with chronic illness. Commun Ment Health J.2019;55: 840-8.
Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196(4286):129-36.
Ngamjarus C. Sample size calculation for health science research. 1st ed. Khon Kaen, Thailand: Khon Kaen University Printing House; 2021.
Manote Lotrakul. Hospital Anxiety and Depression Scale (Thai HADs) Thai version. Journal of the Psychiatrist Association of Thailand (Internet): 1996 (cited 2021 May 12); Available from URL: https://www.psychiatry.or.th/JOURNAL/hads.html Thai.
Walker J, van Niekerk M, Hobbs H, et al.The prevalence of anxiety in general hospital inpatients: A systematic review and meta-analysis. Gen Hosp Psychiatry.2021;72:131-40.
Gullich I, Ramos AB, Zan TRA, Scherer C, Mendoza-Sassi R A. Prevalence of anxiety in patients admitted to a university hospital in southern Brazil and associated factors. Prevalence of anxiety in patients admitted to a university hospital in southern Brazil and associated factors.2013;16:644-57.
Siyoum M, Assfaw G, Yitbark H, Tesfaw G. Prevalence and Associated Factors of Depression among Admitted Adult Patients in Surgical and Medical Wards of Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia. Depress Res Treat. 2021;(1):8874834.
Fernández-de-Las-Peñas C, Gómez-Mayordomo V, de-la-Llave-Rincón AI, et al. Anxiety, depression and poor sleep quality as long-term post-COVID sequelae in previously hospitalized patients: A multicenter study. J Infect. 2021;83(4):496-22.
Kulpatcharapong S, Chewcharat P, Ruxrungtham K, et al. Sleep Quality of Hospitalized Patients, Contributing Factors, and Prevalence of Associated Disorders. Sleep Disord. 2020 ;2020:8518396.
Alamri SH, Bari AI, Ali AT. Depression and associated factors in hospitalized elderly: a cross-sectional study in a Saudi teaching hospital. Ann Saudi Med. 2017;37(2):122-9
Vadakkiniath IJ. Prevalence and correlates of stress, anxiety, and depression in patients with chronic diseases: a cross-sectional study. Middle East Current Psychiatry.2023;30(1):1-14
Huang M, Liu Y, Wang J, et al. High rates of depression anxiety and suicidal ideation among inpatients in general hospital in China. Int J Psychiatry Clin Pract.2019;23(2):99-105.
Tesfaw G, Siyoum M, Salelew E, Minichil W. Anxiety and the associated factors among admitted surgical and medical patients. Addis Ababa, Ethiopia: A cross-sectional study (Internet):2022(cited 2024 Aug 22); Available from URL: https://www.researchsquare.com/article/rs-550309/v2
Gerontoukou EI, Michaelidoy S, Rekleiti M, Saridi M, Souliotis K. Investigation of Anxiety and Depression in Patients with Chronic Diseases. Health Psychol Res. 2015;3(2):2123.
