View in EDS HTML Full Text PDF Full Text

Cognitive impairment and associated factors among patients with mood disorders receiving care at public hospitals in Gedeo zone, Southern Ethiopia.

Saved in:
Bibliographic Details
Title: Cognitive impairment and associated factors among patients with mood disorders receiving care at public hospitals in Gedeo zone, Southern Ethiopia.
Authors: Mekuriaw, Biazin Yenealem (AUTHOR), Wondmu, Hibist (AUTHOR), Asfaw, Marye (AUTHOR), Kassaw, Chalachew (AUTHOR), Molla, Alemayehu (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Jun2026, Vol. 61 Issue 6, p1059-1069. 11p.
Subjects: Affective disorders, Cognition disorders, Mental status examination, Mental depression, Bipolar disorder, Disease prevalence, Ethiopians, Patient compliance
Geographic Terms: Ethiopia
Abstract: Background: Cognitive impairment is characterized by difficulty in attention, memory, problem-solving, and decision-making. It is strongly linked to mood disorders and affects work performance, social interactions, medication adherence, and overall quality of life. Despite the high burden of the problem, evidence on its prevalence and contributing factors remains scarce in low- and middle-income countries. This study aimed to determine the prevalence and associated factors of cognitive impairment among individuals with mood disorders. Method: A cross-sectional study was conducted at Gedeo Zone public hospitals. A systematic sampling technique was used to select a total of 422 individuals receiving care for mood disorders. The outcome variable was assessed using the Montreal Cognitive Assessment (MoCA). The data were entered into Epi Data version 4.2 and analyzed using STATA version 17. Bivariable and multivariable logistic regression analyses were performed to identify factors associated with cognitive impairment. The presence of an association was examined with an adjusted odd ratio with a 95% confidence interval and variables with P values less than 0.05 were considered a statistically significant association. Result: The prevalence of cognitive impairment among individuals with bipolar disorders and depressive disorders was 34.5% (95% CI: 32.7–36.9) and 38.7% (95% CI: 36.4–40.8), respectively. Having a longer duration of treatment [AOR = 1.87 (95% CI: 1.57, 2.94)], a duration of illness 10 years and above [AOR = 2.13 (95% CI 1.23, 4.48)], and severe depressive symptoms [AOR = 2.15 (95% CI 1.14, 4.97)] were significantly associated with cognitive impairment among individuals with depressive disorders. Medication non-adherence [AOR = 1.48 (95% CI: 1.34, 2.78)], a long duration of illness [AOR = 1.42 (95% CI: 1.09, 2.48)], and severe manic symptoms [AOR = 2.16 (95% CI: 1.18, 5.28)] were significantly associated with cognitive impairment among participants with bipolar disorders. Conclusion: This study revealed a high prevalence of cognitive impairment in patients with mood disorders. Therefore, early screening and intervention for cognitive impairment in mood disorder patients are essential to deliver holistic care and improve treatment outcomes. Integrating cognitive assessments into routine mental health evaluations can help identify early deficits and enable tailored interventions. Additionally, cognitive remediation strategies such as structured patient education, side-effect management, and medication adjustments should be prioritized to enhance adherence and overall recovery. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 194200476
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Cognitive impairment and associated factors among patients with mood disorders receiving care at public hospitals in Gedeo zone, Southern Ethiopia.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Mekuriaw%2C+Biazin+Yenealem%22">Mekuriaw, Biazin Yenealem</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wondmu%2C+Hibist%22">Wondmu, Hibist</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Asfaw%2C+Marye%22">Asfaw, Marye</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kassaw%2C+Chalachew%22">Kassaw, Chalachew</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Molla%2C+Alemayehu%22">Molla, Alemayehu</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Jun2026, Vol. 61 Issue 6, p1059-1069. 11p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Affective+disorders%22">Affective disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorders%22">Cognition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+status+examination%22">Mental status examination</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Bipolar+disorder%22">Bipolar disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Ethiopians%22">Ethiopians</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Ethiopia%22">Ethiopia</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Cognitive impairment is characterized by difficulty in attention, memory, problem-solving, and decision-making. It is strongly linked to mood disorders and affects work performance, social interactions, medication adherence, and overall quality of life. Despite the high burden of the problem, evidence on its prevalence and contributing factors remains scarce in low- and middle-income countries. This study aimed to determine the prevalence and associated factors of cognitive impairment among individuals with mood disorders. Method: A cross-sectional study was conducted at Gedeo Zone public hospitals. A systematic sampling technique was used to select a total of 422 individuals receiving care for mood disorders. The outcome variable was assessed using the Montreal Cognitive Assessment (MoCA). The data were entered into Epi Data version 4.2 and analyzed using STATA version 17. Bivariable and multivariable logistic regression analyses were performed to identify factors associated with cognitive impairment. The presence of an association was examined with an adjusted odd ratio with a 95% confidence interval and variables with P values less than 0.05 were considered a statistically significant association. Result: The prevalence of cognitive impairment among individuals with bipolar disorders and depressive disorders was 34.5% (95% CI: 32.7–36.9) and 38.7% (95% CI: 36.4–40.8), respectively. Having a longer duration of treatment [AOR = 1.87 (95% CI: 1.57, 2.94)], a duration of illness 10 years and above [AOR = 2.13 (95% CI 1.23, 4.48)], and severe depressive symptoms [AOR = 2.15 (95% CI 1.14, 4.97)] were significantly associated with cognitive impairment among individuals with depressive disorders. Medication non-adherence [AOR = 1.48 (95% CI: 1.34, 2.78)], a long duration of illness [AOR = 1.42 (95% CI: 1.09, 2.48)], and severe manic symptoms [AOR = 2.16 (95% CI: 1.18, 5.28)] were significantly associated with cognitive impairment among participants with bipolar disorders. Conclusion: This study revealed a high prevalence of cognitive impairment in patients with mood disorders. Therefore, early screening and intervention for cognitive impairment in mood disorder patients are essential to deliver holistic care and improve treatment outcomes. Integrating cognitive assessments into routine mental health evaluations can help identify early deficits and enable tailored interventions. Additionally, cognitive remediation strategies such as structured patient education, side-effect management, and medication adjustments should be prioritized to enhance adherence and overall recovery. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194200476
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s00127-025-02932-1
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 1059
    Subjects:
      – SubjectFull: Affective disorders
        Type: general
      – SubjectFull: Cognition disorders
        Type: general
      – SubjectFull: Mental status examination
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Bipolar disorder
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Ethiopians
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Ethiopia
        Type: general
    Titles:
      – TitleFull: Cognitive impairment and associated factors among patients with mood disorders receiving care at public hospitals in Gedeo zone, Southern Ethiopia.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Mekuriaw, Biazin Yenealem
      – PersonEntity:
          Name:
            NameFull: Wondmu, Hibist
      – PersonEntity:
          Name:
            NameFull: Asfaw, Marye
      – PersonEntity:
          Name:
            NameFull: Kassaw, Chalachew
      – PersonEntity:
          Name:
            NameFull: Molla, Alemayehu
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 06
              Text: Jun2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 09337954
          Numbering:
            – Type: volume
              Value: 61
            – Type: issue
              Value: 6
          Titles:
            – TitleFull: Social Psychiatry & Psychiatric Epidemiology
              Type: main
ResultId 1