Modelling the effects of surgical obstetric fistula repairs on the severity of depression and anxiety among women with obstetric fistula in Ethiopia
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Authors
Bekele Belayihun Tefera
Issue Date
2017-11
Type
Thesis
Language
en
Keywords
Anxiety , Depression , Modelling , Mental health , Obstetric fistula , Surgical repairs , Women
Alternative Title
Abstract
Obstetric surgical repair is the common therapeutic intervention available to women with
obstetrical fistula. While surgical repair can address the physical symptoms, it may not end
the psychological challenges that women with fistula face. This longitudinal study
investigated the effects of surgical obstetric fistula repairs on the severity of depression and
anxiety associated with obstetric fistula among 219 women admitted at six fistula hospitals in
Ethiopia. Data was collected through structured Likert-scale questionnaire both on admission
(prior to surgical obstetric fistula repairs) and on discharge (post obstetric fistula repairs)..
Statistical Package for Social Science plus Analysis of Moment Structures (SPSS-AMOS)
version 20 was used for data analysis.
Findings indicate that women with obstetric fistula have higher psychological distress such as
depression (91%) and anxiety (78%) pre-surgical repair than post-surgical repair. These
psychological distresses were exacerbated by poor social and psychological support of
women with obstetric fistula by the family and health care professionals. The findings were
used to develop integrated mental health treatment model for women with obstetric fistula in
order to address psychological health needs of this population.
Description
Citation
Bekele Belayihun Tefera (2017) Modelling the effects of surgical obstetric fistula repairs on the severity of depression and anxiety among women with obstetric fistula in Ethiopia, University of South Africa, Pretoria, <http://hdl.handle.net/10500/24423>