AUTHOR=Ayalew Mohammed , Deribe Bedilu , Hussen Siraj , Defar Semira , Tesfaye Emnet , Gedefaw Abel 

TITLE=Insomnia and common mental disorder among patients with pre-existing chronic non-communicable diseases in southern Ethiopia: a survey during COVID-19 pandemic

JOURNAL=Frontiers in Psychiatry

VOLUME=Volume 14 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2023.1142926

DOI=10.3389/fpsyt.2023.1142926

ISSN=1664-0640

ABSTRACT=Background: COVID-19 has been causing significant mental health problems and other healthrelated issues. Despite the fact that COVID-19 has a significant impact on chronic disease patients, there is scant research on insomnia, common mental health disorders (CMD), and their associated factors among chronic disease patients.Objective: this study way aimed to assess the prevalence of common mental disorders (CMD) and insomnia among patients with chronic NCDs, at Sidama, southern, Ethiopia.We conducted a multicenter, cross-sectional study from June 1 to September 1, 2021.The study included 633 participants. CMD and insomnia were assessed using a 20-item Self-Reported Questionnaire (SRQ-20) and a 7-item Insomnia Severity Index (ISI) scale, respectively.Descriptive statistics were used to describe the various variables. We used multivariable logistic regression analysis to find independent factors associated with CMD and insomnia. At 95% confidence interval, a p-value of 0.05 was declared statistically significant.The prevalence of insomnia and CMD was found to be 39.3% and 46.8%, respectively.Being merchant (AOR= 0.33; 95% CI= 0.13, 0.82), having a diagnosis of diabetes mellitus (AOR = 1.89; 95% CI = 1.04, 3.46), comorbid diagnosis (AOR = 3.96; 95% CI = 2.27, 6.89), low social support (poor (AOR = 3.37; 95% CI = 1.51, 7.57) and moderate (AOR = 3.13; 95% CI = 1.46, 6.69)), symptoms of insomnia (AOR = 12.08; 95% CI = 7.41, 19.72) and poor quality of life (QOL) (AOR = 1.67; 95% CI = 1.04, 2.72) were independent predictors of CMD. We also found out that, having cardiovascular disorders (CVDs) (AOR=2.48; 95% CI = 1.18, 5.19), CMD (AOR = 12.09; 95% CI = 7.46, 19.61), and poor QOL (AOR=2.04; 95% CI = 1.27, 3.26) significantly associated with insomnia symptoms.Our study suggests that substantially high prevalence of CMD and insomnia.Significant association between CMD and occupation, diagnosis, comorbidity, social support, insomnia, and QOL were found. We also revealed that having CVDs, CMD, and poor QOL were significantly associated with insomnia symptoms. Therefore, dealing with the mental health problems of patients with chronic NCDs is a crucial part of public health intervention during the COVID-19 pandemic.