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Research ArticleOriginal Article
Open Access

Gender-specific differences in depression and anxiety symptoms and help-seeking behavior among gastroenterology patients in Riyadh, Saudi Arabia

Fahad D. Alosaimi, Omar A. Al-Sultan, Qusay A. Alghamdi, Ibrahim K. Almohaimeed and Sulaiman I. Alqannas
Neurosciences Journal July 2014, 19 (3) 203-209;
Fahad D. Alosaimi
From the Department of Psychiatry, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia
MD
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  • For correspondence: [email protected]
Omar A. Al-Sultan
From the Department of Psychiatry, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia
(Medical Student)
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Qusay A. Alghamdi
From the Department of Psychiatry, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia
(Medical Student)
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Ibrahim K. Almohaimeed
From the Department of Psychiatry, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia
(Medical Student)
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Sulaiman I. Alqannas
From the Department of Psychiatry, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia
(Medical Student)
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    Figure 1

    Prevalence of depression and anxiety symptoms by gender among outpatients attending gastroenterology clinics in 4 hospitals in Riyadh, Saudi Arabia. The PHQ-9 score ≥10 was considered as depression symptoms, and GAD-7 score ≥10 was considered as anxiety symptoms. PHQ - Patient Health Questionnaire, GAD - Generalized Anxiety Disorder

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    Figure 2

    Impact of depression and anxiety symptoms by gender among outpatients attending gastroenterology clinics in 4 hospitals in Riyadh, Saudi Arabia. The PHQ-9 score ≥10 was considered as depression symptoms, and GAD-7 score ≥10 was considered as anxiety symptoms. PHQ - Patient Health Questionnaire. GAD - Generalized Anxiety Disorder

Tables

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    Table 1

    Socio-demographic characteristics by gender among outpatients attending gastroenterology clinics in 4 hospitals in Riyadh, Saudi Arabia.

    Characteristics, n (%)FemaleMaleTotalP-value
    Overall135 (30.8)303 (69.2)438 (100.0)--
    Age (years), mean±SD35.2±12.436.1±12.735.8±12.60.508
    Age groups (years)
     <2531 (23.7)62 (20.8)93 (21.7)0.764
     25-4463 (48.1)153 (51.3)216 (50.3)
     ≥4537 (28.2)83 (27.9)120 (28.0)
    Marital status
     Single37 (27.8)86 (28.6)123 (28.3)0.025*
     Married84 (63.2)206 (68.4)290 (66.8)
     Divorced or widowed12 (9.0)9 (3.0)21 (4.8)
    Nationality
     Saudi121 (93.1)270 (89.1)391 (90.3)0.201
     Non-Saudi9 (6.9)33 (10.9)42 (9.7)
    Educational level
     Pre high school31 (23.3)26 (8.6)57 (13.1)<0.001*
     High school34 (25.6)94 (31.1)128 (29.4)
     College63 (47.4)141 (46.7)204 (46.9)
     Post-graduate5 (3.8)41 (13.6)46 (10.6)
    Monthly household income (SR)
     <5,00024 (18.6)50 (16.7)74 (17.2)0.938
     5,000-9,99935 (27.1)79 (26.3)114 (26.6)
     10000-14,99939 (30.2)92 (30.7)131 (30.5)
     ≥1500031 (24.0)79 (26.3)110 (25.6)
    Occupation
     Unemployed91 (72.2)69 (25.1)160 (39.9)<0.001*
     Blue-collar3 (2.4)50 (18.2)53 (13.2)
     White-collar32 (25.4)156 (56.7)188 (46.9)
    Residence
     Riyadh118 (90.8)266 (89.6)384 (89.9)0.703
     Outside Riyadh12 (9.2)31 (10.4)43 (10.1)
    Housing
     Owned house93 (68.9)192 (63.8)285 (65.4)0.352
     Rented house41 (30.4)102 (33.9)143 (32.8)
     Other1 (0.7)7 (2.3)8 (1.8)
    Hospital
     KKUH51 (37.8)104 (34.3)155 (35.4)0.855
     KFMC19 (14.1)50 (16.5)69 (15.8)
     Dallah44 (32.6)104 (34.3)148 (33.8)
     Dr. Sulaiman Al-Habib Arryan21 (15.6)45 (14.9)66 (15.1)
    • ↵* Significant gender-specific differences with p<0.05, KKUH - King Khalid University Hospital, KFMC - King Fahad Medical City Please note that all percentages are calculated based on available non-missing valid data

    • View popup
    Table 2

    Gastrointestinal complaints by gender among outpatients attending gastroenterology clinics in 4 hospitals in Riyadh, Saudi Arabia.

    Variable, n (%)FemaleMaleTotalP-value
    Number of complaints
     None2 (1.5)4 (1.3)6 (1.4)0.726
     Single81 (60.0)171 (56.4)252 (57.5)
     Multiple52 (38.5)128 (42.2)180 (41.1)
    GIT complaints
     Abdominal pain71 (52.6)182 (60.1)253 (57.8)0.144
     Heart burn34 (25.2)94 (31.0)128 (29.2)0.215
     Diarrhea or constipation31 (23.0)77 (25.4)108 (24.7)0.583
     Appetite or weight changes31 (23.0)66 (21.8)97 (22.1)0.783
     Nausea & vomiting22 (16.3)46 (15.2)68 (15.5)0.766
     Others24 (18.6)42 (14.5)66 (15.8)0.292
    Duration of complaints
     1-4 weeks17 (13.8)54 (20.0)71 (18.1)0.027*
     1-11 months20 (16.3)70 (25.9)90 (22.9)
     1-5 years62 (50.4)110 (40.7)172 (43.8)
     6-30 years24 (19.5)36 (13.3)60 (15.3)
    Awareness of
     Current diagnosis76 (56.3)143 (47.2)219 (50.0)0.079
     Causes of current symptoms32 (23.9)79 (26.1)111 (25.4)0.627
    Diagnosis of
     Other medical diseases44 (32.8)76 (25.2)120 (27.5)0.098
     A psychiatric disease8 (6.0)17 (5.6)25 (5.7)0.894
     A serious disease in a family member28 (20.7)55 (18.2)83 (18.9)0.523
    Distress because of symptoms
     Significantly47 (34.8)122 (40.3)169 (38.6)0.748
     Average53 (39.3)111 (36.6)164 (37.4)
     Limited22 (16.3)43 (14.2)65 (14.8)
     Not at all13 (9.6)27 (8.9)40 (9.1)
    Worry from serious disease
     Significantly27 (20.0)54 (17.8)81 (18.5)0.772
     Average38 (28.1)81 (26.7)119 (27.2)
     Limited27 (20.0)74 (24.4)101 (23.1)
     Not at all43 (31.9)94 (31.0)137 (31.3)
    Impact on daily activities
     Significantly32 (23.7)78 (25.7)110 (25.1)0.964
     Average45 (33.3)102 (33.7)147 (33.6)
     Limited29 (21.5)68 (22.4)97 (21.9)
     Not sure7 (5.2)14 (4.6)21 (4.8)
     Not at all22 (16.3)41 (13.5)63 (14.4)
    • ↵* Significant gender-specific differences with p<0.05, GIT - gastrointestinal. Please note that all percentages are calculated based on available non-missing valid data

    • View popup
    Table 3

    Help-seeking behavior following gastrointestinal complaints by gender among outpatients attending gastroenterology clinics in 4 hospitals in Riyadh, Saudi Arabia.

    Variable, n (%)FemaleMaleTotalP-value
    First intervention
     Medications85 (63.0)210 (69.3)295 (67.4)0.291
     Endoscopy25 (18.5)44 (14.5)69 (15.8)
     Islamic incantation8 (5.9)10 (3.3)18 (4.1)
     Herbs2 (1.5)13 (4.3)15 (3.4)
     Surgery2 (1.5)4 (1.3)6 (1.4)
     Others13 (9.6)22 (7.3)35 (8.0)
    First place to seek advice
     Government hospital37 (27.4)62 (20.5)99 (22.7)0.194
     Private hospital43 (31.9)106 (35.1)149 (34.1)
     Government clinic15 (11.1)42 (13.9)57 (13.0)
     Private clinic36 (26.7)75 (24.8)111 (25.4)
     Quran therapist3 (2.2)3 (1.0)6 (1.4)
     Traditional healer0 (0.0)1 (0.3)1 (0.2)
     Others1 (0.7)13 (4.3)14 (3.2)
    Previous places sought
     None31 (23.0)87 (28.7)118 (26.9)0.455
     Single65 (48.1)136 (44.9)201 (45.9)
     Multiple39 (28.9)80 (26.4)119 (27.2)
    Previous places sought
     Governmental hospital55 (40.7)118 (38.9)173 (39.5)0.722
     Private hospital48 (35.6)127 (41.9)175 (40.0)0.210
     Governmental clinic15 (11.1)32 (10.6)47 (10.7)0.864
     Private clinic31 (23.0)41 (13.5)72 (16.4)0.014*
     Quran therapist15 (11.1)14 (4.6)29 (6.6)0.012*
     Traditional healer5 (3.7)11 (3.6)16 (3.7)1.000
    Number of previous places sought, mean±SD
     Governmental hospital2.4±7.01.6±4.31.8±5.30.193
     Private hospital1.4±3.11.8±3.01.7±3.00.155
     Governmental clinic0.3±0.90.4±1.70.4±1.50.830
     Private clinic1.0±2.10.6±2.10.7±2.10.040*
     Quran therapist0.5±1.60.2±0.70.3±1.10.011*
     Traditional healer0.1±0.50.1±0.30.1±0.30.980
    Factors of current hospital choice
     Hospital reputation58 (43.3)164 (54.1)222 (50.8)0.037*
     Health insurance33 (24.6)73 (24.1)106 (24.3)0.904
     Positive experience33 (24.6)53 (17.5)86 (19.7)0.084
     Relative hospital staff17 (12.7)27 (8.9)44 (10.1)0.226
     Others18 (14.1)38 (13.1)56 (13.4)0.801
    Satisfaction with overall services
     Totally satisfied65 (48.1)101 (33.3)166 (37.9)0.009*
     Somewhat satisfied41 (30.4)109 (36.0)150 (34.2)
     Not sure21 (15.6)81 (26.7)102 (23.3)
     Upset7 (5.2)11 (3.6)18 (4.1)
     Very upset1 (0.7)1 (0.3)2 (0.5)
    Overall non-reimbursed cost of diagnosis and treatment
     Negligible87 (72.5)158 (58.1)245 (62.5)0.040*
     < 5,00012 (10.0)46 (16.9)58 (14.8)
     5,000-9,0008 (6.7)34 (12.5)42 (10.7)
     >= 10,00013 (10.8)34 (12.5)47 (12.0)
    • ↵* Significant gender-specific differences with p<0.05. Please note that all percentages are calculated based on available non-missing valid data

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Gender-specific differences in depression and anxiety symptoms and help-seeking behavior among gastroenterology patients in Riyadh, Saudi Arabia
Fahad D. Alosaimi, Omar A. Al-Sultan, Qusay A. Alghamdi, Ibrahim K. Almohaimeed, Sulaiman I. Alqannas
Neurosciences Journal Jul 2014, 19 (3) 203-209;

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Gender-specific differences in depression and anxiety symptoms and help-seeking behavior among gastroenterology patients in Riyadh, Saudi Arabia
Fahad D. Alosaimi, Omar A. Al-Sultan, Qusay A. Alghamdi, Ibrahim K. Almohaimeed, Sulaiman I. Alqannas
Neurosciences Journal Jul 2014, 19 (3) 203-209;
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