Citation

Terasaki DJ, Gelaye BS, Berhane Y, Williams MA. BMC Public Health 2009; 9(1): 13.

Copyright

(Copyright © 2009, Holtzbrinck Springer Nature Publishing Group - BMC)

DOI

10.1186/1471-2458-9-13

PMID

19138431

PMCID

PMC2651168

Abstract

BACKGROUND: Depression is an important global public health problem. Given the scarcity of studies involving African youths, this study was conducted to evaluate the associations of anger expression and violent behavior with symptoms of depression among college students. METHODS: A self-administered questionnaire was used to collect information on socio-demographic and lifestyle characteristics and violent behavior among 1,176 college students in Awassa, Ethiopia in June, 2006. The questionnaire incorporated the Spielberger Anger-Out Expression (SAOE) scale and symptoms of depression were evaluated using the Patient Health Questionnaire (PHQ-9). Multivariable logistic regression procedures were used to calculate adjusted odds ratios (OR) and 95% confidence intervals (95%CI). RESULTS: Symptoms of depression was evident in 23.6% of participants. Some 54.3% of students reported committing at least one act of violence in the current academic year; and 29.3% of students reported high (SAOE score[greater than or equal to]15) levels of anger-expression. In multivariate analysis, moderate (OR=1.97; 95%CI 1.33-2.93) and high (OR=3.23; 95%CI 2.14-4.88) outward anger were statistically significantly associated with increased risks of depressive symptoms. Violent behavior was noted to be associated with depressive symptoms (OR=1.82; 95%CI 1.37-2.40). CONCLUSION: Further research should be conducted to better characterize community and individual level determinants of anger-expression, violent behavior and depression among youths.

Language: en