Volume 31, Issue 12 pp. 2020-2035
REVIEW

The prevalence of anxiety and depression in patients with ostomy: A systematic review and meta-analysis

Mansoureh Ashghali Farahani

Mansoureh Ashghali Farahani

Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

Search for more papers by this author
Mohammad Sadegh Sargolzaei

Mohammad Sadegh Sargolzaei

School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

Search for more papers by this author
Shabnam Shariatpanahi

Shabnam Shariatpanahi

Department of Community Health Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Search for more papers by this author
Ali Hasanpour Dehkordi

Ali Hasanpour Dehkordi

Community-Oriented Nursing Midwifery Research Center, Nursing and Midwifery School, Shahrekord University of Medical Sciences, Shahrekord, Iran

Search for more papers by this author
Pegah Dalvand

Pegah Dalvand

Department of Mathematics, Shahrood University of Technology, Shahrood, Iran

Search for more papers by this author
Farshad Heidari-Beni

Corresponding Author

Farshad Heidari-Beni

Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

Correspondence

Farshad Heidari-Beni, Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Rashid Yasemi st. Valiasr St, Tehran 1996713883, Iran.

Email: [email protected]

Search for more papers by this author
First published: 25 June 2022
Citations: 2

Abstract

Aim

The prevalence of anxiety and depression in patients with ostomy is reported differently. The aim of this systematic review and meta-analysis is to estimate the global prevalence of anxiety and depression in patients with ostomy.

Method

A systematic search of Embase, Proquest, Scopus, PubMed and Web of Science (ISI) databases was conducted from January 1990 up to 5 May 2021. A total of 3392 records were retrieved and 18 studies were ultimately included. Two reviewers independently assessed full-text of articles according to predefined criteria. A random-effects model was used to estimate the prevalence of anxiety and depression and I2 index was used to assess the heterogeneity of the studies. Subgroup analysis and mea-regression were conducted to explore potential sources of heterogeneity. The review protocol is registered in PROSPERO and is available online. Data analysis was performed using R software version 4.3.1.

Results

In this study, the pooled prevalence of anxiety was 47.60% (95% CI, 29.94–65.26) and the pooled prevalence of depression was 38.86% (95% CI, 29.29–48.43). The subgroup analysis showed the prevalence of anxiety and depression in different regions was not significantly different (p = 0.854, p = 0.143 respectively). Nevertheless, the highest and lowest prevalence of anxiety were in Asia and the America 51.79% and 32.69%, respectively and the highest and lowest prevalence depression were in Asia with 49.80% and Europe with 26.77%, respectively.

Conclusion

The finding of this study showed the global prevalence of anxiety and depression in patients with ostomy is high. Therefore, all health care providers who deal with these patients should use appropriate psychological strategies, techniques and interventions to reduce anxiety and depression in these patients.

CONFLICT OF INTEREST

All other authors have no conflict of interest.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.