Abstract:
Abstract
Introduction: Acut stres disorder (ASD) is a mental disorder that happens after someone
experienced traumatic event within duration of less than a month. Adults with a trauma had
experienced acute stres disorder which results in substantial distress and interferes with social
and day to day activities. Despite the high burden of this problem, very little is known about
the prevalence and risk factors for acute stress disorder in adults with traumatic injuries in
Ethiopia.
Objective: This study was aimed to assess the prevalence of acute stress disorder and
associated factors among adult trauma patients attending in northwest Amhara Comprehensive
Specialized Hospitals, Ethiopia 2022.
Methods: An institutional based cross-sectional study design was employed among 422 adult
trauma patients from May– June 2022. Systematic sampling technique was applied to recruit
study participants. Data were collected through interviewer administered questionnaires using
the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, acute stress disorder
measurement tools. Then, it was entered into Epi-Data version 4 and exported to STATA
version 14 for analysis. Bivariate and multivariable binary logistic regressions model were
carried out to identify factors significantly associated acute stress disorder.
Result: - The prevalence of acute stress disorder among adult trauma patients in northwest
Amhara comprehensive specialized hospitals was found to be 44.15% (95% CI: 39.4%, 49.0%)
with 99% of response rate. In multivariate logistic analysis younger age (21-29) (AOR=0.33
95% CI: 0.14-0.77), (30-39) (AOR=0.35 95% CI: 0.15-0.85) , (40-49) (AOR=0.28 95% CI:
0.10-0.76) respectively, presence of complication (AOR=2.22 95% CI: 1.36-3.60), prolonged
length of hospital stay (AOR=1.89 95% CI: 1.21-2.95) and having low (AOR=3.21, 95% CI:
1.66-6.19) and moderate (AOR=1.99, 95%, CI: 1.14-3.48) social support were factors
significantly associated with acute stress disorder.
Conclusion and Recommendation: This study showed that the prevalence of acute stress
disorder among the adult study participants who experienced traumatic events was high as
compared to different literature. The study findings indicated the need for early identification
and interventions or ASD care services from health workers of psychiatric ward.
Key words: Acute traumatic stress, trauma, Adult , Ethiopia
