Assessment of the association between chronic diseases and anxiety and depression among adults in Cape Coast metropolis, Ghana

A chronic disease diagnosis produces significant changes to an individual’s lifestyle and behavior. Coping with these changing circumstances requires a process of psychological adjustment that can be difficult to attain for many. Consequently, severe psychological conditions, including, but not limi...

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Main Authors: Worlanyo E. Gato, Bettye A. Apenteng, Samuel T. Opoku, Samuel Acquah, Zae A. Moss
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Cogent Public Health
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/27707571.2025.2461184
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author Worlanyo E. Gato
Bettye A. Apenteng
Samuel T. Opoku
Samuel Acquah
Zae A. Moss
author_facet Worlanyo E. Gato
Bettye A. Apenteng
Samuel T. Opoku
Samuel Acquah
Zae A. Moss
author_sort Worlanyo E. Gato
collection DOAJ
description A chronic disease diagnosis produces significant changes to an individual’s lifestyle and behavior. Coping with these changing circumstances requires a process of psychological adjustment that can be difficult to attain for many. Consequently, severe psychological conditions, including, but not limited to, depression and anxiety, have been linked to chronic conditions. This study aims to examine the association between chronic conditions and emotional distress in Cape Coast, Ghana. Data were collected, using convenience sampling approaches, from a sample of 375 adults living in the Cape Coast metropolis of Ghana. To assess the relationship between chronic diseases and depression and anxiety, a multivariable logistic regression was run. The role of self‑efficacy in this relationship was assessed by interacting the self‑efficacy and chronic disease variables. The majority had no chronic conditions, were very confident or completely confident about their ability to take care of their health. Individuals living with chronic conditions were more likely to experience depression and anxiety. Self‑efficacy attenuated this positive relationship between chronic conditions and depression and anxiety. The finding of protective effect of self‑efficacy in reducing emotional distress among individuals with chronic conditions calls for increased self‑management interventions to increase patient empowerment and improve the ability of individuals living with chronic conditions to self‑manage their conditions.
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spelling doaj-art-4faf275f45cf45d8bad2ddc4635e1b152025-08-20T03:25:29ZengTaylor & Francis GroupCogent Public Health2770-75712024-12-0111110.1080/27707571.2025.2461184Assessment of the association between chronic diseases and anxiety and depression among adults in Cape Coast metropolis, GhanaWorlanyo E. Gato0Bettye A. Apenteng1Samuel T. Opoku2Samuel Acquah3Zae A. Moss4Department of Chemistry & Biochemistry, Georgia Southern University, Statesboro, Georgia, USADepartment of Health Policy & Community Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia, USADepartment of Health Policy & Community Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia, USADepartment of Medical Biochemistry, School of Medical Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Chemistry & Biochemistry, Georgia Southern University, Statesboro, Georgia, USAA chronic disease diagnosis produces significant changes to an individual’s lifestyle and behavior. Coping with these changing circumstances requires a process of psychological adjustment that can be difficult to attain for many. Consequently, severe psychological conditions, including, but not limited to, depression and anxiety, have been linked to chronic conditions. This study aims to examine the association between chronic conditions and emotional distress in Cape Coast, Ghana. Data were collected, using convenience sampling approaches, from a sample of 375 adults living in the Cape Coast metropolis of Ghana. To assess the relationship between chronic diseases and depression and anxiety, a multivariable logistic regression was run. The role of self‑efficacy in this relationship was assessed by interacting the self‑efficacy and chronic disease variables. The majority had no chronic conditions, were very confident or completely confident about their ability to take care of their health. Individuals living with chronic conditions were more likely to experience depression and anxiety. Self‑efficacy attenuated this positive relationship between chronic conditions and depression and anxiety. The finding of protective effect of self‑efficacy in reducing emotional distress among individuals with chronic conditions calls for increased self‑management interventions to increase patient empowerment and improve the ability of individuals living with chronic conditions to self‑manage their conditions.https://www.tandfonline.com/doi/10.1080/27707571.2025.2461184Anxietychronic diseasesself-efficacyCape Coast Ghanaemotional distressMental Health
spellingShingle Worlanyo E. Gato
Bettye A. Apenteng
Samuel T. Opoku
Samuel Acquah
Zae A. Moss
Assessment of the association between chronic diseases and anxiety and depression among adults in Cape Coast metropolis, Ghana
Cogent Public Health
Anxiety
chronic diseases
self-efficacy
Cape Coast Ghana
emotional distress
Mental Health
title Assessment of the association between chronic diseases and anxiety and depression among adults in Cape Coast metropolis, Ghana
title_full Assessment of the association between chronic diseases and anxiety and depression among adults in Cape Coast metropolis, Ghana
title_fullStr Assessment of the association between chronic diseases and anxiety and depression among adults in Cape Coast metropolis, Ghana
title_full_unstemmed Assessment of the association between chronic diseases and anxiety and depression among adults in Cape Coast metropolis, Ghana
title_short Assessment of the association between chronic diseases and anxiety and depression among adults in Cape Coast metropolis, Ghana
title_sort assessment of the association between chronic diseases and anxiety and depression among adults in cape coast metropolis ghana
topic Anxiety
chronic diseases
self-efficacy
Cape Coast Ghana
emotional distress
Mental Health
url https://www.tandfonline.com/doi/10.1080/27707571.2025.2461184
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