Prevalence of Depression, Anxiety and Stress among Women Inmates in Etot Reform Center, Duhok Province, Kurdistan Region of Iraq

  • AVA GHAZI RASHEED Psychiatrist, Azadi Teaching Hospital, Duhok Governorate, KRI
  • Bland Bayar Khaleel Diabetologist, NCD Department, Directorate of Preventive Health Affairs, Duhok Governorate, KRI
  • FARSAT SAEED SAADI Internal Medicine Specialist, Azadi Teaching Hospital, Duhok Governorate, Kurdistan Region, Iraq
  • YOUSIF ALI YASSEEN Assistant Professor, Psychiatrist, College of Medicine, University of Duhok, KRI
  • SHERZAD HAMED HASSAN General Directorate of Care and Social Development, Duhok Governorate, Kurdistan Region, Iraq
Keywords: Anxiety, DASS-21, Depression, Inmate, Reform, Stress

Abstract

https://doi.org/10.31386/dmj.2025.19.1.2

Abstract

 

Background: Depression, anxiety and stress are most common mental health problems causing variety of somatic, behavioral, cognitive and general health effects which could range from mild to life-threatening. Being inmates can cause or worsen symptoms of mental illnesses. The present study determines the prevalence of depression, anxiety and stress among women inmates in Etot Reform Center in Duhok Governorate, Kurdistan Region of Iraq.

Methods: A cross sectional study was carried out on 53 women inmates in Etot Reform Center in Duhok Governorate, Iraq over the period from February 15th to May 15th 2023. Depression, anxiety, and   stress   were   assessed   by using the standardized Depression Anxiety Stress   Scale-21 Items (DASS-21). Data were analyzed using SPSS version 27. Categorical data were described by their frequency and frequency percent. Fisher-Freeman-Halton Exact test was used to test the association between depression/anxiety/stress and sociodemographic variables.

Results: The prevalence of depression was 73.6%, anxiety was 84.8% and stress was found to be prevalent in 68% among women inmates. Depression and anxiety classified as moderate while stress classified as mild.

Conclusions: Based on the findings presented which concluded a higher prevalence of depression, stress and anxiety among inmates than the general population, there should be appropriate interventions such as introducing a framework of mental health and psychosocial support, activities to cope with new environment and more in-depth research in the future.

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References

REFERENCES
1. Tegegne KM, Demeke SM, Lemma
MT, Kassie AM. Prevalence of
Depression and Its Associated Factors
among Prisoners in North Wollo
Zone, Northeastern Ethiopia: A Cross-
Sectional Study. Depress Res Treat.
2023; 26: 2612900.
2. Ormel J, Kessler RC, Schoevers R.
Depression: more treatment but no
drop in prevalence: how effective is
treatment? and can we do better? Curr
Opin Psychiatry. 2019; 32(4):348-354.
3. Chand SP, Marwaha R, Bender RM.
Anxiety (Nursing). In: StatPearls22
[Internet]. Treasure Island (FL):
StatPearls Publishing; 2023.
4. American Psychiatric Association.
What are Anxiety Disorders? Chicago:
American Psychiatric Association
[Cited 24th Sep. 2023]. Available from
https://www.psychiatry.org/patients-
families/anxiety-disorders/what-are-
anxiety-disorders.
5. Tan SY, Yip A. Hans Selye (1907-
1982): Founder of the stress theory.
Singapore Med J. 2018; 59(4): 170-
171.
6. Schneiderman N, Ironson G, Siegel
SD.Stress and health: psychological,
behavioral, & biological determinants.
Annu Rev Clin Psychol. 2005; 1: 607-
28.
7. Yaribeygi H, Panahi Y, Sahraei H,
Johnston TP, Sahebkar A. The impact
of stress on body function: A review.
EXCLI J. 2017 Jul 21; 16: 1057-1072.
8. Yang L, Zhao Y, Wang Y, Liu L,
Zhang X, Li B, Cui R. The Effects of
Psychological Stress on Depression.
Curr Neuropharmacol. 2015; 13(4):
494-504.
9. Coryell W, Fiedorowicz JG, Solomon
D, Leon AC, Rice JP, Keller MB.
Effects of anxiety on the long-term
course of depressive disorders. Br J
Psychiatry. 2012; 200(3): 210-5.
10. Malik J S, Singh P, Beniwal M, &
Kumar T. Prevalence of depression,
anxiety and stress among jail
inmates. International Journal of
Community Medicine And Public
Health, 2019; 6(3), 1306–1309.
11. Gómez-Figueroa H, Camino-Proaño
A. Mental and behavioral disorders in
the prison context. Rev Esp Sanid
Penit. 2022; 24(2): 66-74.
12. Reingle Gonzalez JM, Connell NM.
Mental health of prisoners: identifying
barriers to mental health treatment and
medication continuity. Am J Public
Health. 2014; 104(12): 2328-33.
13. Taye A. Prevalence of depression,
anxiety and stress among criminal
detainees; with reference to Mizan
Teferi Criminal Correction Center,
South West Ethiopia. Ethiop
j.soc.lang.stud. 2018; 5: (1)67-85.
14. Lamb H. & Weinberger L. Persons
With Severe Mental Illness in Jails
and Prisons: A Review. Psychiatry
Online.1998; (49) 4.483-492.
15. Fazel S, Hayes AJ, Bartellas K,
Clerici M, Trestman R. Mental health
of prisoners: prevalence, adverse
outcomes, and interventions. Lancet
Psychiatry. 2016; 3(9): 871-81.
16. Math SB, Murthy P, Parthasarthy R,
Kumar NC., & Madhusudhan, S.
Minds Imprisoned: Mental Health
Care in Prisons. Banglore: National
Institute of Mental Health Neuro
Sciences. 2011.
17. Birmingham, L. The Mental Health of
Prisoners. Advances in Psychiatric
Treatment, 2003; 9: 191–201.
18. Khan T M, Hussain H, Khan G, Khan
A, Badshah A, & Sarwar, R. Incidence
of Depression among Incarcerated
Woman in Central Prison, Peshawar,
Pakistan. European Journal of General
Medicine, 19-2012; 33-38.
19. Fazel S, & Seewald, K. Severe mental
illness in 33 588 prisoners worldwide:
Systematic review and meta-
regression analysis. The British
Journal of Psychiatry. 2012; 200(5),
364-373.
Published
2025-07-15
How to Cite
1.
GHAZI RASHEED A, Khaleel B, SAEED SAADI F, ALI YASSEEN Y, HAMED HASSAN S. Prevalence of Depression, Anxiety and Stress among Women Inmates in Etot Reform Center, Duhok Province, Kurdistan Region of Iraq. Duhok Medical Journal [Internet]. 15Jul.2025 [cited 13Jun.2026];19(1):15-4. Available from: https://dmj.uod.ac/index.php/dmj/article/view/271

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