{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T16:11:01Z","timestamp":1773850261576,"version":"3.50.1"},"reference-count":50,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T00:00:00Z","timestamp":1759536000000},"content-version":"unspecified","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,9,5]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to assess the psychosocial determinants of psychological distress among people with disabilities in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted at an institution from 01 to 30 May 2021, using a census sampling approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and participants<\/jats:title>\n                    <jats:p>A total of 269 individuals aged 18 and older with disabilities were present at the University of Gondar in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome<\/jats:title>\n                    <jats:p>The Kessler psychological distress scale (K10), the multidimensional scale of perceived social support, the actual help-seeking behaviour and the stigma scale for chronic illness-8 were used to assess the dependent and independent variables, respectively. Binary logistic regression analyses were performed; a p value less than 0.05 was considered statistically significant at a 95% CI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>In this study, the prevalence of psychological distress was 34.6% with a 95%\u2009CI (29.40 to 40.10). Factors, such as older age (adjusted \u00df=1.09; 95%\u2009CI 1.04 to 1.15), low perceived social support (adjusted OR (AOR)=1.83; 95%\u2009CI 1.16 to 2.89), experiencing stigma (AOR=2.50; 95%\u2009CI 1.12 to 5.61) and cognition problems (adjusted \u00df=0.73; 95%\u2009CI 0.62 to 0.85), were significantly associated with increased psychological distress. Of the participants with psychological distress, professional help-seeking behaviour was 7.5%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Psychological distress was notably high among individuals with disabilities, while professional help-seeking remained very low. This underscores the urgent need for targeted mental health interventions to reduce stigma, strengthen social support and improve access to appropriate psychological care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-092928","type":"journal-article","created":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T01:40:21Z","timestamp":1759714821000},"page":"e092928","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Psychosocial determinants of psychological distress among people with disabilities in Ethiopia: a cross-sectional study"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7280-9165","authenticated-orcid":false,"given":"Endalamaw","family":"Salelew","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7714-7455","authenticated-orcid":false,"given":"Shegaye","family":"Shumet","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1006-7757","authenticated-orcid":false,"given":"Alemu","family":"Lemma","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8726-4169","authenticated-orcid":false,"given":"Tilahun","family":"Kassew","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Gondar, Gondar, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9827-2255","authenticated-orcid":false,"given":"Dessie Abebaw","family":"Angaw","sequence":"additional","affiliation":[{"name":"Epidemiology and Biostatistics, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4005-0611","authenticated-orcid":false,"given":"Yohannes","family":"Mirkena","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Gondar, Gondar, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5764-2985","authenticated-orcid":false,"given":"Tadele Amare","family":"Zeleke","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4547-9732","authenticated-orcid":false,"given":"Getachew","family":"Tesfaw","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,10,5]]},"reference":[{"key":"2025120415051577000_15.10.e092928.1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291702006074"},{"key":"2025120415051577000_15.10.e092928.2","doi-asserted-by":"crossref","DOI":"10.1186\/s12939-023-01842-5","article-title":"Rates and correlates of psychological distress and PTSD among persons with physical disabilities in Cambodia","volume":"22","author":"Maddock","year":"2023","journal-title":"Int J Equity Health"},{"key":"2025120415051577000_15.10.e092928.3","unstructured":"Organization. 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