title: Prevalence and factors associated with anxiety and depression among family practitioners in Karachi, Pakistan.
abstract: OBJECTIVE
  We aimed to assess anxiety and depression and to identify the factors associated with these conditions among family practitioners in Karachi, Pakistan.
  
  
  METHODS
  A self-reported postal survey was conducted among 540 family practitioners in Karachi during the months of July - August 2003. Aga Khan University Anxiety and Depression Scale (AKUADS) was used to assess anxiety and depression. Additional questions were also inquired to get information about socio-demographic, professional and lifestyle characters.
  
  
  RESULTS
  Using AKUADS, 155 (39%) family practitioners had anxiety and depression. Mutlivariate analysis disclosed five factors to be significantly associated with anxiety and depression; these were female sex (AOR = 6.4, 95% CI 3.2-12.6); age group of < 35 years (AOR = 23.3, 95% CI 9.0-60.3); lack of regular exercise (AOR = 4.9, 95% CI 2.4-10.2) and working for more than 48 hours per week (AOR = 12.7, 95% CI 6.2-26.2).
  
  
  CONCLUSIONS
  This study reveals that prevalence of anxiety and depression among family practitioners in Karachi is high and higher than general population in Karachi. Further research and intervention studies are required to identify preventive measures in this regard and also to assess the impact of these interventions.
authors.affiliation: Department of Community Health Sciences and Family Medicine, The Aga Khan University, Karachi.
authors.forename: A K
authors.initials: AK
authors.lastname: Khuwaja
authors.forename: R
authors.initials: R
authors.lastname: Qureshi
authors.forename: S I
authors.initials: SI
authors.lastname: Azam
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010154:Pakistan / Q000453:epidemiology; D010821:Physicians, Family / Q000523:psychology*; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D016526:Workload