Evidence map›Paper›PMID 31748286›Full record

Observational studyBMJ open2019

Prevalence of anxiety and depressive symptoms and their association with multimorbidity and demographic factors: a community-based, cross-sectional survey in Karachi, Pakistan.

Salima Farooq, Tahir Khan, Sidra Zaheer, Kashif Shafique

2 registry-linked trialsAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06707012 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Metformin as an Adjunct to Standard Antidepressant Therapy in Treating Depression Among Obese Patients

TypeinterventionalSponsorFazaia Ruth Pfau Medical CollegeRan2025 to 2026Enrolled140ConditionsDepressionArmsMetformin Hydrochloride
NCT06775548 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Effects of Exercises and Vitamins on Oxidative Stress & Inflammatory Markers Among Patients with Depression

TypeinterventionalSponsorZiauddin UniversityRan2024 to 2025Enrolled116ConditionsDepression DisordersArmsAerobic Exercises + Vitamin E, Resistance Exercises + Vitamin E, Aerobic Exercises + Vitamin D, Resistance Exercises + Vitamin D
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  5. Review
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  11. Anxiety status in outpatients of Type-2 diabetes mellitus.Pakistan journal of medical sciences · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Clustering the Depression Prevalence in Indonesia Provinces through Natural Breaks Jenks Method.Clinical practice and epidemiology in mental health : CP & EMH · 2025
    Article
  16. Article
  17. Article
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  19. Vitamin B6: A new approach to lowering anxiety, and depression?Annals of medicine and surgery (2012) · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Salima FarooqInstitute of Nursing, Aga Khan University Faculty of Health Sciences, Karachi, Pakistan.
Tahir KhanSchool of Public Health, Dow University of Health Sciences, Karachi, Pakistan tahir.khan@duhs.edu.pk.ORCID http://orcid.org/0000-0002-0281-7650
Sidra ZaheerSchool of Public Health, Dow University of Health Sciences, Karachi, Pakistan.
Kashif ShafiqueSchool of Public Health, Dow University of Health Sciences, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to estimate the prevalence of anxiety and depressive symptoms and their association with multimorbidity and the demographic characteristics of adults aged 30 years and above in Karachi, Pakistan.

designObservational cross-sectional study. STUDY SETTING AND

participantsThe study was carried out among a general population aged 30 years and above residing in the Gulshan-e-Iqbal town of Karachi, Pakistan. The study participants were recruited using the systematic random sampling approach based on the inclusion criteria. The data collected from 2867 participants were analysed.

main outcome measuresThe primary outcome of the study was the prevalence of anxiety and depressive symptoms, measured with the Aga Khan University Anxiety Depression Scale. The secondary outcome was the association of anxiety and depressive symptoms with multimorbidity as well as with the sociodemographic characteristics of the participants, using binary logistic regression.

resultsOut of 2867 individuals, 27.4% reported having anxiety and depressive symptoms. The multivariate logistic regression model revealed that the presence of multimorbidity (adjusted OR (AOR)=1.33, 95% CI 1.11 to 1.58), female gender (AOR=2.40, 95% CI 2.01 to 2.87), illiteracy (AOR=1.51, 95% CI 1.09 to 2.07), more children (AOR=0.74, 95% CI 0.59 to 0.93) and visiting a faith healer (AOR=2.29, 95% CI 1.82 to 2.88) were the significant factors associated with anxiety and depressive symptoms.

conclusionThis study revealed a moderately high prevalence of anxiety and depressive symptoms among adults aged 30 years and above in Karachi, Pakistan. The key variables associated with anxiety and depressive symptoms were multimorbidity, female gender, lower level of education, more children and visiting faith healers.

Indexed as

Social SupportAdultAnxietyCross-Sectional StudiesDepressionHumansMental HealthMiddle AgedMultimorbidityPakistanPrevalenceRisk Factorsadult healthanxiety and depressionmulti-morbidity

Identifiers

PMID31748286
PMCPMC6887067

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.