Prevalence and determinants of depression among patients with Type 2 diabetes mellitus attending family medicine clinics in Qatar

Ismail, Mansoura; Seif, Mai Hassan; Metwally, Nourhan; Neshnash, Marwa; Joudeh, Anwar; Alsaadi, Muna; Abdulla, Samya Al; Selim, Nagah

doi:10.1016/j.ajmo.2022.100014

Cited by 2 publications

(2 citation statements)

References 33 publications

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“…Similarly, Akpalu et al 31 also found in their study among Ghanaian patients with T2DM that female gender, being unmarried, frequent intake of alcohol, previous smoking status, and insulin use were associated with increased odds of depression. The findings of the current study, however, are incongruent with another study among T2DM patients in Qatar which found that male patients were at higher risk for developing depression when compared to females 32 . Asefa 33 and colleagues also reported that being male and single was associated with increased odds of depression among DM patients whereas Mushtaque et al 34 found no significant association between depression, gender, and marital status.…”

Section: Discussioncontrasting

confidence: 94%

“…The findings of the current study, however, are incongruent with another study among T2DM patients in Qatar which found that male patients were at higher risk for developing depression when compared to females. 32 Asefa 33 and colleagues also reported that being male and single was associated with increased odds of depression among DM patients whereas Mushtaque et al 34 found no significant association between depression, gender, and marital status. These differences can be attributed to the assessment tools used and the different populations assessed.…”

Section: Discussionmentioning

confidence: 99%

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The mediating role of quality of life on depression and medication adherence among patients with type 2 diabetes mellitus: A cross‐sectional study

Yorke,

Boima,

Ganu

et al. 2023

Health Science Reports

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Background and AimPatients living with diabetes mellitus have a high burden of psychological distress such as depression and anxiety as well as impaired quality of life, which may negatively impact their adherence to medications, glucose control, and health‐related costs.This study assessed the impact of quality of life and depression on medication adherence among patients with type 2 diabetes (type 2 diabetes mellitus [T2DM]) in a tertiary care setting in GhanaMethodsThe study was a cross‐sectional study involving 238 patients with diabetes aged 18 years and above. Validated tools were used to assess medication adherence, depressive symptoms, and quality of life. Structural Equation Modeling was adopted to examine the mediation effect of quality of life on the relationship between depression and medication adherence among participants.ResultsThe mean age of the participants was 58.82 ± 13.49, and 169 (71.0%) out of a total of 238 respondents were females. Depression had a significant direct relationship with the quality of life of respondents [aβ (95% confidence interval, CI) = −0.20 (−0.03, −0.00), p < 0.05; −0.21 (−0.41, −0.01) p < 0.05, respectively] and indirect relationship with quality of life [aβ (95% CI) = −0.01 (−0.02, −0.004) p < 0.001]. Educational status and religion both showed a significant indirect relationship with quality of life [aβ (95% CI) = 0.06 (0.07, 0.12), p < 0.05; 0.18 (0.01, 0.35) p < 0.05, respectively]. The mediating effect of quality of life on the relationship between depression and medication adherence was significant (Sobel = −3.19, p < 0.001).ConclusionDepression, medication adherence, and quality of life were higher among older adults with T2DM. Depression was also found to have a strong negative association with both medication adherence and quality of life. Interventions to screen for depression and to improve the quality of life in patients living with diabetes are also recommended and this should go beyond the provision of standard treatments to explore further the mechanisms of this relationships.

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