Prevalence of Depression and its Associated Factos in Adults with Diabetes Mellitus : A Cross - Sectional Study in a  Teritary Care Centre

Paulraj, Shweta; Rajasekaran, Senthil; Mathew, Anil C

doi:10.5121/ams.2017.4301

Cited by 2 publications

(4 citation statements)

References 16 publications

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“…7 Presence of hypertension: defined in the study as systolic BP level of ≥140 mmHg and diastolic BP of ≥90 mmHg, or current treatment for hypertension with prescription medication. 13,16 Data Collection Method and Quality Control…”

Section: Operational Definitionmentioning

confidence: 99%

“…Similarly, having hypertension has been identified as a significant factor for depression in studies conducted in Pakistan 33 and India. 13 Moreover, a community-based cross-sectional study conducted in Duhabi-Bhaluwa, Nepal revealed that having an additional illness increases the likelihood of developing major depressive disorder among people with T2DM. 1 These findings reflect the fact that having hypertension is seen to be an obvious burden to the existing illness.…”

Section: Factors Significantly Associated With Depressionmentioning

confidence: 99%

“…[9][10][11] Though the two are separate entities and are by themselves major health problems in the world, the association between diabetes mellitus and depression is well established from a growing body of literature. Most notably, evidence shows that the relationship between depression and T2DM has been found to be bi-directional; 9,12,13 the likelihood of depression in (T2DM) patients is approximately double that found in the overall population 13 whereas depressed patients have 60% increased risk of developing type 2 diabetes. 1,14 Depressed type 2 diabetic patients show poorer compliance with treatment and self-care recommendations than non-depressed T2DM patients.…”

Section: Introductionmentioning

confidence: 99%

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<p>Factors Associated with Untreated Depression Among Type 2 Diabetic Patients at Halaba Kulito Hospital, South Ethiopia: A Cross-Sectional Study</p>

Azeze¹,

Adema²,

Adella³

et al. 2020

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Background: Depressed type 2 diabetes mellitus patients (T2DM) show poorer compliance with treatment and self-care recommendations than non-depressed T2DM patients. This contributes to poor prognosis and accelerates diabetic-related complications including poor glucose regulation, diabetic retinopathy, neuropathy, nephropathy, and escalated healthcare expenditure. Objective: This study aimed to determine the magnitude of untreated depression and associated factors among people living with T2DM at outpatient diabetic clinic in Halaba Kulito General Hospital, Southern Ethiopia. Methods: Institution-based cross-sectional study was conducted from November 1 to December 15, 2019 at Halaba Kulito Hospital, Southern Ethiopia. We collected data by faceto-face interview with patient record review. A total of 418 type 2 diabetic patients were systematically selected and interviewed using a pretested structured questionnaire. We used a composite score of nine-items Patient Health Questionnaire (PHQ-9) to assess depression status. Descriptive statistics was used to summarize respondents' background characteristics. Logistic regression analysis was done to identify associated factors with the outcome variable. Levels of significance were set at 5% (P<0.05). Results: The finding depicted that 120 (29.3% with 95% Confidence interval (CI) = 25.0%, 34.0%) study participants satisfied diagnostic criteria for depression disorder. After controlling for confounding effect, we identified being hypertensive (Adjusted Odds Ratio (AOR) = 5.66; 95% CI: 3.24, 9.86), having no child (AOR = 3.32; 95% CI: 1.88, 5.86), and poor glycemic control (AOR = 6.23; 95% CI: 3.65, 10.54) as risk factors for untreated depression among people with type 2 diabetes. Conclusion: Findings of this study indicate that untreated depression among type 2 diabetic patients is high. Poor glycemic control, not having a child and having hypertension were among significantly associated factors with depression. These results suggest much need for interventions, including strong medication adherence and self-care activities such as exercise or healthful diet for optimal glycemic control.

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Section: Operational Definitionmentioning

confidence: 99%

Section: Factors Significantly Associated With Depressionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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<p>Factors Associated with Untreated Depression Among Type 2 Diabetic Patients at Halaba Kulito Hospital, South Ethiopia: A Cross-Sectional Study</p>

Azeze¹,

Adema²,

Adella³

et al. 2020

DMSO

View full text Add to dashboard Cite

show abstract

“…It is also worthwhile to note that our study did not find any association between occupation and depression among the participants. However, a study in India revealed that depression among diabetic clients was significantly associated with some socio-demographic factors with a higher prevalence in the unemployed population [ 27 ]. The reasons for the lack of association between occupation status and depression among diabetics patients in the present study are not well understood.…”

Section: Discussionmentioning

confidence: 99%

Depression and its associated factors among patients with diabetes: A cross-sectional survey at Mnazi Mmoja Referral Hospital in Zanzibar, Tanzania

2023

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Background Depression is one of the mental illnesses that cause disability worldwide, and is a significant contributor to the global burden of diseases. Although depression is reported among patients with diabetes in high-income countries, it remains undetected or undiagnosed in low and middle-income countries. This article describes the prevalence of depression and its associated factors among patients with diabetes in Zanzibar, United Republic of Tanzania. Materials and methods A cross-sectional study design was conducted at Mnazi Mmoja Referral Hospital (MMRH). A simple random sampling method was used to select the potential participants. Depressive symptoms were assessed using Patient Health Questionnaire-9(PHQ-9). Data were coded and analyzed using SPSS 23.0. A Chi-square test was performed to obtain the association between depression and socio-demographic, medical and psychological factors. A P-value of <0.05 with a 95% confidence interval was used to determine the significant associations between the variables. Also, multiple logistic regression was performed with the factors with P-value <0.2 to ascertain the confounding factors. Results A total of 267 patients with diabetes responded to the questionnaire of which 142 (53.2%) were males. The mean age of participants was 50 years and a standard deviation of ±14. The overall prevalence of depression in this study was 73%. The specific type of depression among diabetic patients varied from severe (8%) to mild depression (30%). Respondents who had difficulties in adhering to the treatment regimen (AOR = 5.7: 95% CI, 2.11–15.18, p = 0.001), feeling angry or stressed (AOR = 4.4: 95% CI, 2.44–8.10, p<0.001), and had diabetic retinopathy (AOR = 2.8: 95% CI, 1.45–5.28, p = 0.002) had symptoms of depression. Furthermore, respondents who had diabetic foot ulcers (AOR = 0.1: 95% CI, 0.04–0.49, p = 0.003) and impotence for male patients (AOR = 0.4: 95% CI, 0.20–0.68, p = 0.002) were 0.1 and 0.4 times less likely to have depression respectively. Conclusion The majority of patients with diabetes have symptoms of depression. Adherence to the treatment regimen, diabetic retinopathy, feeling angry or stressed, impotence and diabetic foot ulcer were associated with depression. Thus, early screening of depression among patients with diabetes is crucial to enhance self-management and good health outcomes.

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Prevalence of Depression and its Associated Factos in Adults with Diabetes Mellitus : A Cross - Sectional Study in a Teritary Care Centre

Abstract: (adjusted odds ratio=3.02, 95% CI: 1.17 to 7.7, P=0.022). Also, employed people were at a lower risk for depression when compared to the unemployed /retired population (adjusted odds ratio=0.319, P=0.023

Cited by 2 publications

References 16 publications

<p>Factors Associated with Untreated Depression Among Type 2 Diabetic Patients at Halaba Kulito Hospital, South Ethiopia: A Cross-Sectional Study</p>

<p>Factors Associated with Untreated Depression Among Type 2 Diabetic Patients at Halaba Kulito Hospital, South Ethiopia: A Cross-Sectional Study</p>

Depression and its associated factors among patients with diabetes: A cross-sectional survey at Mnazi Mmoja Referral Hospital in Zanzibar, Tanzania

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