首页 » 文章 » 文章详细信息
Psychiatry Journal Volume 2019 ,2019-01-15
Prevalence of Depression and Associated Factors among Diabetic Patients in an Outpatient Diabetes Clinic
Research Article
Zahra D. Khan 1 Janet Lutale 1 Sibtain M. Moledina 1
Show affiliations
DOI:10.1155/2019/2083196
Received 2018-09-28, accepted for publication 2019-01-08, Published 2019-01-08
PDF
摘要

Despite adequate treatment for diabetes, it is estimated that 15%- 20% of people with diabetes are struggling with a moderate to severe form of depression daily. Little is known about depression in diabetes in East Africa, particularly in Tanzania. The study is aimed at determining the prevalence of depression and associated factors among patients with diabetes. A descriptive cross-sectional study was carried out at the diabetes clinic of Muhimbili National Hospital. The 9-item Patient Health Questionnaire (PHQ 9) scale was used to assess presence of depressive symptoms among diabetes patients at the clinic. In addition, patient’s sociodemographic and clinical characteristics were obtained and analysed for their association with depression. A total of 353 participants were recruited, of whom 229 (64.9%) patients were female and 156 (44.2%) were aged between 41 and 60 years. The overall prevalence of depression among diabetes patients at the diabetes clinic was 87%. Most (56.7%) had minimal depression, 22.1% had mild depression, and 8.2% had moderate depression. None had severe depression. Factors independently associated with a diagnosis of mild to moderate depression were being on insulin therapy and being a current smoker. There was a high prevalence of depression in this diabetic population. Majority of patients had minimal depression but about 30% had either mild or moderate depression. A holistic approach that focuses on the identification and management of depression among patients with diabetes is recommended.

授权许可

Copyright © 2019 Zahra D. Khan et al. 2019
This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

通讯作者

Zahra D. Khan.Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania, muchs.ac.tz.zahrakhan80@hotmail.com

推荐引用方式

Zahra D. Khan,Janet Lutale,Sibtain M. Moledina. Prevalence of Depression and Associated Factors among Diabetic Patients in an Outpatient Diabetes Clinic. Psychiatry Journal ,Vol.2019(2019)

您觉得这篇文章对您有帮助吗?
分享和收藏
0

是否收藏?

参考文献
[1] T. Arora, S. Taheri. (2015). Associations among late chronotype, body mass index and dietary behaviors in young adolescents. International Journal of Obesity.39(1):39-44. DOI: 10.3928/0048-5713-20020901-06.
[2] K. Niraula, B. A. Kohrt, M. S. Flora, N. Thapa. et al.(2013). Prevalence of depression and associated risk factors among persons with type-2 diabetes mellitus without a prior psychiatric history: a cross-sectional study in clinical settings in urban Nepal. BMC Psychiatry.13, article 309(1). DOI: 10.3928/0048-5713-20020901-06.
[3] R. R. Rubin, T. A. Wadden, J. L. Bahnson. (2014). Impact of Intensive Lifestyle Intervention on Depression and Health-Related Quality of Life in Type 2 Diabetes: The Look AHEAD Trial. Diabetes Care.37(6):1544-1553. DOI: 10.3928/0048-5713-20020901-06.
[4] M. R. Munafò, R. Araya. (2010). Cigarette smoking and depression: a question of causation. The British Journal of Psychiatry.196(06):425-426. DOI: 10.3928/0048-5713-20020901-06.
[5] J. C. Sun, M. Xu, J. L. Lu. (2015). Associations of depression with impaired glucose regulation, newly diagnosed diabetes and previously diagnosed diabetes in Chinese adults. Diabetic Medicine.32(7):935-943. DOI: 10.3928/0048-5713-20020901-06.
[6] L. E. Egede, D. Zheng, K. Simpson. (2002). Comorbid depression is associated with increased health care use and expenditures in individuals with diabetes. Diabetes Care.25(3):464-470. DOI: 10.3928/0048-5713-20020901-06.
[7] A. Bener, A. O. A. A. Al-Hamaq, E. E. Dafeeah. (2011). High prevalence of depression, anxiety and stress symptoms among diabetes mellitus patients. The Open Psychiatry Journal.5(1):5-12. DOI: 10.3928/0048-5713-20020901-06.
[8] L. Fisher, M. M. Skaff, J. T. Mullan, P. Arean. et al.(2007). Clinical depression versus distress among patients with type 2 diabetes: not just a question of semantics. Diabetes Care.30(3):542-548. DOI: 10.3928/0048-5713-20020901-06.
[9] S. Dejene, A. Negash, K. Tesfay, A. Jobst. et al.(2014). Depression and diabetes in jimma university specialized hospital, Southwest Ethiopia. South African Journal of Psychiatry.17(3). DOI: 10.3928/0048-5713-20020901-06.
[10] K. Kroenke, R. L. Spitzer. (2002). The PHQ-9: a new depression diagnostic and severity measure. Psychiatric Annals.32(9):509-515. DOI: 10.3928/0048-5713-20020901-06.
[11] W. J. Katon. (2008). The Comorbidity of Diabetes Mellitus and Depression. American Journal of Medicine.121(11):S8-S15. DOI: 10.3928/0048-5713-20020901-06.
[12] C. Nishida, G. T. Ko, S. Kumanyika. (2008). Body fat distribution and noncommunicable diseases in populations. European Journal of Clinical Nutrition. DOI: 10.3928/0048-5713-20020901-06.
[13] K. M. Knowles, L. L. Paiva, S. E. Sanchez, L. Revilla. et al.(2011). Waist Circumference, Body Mass Index, and Other Measures of Adiposity in Predicting Cardiovascular Disease Risk Factors among Peruvian Adults. International Journal of Hypertension.2011-10. DOI: 10.3928/0048-5713-20020901-06.
[14] V. Aram, N. S. Parks. (2004). Prevention, Detection, Evaluation, and Treatment of Hypertension.104. DOI: 10.3928/0048-5713-20020901-06.
[15] C. Dantzer, J. Swendsen, S. Maurice-Tison, R. Salamon. et al.(2003). Anxiety and depression in juvenile diabetes: a critical review. Clinical Psychology Review.23(6):787-800. DOI: 10.3928/0048-5713-20020901-06.
[16] J. H. Noh, J. K. Park, H. J. Lee, S. K. Kwon. et al.(2005). Depressive symptoms of type 2 diabetics treated with insulin compared to diabetics taking oral anti-diabetic drugs: A Korean study. Diabetes Research and Clinical Practice.69(3):243-248. DOI: 10.3928/0048-5713-20020901-06.
[17] J. M. Boden, D. M. Fergusson, L. J. Horwood. (2010). Cigarette smoking and depression: Tests of causal linkages using a longitudinal birth cohort. The British Journal of Psychiatry.196(6):440-446. DOI: 10.3928/0048-5713-20020901-06.
[18] X. Bai, Z. Liu, Z. Li, D. Yan. et al.(2018). The association between insulin therapy and depression in patients with type 2 diabetes mellitus: a meta-analysis. BMJ Open.8(11):e020062. DOI: 10.3928/0048-5713-20020901-06.
文献评价指标
浏览 0次
下载全文 0次
评分次数 0次
用户评分 0.0分
分享 0次