Skopljak Amira, Podzic Maida, Tiric-Campara Merita, Macic-Dzankovic Amra, Pasagic Almir, Masic Izet
Public Institution Health Centre of Canton Sarajevo, Bosnia and Herzegovina' Cathedra for Family medicine, Faculty of Medicine, Sarajevo University, Bosnia and Herzegovina.
Med Arh. 2011;65(3):137-9.
Depression often accompanies various physical illnesses.
Screening for unidentified depression in patients diagnosed with Diabetes mellitus.
a retrospective, descriptive study.
100 diabetic patients, 53% female and 47% male, age group 18-85. Hopkins Symptom Checklist-25 questionnaire was used on a random sample of diabetic patients in two family medicine outpatient clinics in Health Centre Ilidza and Center, Sarajevo, in period February-May 2007. The cutoff score of > or = 1.75 was used. The occurrence of depression was analyzed with respect to the duration of Diabetes mellitus, type of treatment and average value of fasting blood glucose over the last six months.
36% of subjects scored positive for depression symptoms, 31% of subjects in the group having the illness up to one year, 80% in the group having the illness for 11-15 years. There is a statistically significant difference in depression positive score between the group of patients using insulin, and to the group using oral hypoglycemic therapy, 73% vs. 20% (p< 0.05). In the group with average value of fasting blood glucose < or = 7 mmol/l, 15% of the patients have a positive oepression score, versus 66% of them in the group with blood glucose levels of 13-15mmol/l.
The number of newly found depressions in diabetic patients increases with the duration of Diabetes mellitus and with higher levels of fasting blood glucose. A systematic screening by family doctors can help identify diabetes-related depression.
抑郁症常伴随各种躯体疾病。
对诊断为糖尿病的患者进行隐匿性抑郁症筛查。
一项回顾性描述性研究。
100例糖尿病患者，女性占53%，男性占47%，年龄在18 - 85岁之间。于2007年2月至5月期间，在伊利扎健康中心和萨拉热窝中心的两家家庭医学门诊，对糖尿病患者随机样本使用霍普金斯症状清单-25问卷。采用的临界值为≥1.75分。根据糖尿病病程、治疗类型以及过去六个月空腹血糖平均值分析抑郁症的发生情况。
36%的研究对象抑郁症状评分呈阳性，患病1年以内的研究对象中31%评分呈阳性，患病11 - 15年的研究对象中80%评分呈阳性。使用胰岛素治疗的患者组与使用口服降糖药治疗的患者组之间，抑郁阳性评分存在统计学显著差异，分别为73%和20%（p<0.05）。空腹血糖平均值≤7mmol/l的患者组中，15%的患者抑郁评分呈阳性，而血糖水平在13 - 15mmol/l的患者组中这一比例为66%。
糖尿病患者中新发现的抑郁症病例数随糖尿病病程延长及空腹血糖水平升高而增加。家庭医生进行系统筛查有助于识别糖尿病相关抑郁症。
