Program in Nursing Science, College of Health Sciences, University of California at Irvine, 100B Berk Hall, Irvine, CA 92697-3959, USA.
Nurs Res. 2013 Mar-Apr;62(2):115-21. doi: 10.1097/NNR.0b013e31827aec29.
Patients with diabetes have a higher prevalence of depression than the general population. Korean immigrants with type 2 diabetes are understudied.
The aim of this study was to identify the prevalence and correlates of depressive symptoms in Korean immigrants.
In this cross-sectional descriptive study, a community sample of 164 Korean immigrant adults with type 2 diabetes were assessed for depressive symptoms using the Center for Epidemiological Studies Depression scale. Predictors of depression were grouped into three categories: demographic (age, gender, education, English proficiency), clinical (duration of diabetes, comorbidities, insulin use), and psychosocial (general health, diabetes-related quality of life [QOL], family support).
Approximately 56% of participants had Center for Epidemiological Studies Depression Scale scores of ≥16. Higher levels of depression were associated with greater impact of diabetes on QOL (b = 5.68, p = .001), worse overall health (b = -0.09, p = .012), and less family support (b = -4.02, p = .042). The relationship between depression and diabetes impact on QOL was stronger for men than women (b = 6.67, p = .020).
Depressive symptoms are common among Korean immigrants with type 2 diabetes. Assessing diabetes-related QOL, general health, and family support may be of value in better understanding depressive symptoms among this population. Among Korean immigrant men with type 2 diabetes, specific attention should be paid to diabetes-related QOL.
患有糖尿病的患者比一般人群更容易出现抑郁症状。韩国移民 2 型糖尿病患者的研究较少。
本研究旨在确定韩国移民中抑郁症状的患病率和相关因素。
在这项横断面描述性研究中，对 164 名韩国移民 2 型糖尿病成年患者进行了抑郁症状评估，使用流行病学研究中心抑郁量表（Center for Epidemiological Studies Depression scale）。将抑郁的预测因素分为三类：人口统计学（年龄、性别、教育程度、英语熟练程度）、临床（糖尿病病程、合并症、胰岛素使用）和心理社会（一般健康、糖尿病相关生活质量[QOL]、家庭支持）。
约 56%的参与者的流行病学研究中心抑郁量表（Center for Epidemiological Studies Depression scale）得分≥16。较高的抑郁水平与糖尿病对 QOL 的影响更大（b=5.68，p=.001）、整体健康状况更差（b=−0.09，p=.012）和家庭支持较少（b=−4.02，p=.042）相关。抑郁与糖尿病对 QOL 的影响之间的关系在男性中比女性更强（b=6.67，p=.020）。
抑郁症状在韩国移民 2 型糖尿病患者中很常见。评估糖尿病相关的 QOL、整体健康状况和家庭支持可能有助于更好地理解这一人群的抑郁症状。在韩国移民 2 型糖尿病男性中，应特别关注糖尿病相关的 QOL。
