Khan Zahra D, Lutale Janet, Moledina Sibtain M
Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania.
Psychiatry J. 2019 Jan 15;2019:2083196. doi: 10.1155/2019/2083196. eCollection 2019.
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.
尽管对糖尿病进行了充分治疗，但据估计，15%至20%的糖尿病患者每天都在与中度至重度抑郁症作斗争。在东非，尤其是坦桑尼亚，人们对糖尿病患者中的抑郁症知之甚少。这项研究旨在确定糖尿病患者中抑郁症的患病率及相关因素。在穆希姆比利国家医院的糖尿病诊所开展了一项描述性横断面研究。采用9项患者健康问卷（PHQ-9）量表评估诊所中糖尿病患者的抑郁症状。此外，获取患者的社会人口统计学和临床特征，并分析它们与抑郁症的关联。总共招募了353名参与者，其中229名（64.9%）患者为女性，156名（44.2%）年龄在41至60岁之间。糖尿病诊所中糖尿病患者的抑郁症总体患病率为87%。大多数（56.7%）为轻度抑郁，22.1%为中度抑郁，8.2%为中度抑郁。无人患有重度抑郁。与轻度至中度抑郁症诊断独立相关的因素是接受胰岛素治疗和当前吸烟。该糖尿病患者群体中抑郁症患病率较高。大多数患者为轻度抑郁，但约30%患有轻度或中度抑郁。建议采用一种全面的方法，重点关注糖尿病患者中抑郁症的识别和管理。
