Arambewela Maulee Hiromi, Somasundaram Noel P, Jayasekara Hettiarachchige Buddhi Pradeep Ranjan, Kumbukage Mahesh P
Department of Diabetes and Endocrinology, National Hospital of Sri Lanka, Colombo, Sri Lanka.
Department of Physiology, Faculty of Medical Sciences, University of Sri Jayawardenepura, Nugegoda, Sri Lanka.
Psychiatry J. 2019 Feb 3;2019:7468363. doi: 10.1155/2019/7468363. eCollection 2019.
Research focusing on the psychological aspect of diabetes is limited in Sri Lanka.
Determine the prevalence of depression among patients with type 2 diabetes mellitus (T2DM) attending an out-patient clinic at a tertiary care hospital in Colombo, the capital of Sri Lanka.
A descriptive cross-sectional study carried out among patients diagnosed with T2DM. Pregnant and patients with a prior psychiatric history were excluded. Depression assessed using validated Sinhala and Tamil version of the Beck's Depression Index. Sociodemographic data and health related data were obtained from interviewer-based questionnaires and health records.
Of the 3000 patients, 72.7% were female. Mean age was 58.3 ±10.3 years and mean duration of diabetes 10.8 ± 7.3 years. Percentage of depression was 5.9% in the entire patient population with mild, moderate, and severe depression in 4.0%, 1.6%, and 0.3%, respectively. In multiple logistic regression, depression was significantly associated with female gender (OR 2.63, 95% CI 1.26-5.46; P=0.009), living without a spouse (single/divorced/widowed) (OR 1.83, 95% CI 1.12-2.98; P=0.01), lower education level (OR 1.92, 95% CI 1.14-3.22; P=0.01), and peripheral neuropathy (OR 1.79, 95% CI 1.00-3.18; P=0.04). Only 13.3% of the respondents said that doctors have ever inquired to their mental well-being.
Depression was low in prevalence comparative to neighboring countries in the region. Patients were much more affected by the social factors than disease related factors. An individualized holistic approach taking psychosocial issues to consideration should be focused in the comprehensive plan of management.
在斯里兰卡，针对糖尿病心理方面的研究有限。
确定在斯里兰卡首都科伦坡一家三级护理医院门诊就诊的2型糖尿病（T2DM）患者中抑郁症的患病率。
对确诊为T2DM的患者进行描述性横断面研究。排除孕妇和有精神病史的患者。使用经过验证的僧伽罗语和泰米尔语版贝克抑郁量表评估抑郁症。社会人口统计学数据和健康相关数据通过基于访谈的问卷和健康记录获取。
在3000名患者中，72.7%为女性。平均年龄为58.3±10.3岁，糖尿病平均病程为10.8±7.3年。在整个患者群体中，抑郁症患病率为5.9%，其中轻度、中度和重度抑郁症分别为4.0%、1.6%和0.3%。在多因素逻辑回归中，抑郁症与女性性别（比值比2.63，95%置信区间1.26 - 5.46；P = 0.009）、无配偶生活（单身/离婚/丧偶）（比值比1.83，95%置信区间1.12 - 2.98；P = 0.01）、较低教育水平（比值比1.92，95%置信区间1.14 - 3.22；P = 0.01）和周围神经病变（比值比1.79，95%置信区间1.00 - 3.18；P = 0.04）显著相关。只有13.3%的受访者表示医生曾询问过他们的心理健康状况。
与该地区邻国相比，抑郁症患病率较低。患者受社会因素的影响远大于疾病相关因素。在综合管理计划中应注重采取考虑心理社会问题的个体化整体方法。
