Abate Teshager Woldegiorgis, Gedamu Haileyesus
Department of Adult Health Nursing, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Ann Gen Psychiatry. 2020 Mar 11;19:18. doi: 10.1186/s12991-020-00267-6. eCollection 2020.
In a context of the potential epidemic nature of both diabetes mellitus (DM) and depression had negative effects in cases of disability and mortality. Coexisting depression had been linked to morbidity and mortality in people with diabetes. Therefore, this study aimed to identify psychosocial and clinical factors associated to develop depression symptoms in diabetes patients.
A systematic institution based cross-sectional study design was conducted from 1st March to 8th April 2016 among adult diabetes patent. Depression status was assessed by the Patient Health Questionnaire-9 (PHQ-9). Data were analyzed by logistic regression and at P < 0.05 with 95% CI was considered statistically significant.
A total of 416 patients were included in this studied. Based on PHQ-9, self- reported depression symptom was 29.3% [95% CI 25.2, 33.4]. In the performed statistical evaluation, patients whose age was between 45 and 54 years old (AOR = 3.88; 95% CI 1.36, 11.08); being female (AOR = 2.43; 95% CI 1.29, 4.58); who has poor social support (AOR = 6.08; 95% CI 2.98, 12.40); and who has high fear of kidney problems secondary to DM (AOR = 6.12; 95% CI 1.75, 21.23) were statistically associated with depressive symptoms in diabetes patients.
This study demonstrated that complication fears, social support, being female and sexual dysfunction were found significantly associated with co-morbid depression in diabetes. Therefore, availed a social network of family and friends; providing diabetes education to address the patient's fear of complications; and considered a sexual function is an integral part of overall health in diabetic patients.
鉴于糖尿病（DM）和抑郁症都具有潜在的流行性，它们对残疾和死亡率都有负面影响。并存的抑郁症与糖尿病患者的发病率和死亡率相关。因此，本研究旨在确定与糖尿病患者出现抑郁症状相关的社会心理和临床因素。
2016年3月1日至4月8日，在成年糖尿病患者中进行了一项基于机构的系统横断面研究设计。通过患者健康问卷-9（PHQ-9）评估抑郁状态。采用逻辑回归分析数据，P<0.05且95%置信区间被认为具有统计学意义。
本研究共纳入416例患者。根据PHQ-9，自我报告的抑郁症状发生率为29.3%[95%置信区间25.2，33.4]。在进行的统计评估中，年龄在45至54岁之间的患者（比值比[AOR]=3.88；95%置信区间1.36，11.08）；女性（AOR=2.43；95%置信区间1.29，4.58）；社会支持差的患者（AOR=6.08；95%置信区间2.98，12.40）；以及对糖尿病继发肾脏问题高度恐惧的患者（AOR=6.12；95%置信区间1.75，21.23）与糖尿病患者的抑郁症状在统计学上相关。
本研究表明，并发症恐惧、社会支持、女性性别和性功能障碍与糖尿病合并抑郁症显著相关。因此，应利用家人和朋友的社会网络；提供糖尿病教育以解决患者对并发症的恐惧；并认为性功能是糖尿病患者整体健康的一个组成部分。
