Department of Psychiatry, Hanoi Medical University, Hanoi, 100000, Vietnam; National Institute of Mental Health, Bach Mai Hospital, Hanoi, 100000, Vietnam.
Bac Giang Province Mental Hospital, Bac Giang, 220000, Vietnam.
Diabetes Metab Syndr. 2021 Nov-Dec;15(6):102293. doi: 10.1016/j.dsx.2021.102293. Epub 2021 Sep 23.
Herein, we aim to examine the prevalence of depression in type 2 diabetic patients at a provincial general hospital located in the Northeast region of Vietnam and to explore its relationship with some sociodemographic, lifestyle and medical history characteristics.
This was a single-centre cross-sectional descriptive study. The patients of both sexes who were at the age of 18 years or above, were treated at our institution and were diagnosed with type 2 diabetes mellitus, previously or during the study period. A total of 220 patients were included in the study.
Depression prevalence was 32.27% according to ICD-10. The severity of depression was categorized as mild in 77.46% patients, moderate in 19.72% patients and severe in 2.82% patients. The odds of depression was 0.18 (95%CI 0.05-0.69, p = 0.012) less for those known as the upper social class compared with those in lower social class. Those who were not on insulin treatment had significantly higher odds of depression than those on treatment with insulin (OR 2.06, 95%CI: 1.01-4.21). Individuals on treatment without oral diabetes drugs had higher odd of depression compared to those being treated with oral diabetes drugs (OR 2.77, 95%CI: 1.14-6.73). Also, hypertension was an increasing contributor to the depression prevalence (OR 2.32, 95%CI: 1.10-4.90).
A high prevalence of depression among type 2 diabetic patients was documented. Only significant factors for depression were lower social class, co-morbid hypertension and none of the insulin treatment or oral diabetes drugs.
本研究旨在调查越南东北部一家省级综合医院 2 型糖尿病患者的抑郁患病率，并探讨其与一些社会人口学、生活方式和病史特征的关系。
这是一项单中心横断面描述性研究。研究对象为年龄在 18 岁及以上、在我院接受治疗且被诊断为 2 型糖尿病的男性和女性患者，无论其是在研究前还是在研究期间被诊断为 2 型糖尿病。共有 220 名患者纳入研究。
根据 ICD-10，抑郁患病率为 32.27%。抑郁严重程度分类为轻度 77.46%、中度 19.72%和重度 2.82%。与社会经济地位较低的患者相比，社会经济地位较高的患者抑郁的可能性低 0.18（95%CI 0.05-0.69，p=0.012）。未接受胰岛素治疗的患者抑郁的可能性显著高于接受胰岛素治疗的患者（OR 2.06，95%CI：1.01-4.21）。未接受口服糖尿病药物治疗的患者抑郁的可能性高于接受口服糖尿病药物治疗的患者（OR 2.77，95%CI：1.14-6.73）。此外，高血压是导致抑郁患病率增加的一个因素（OR 2.32，95%CI：1.10-4.90）。
本研究记录了 2 型糖尿病患者中较高的抑郁患病率。与抑郁相关的显著因素只有社会经济地位较低、合并高血压以及未接受胰岛素治疗或口服糖尿病药物治疗。
