Majeed Mudassir, Gupta Rajiv K, Kumari Rashmi, Langer Bhavna, Mir Mehak T, Mahajan Richa, Gupta Riya, Bala Jyoti, Manhas Sakshi
Department of Community Medicine GMC, Srinagar, Jammu and Kashmir, India.
Department of Community Medicine GMC, Jammu, Jammu and Kashmir, India.
J Family Med Prim Care. 2023 Jul;12(7):1439-1445. doi: 10.4103/jfmpc.jfmpc_2178_22. Epub 2023 Jul 14.
Both diabetes mellitus and psychiatric morbidities are widely prevalent diseases which show a discerning upward trend globally. Coexistence of diabetes and psychiatric morbidities usually manifests as impaired quality of life and poor treatment adherence.
The study aimed to estimate the prevalence of psychiatric morbidities among rural diabetic patients and to determine their association with different variables.
The present cross-sectional study was conducted in CHC of Rural Health Block attached with PG Department of Community Medicine GMC (Government Medical College) Jammu. The eligible diabetic patients attending medical outpatient department services were enrolled using a consecutive sampling method. DAS scale was used to assess psychiatric morbidity among the study subjects.
The findings revealed that the prevalence of psychiatric morbidity in the study participants was 38.9%, 68.5% and 25.64% for depression, anxiety and stress, respectively. Psychiatric morbidities were slightly higher in female patients and were significantly associated with age, marital status, sedentary lifestyle, history of substance abuse, duration of diabetes, presence of complications and underlying morbidities ( < 0.05).
The prevalence of anxiety and depression among rural diabetic patients was found to be quite high. Diabetic patients need thorough screening for psychiatric evaluation, and there is an urgent need for psychiatric counselling at regular intervals.
糖尿病和精神疾病都是广泛流行的疾病，在全球范围内呈明显上升趋势。糖尿病与精神疾病并存通常表现为生活质量受损和治疗依从性差。
本研究旨在估计农村糖尿病患者中精神疾病的患病率，并确定其与不同变量的关联。
本横断面研究在查谟政府医学院社区医学系附属农村健康区的社区卫生中心进行。采用连续抽样方法纳入在医学门诊就诊的符合条件的糖尿病患者。使用DAS量表评估研究对象的精神疾病患病率。
研究结果显示，研究参与者中抑郁症、焦虑症和压力症的患病率分别为38.9%、68.5%和25.64%。女性患者的精神疾病患病率略高，且与年龄、婚姻状况、久坐不动的生活方式、药物滥用史、糖尿病病程、并发症的存在以及基础疾病显著相关（<0.05）。
农村糖尿病患者中焦虑症和抑郁症的患病率相当高。糖尿病患者需要进行全面的筛查以进行精神评估，并且迫切需要定期进行心理咨询。
