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埃及的抑郁和 2 型糖尿病共病源于国际糖尿病和抑郁的流行与治疗(INTERPRET-DD)研究。

Comorbidity of depression and type 2 diabetes in Egypt results from the International Prevalence and Treatment of Diabetes and Depression (INTERPRET-DD) study.

机构信息

Neurology and Psychiatry Department, Faculty of Medicine, Okasha Institute of Psychiatry, Ain Shams University, Cairo, Egypt.

Internal Medicine and Endocrinology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

出版信息

Int J Soc Psychiatry. 2024 Jun;70(4):730-738. doi: 10.1177/00207640241228431. Epub 2024 Feb 17.

DOI:10.1177/00207640241228431
PMID:38366940
Abstract

BACKGROUND

Diabetes mellitus and depression are serious common diseases, and the number of people with both conditions is rising steadily. Depression in people with diabetes mellitus results in poorer prognosis through different mechanisms. On the other hand, the presence of diabetes in individuals with depression increases functional impairment that is associated with depression.

AIMS

The study aimed to assess the prevalence and factors associated with depression among adults with type 2 diabetes mellitus attending a diabetes clinic in Cairo, Egypt.

METHODS

A cross-sectional study was conducted among adult patients with diabetes type 2 attending a diabetes clinic in the endocrinology department in Ain Shams University Teaching Hospital, Cairo, Egypt. Data were collected through face-to-face interviews by trained psychiatrists and from patients' records.

RESULTS

The prevalence of depression among diabetic patients was 21.8% (95% CI [15.6%, 29.1%]). Depression was more common among younger age groups and those with a higher level of education. There was no significant difference between those with lifetime depression compared to those without depression regarding physical health complications.

CONCLUSIONS

The prevalence of depression among patients with type 2 diabetes is high. Given the impact of co-morbid diabetes and depression, diabetic patients should be routinely screened for the latter condition.

摘要

背景

糖尿病和抑郁症都是严重的常见疾病,同时患有这两种疾病的人数正在稳步增加。糖尿病患者的抑郁症通过不同机制导致预后较差。另一方面,患有抑郁症的个体中存在的糖尿病会增加与抑郁相关的功能障碍。

目的

本研究旨在评估埃及开罗一家糖尿病诊所的 2 型糖尿病成年患者中抑郁的患病率及相关因素。

方法

在埃及开罗 Ain Shams 大学教学医院内分泌科的糖尿病诊所,对 2 型糖尿病成年患者进行了横断面研究。数据通过经过培训的精神科医生进行面对面访谈和从患者病历中收集。

结果

糖尿病患者的抑郁患病率为 21.8%(95%CI [15.6%, 29.1%])。抑郁在年龄较小和教育程度较高的人群中更为常见。与无抑郁的患者相比,有终生抑郁的患者在身体健康并发症方面没有显著差异。

结论

2 型糖尿病患者的抑郁患病率较高。鉴于合并糖尿病和抑郁症的影响,应常规对糖尿病患者进行后者的筛查。

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