Murugan Yogesh, Trivedi Nidhi, Shah Viral, Jain Priyadarshini
Department of Community Medicine, Shri M P Shah Government Medical College, Jamnagar, Gujarat, India.
Department Oral and Maxillofacial Surgery, Government Dental College and Hospital, Jamnagar, Gujarat, India.
Ind Psychiatry J. 2024 Jan-Jun;33(1):121-126. doi: 10.4103/ipj.ipj_151_23. Epub 2024 Feb 15.
Depression and anxiety are common among patients with diabetes mellitus and it affects the control of diabetes negatively. Depression is the third leading reason for the most disability-adjusted life years. Once depression coexists with diabetes mellitus, it is related to major health consequences and ends up in poor health outcomes.
The study aimed to estimate the prevalence of depression in diabetes mellitus people and to find an association of depressive symptoms with sociodemographic and clinical predictors among patients with diabetes mellitus attending follow-ups at the general public hospital, in western Gujarat.
It is an institutional-based cross-sectional study conducted among people living with diabetes mellitus at Tertiary Hospitals, Urban Health Training Center, and Rural Health Training Center. The study period was from January 2023 to May 2023. Data were collected using a structured questionnaire. Depression was assessed by the Patient Health Questionnaire 9. The collected data were cleaned, edited, entered into MS Excel (2006), and analyzed using SPSS software (version 26). A value of <0.05 was considered statistically significant.
A total of 380 study participants were included in this study. Among 380 participants, 282 (74%) were having depressive symptoms. Of 282, 61 (21.6%) have mild depressive symptoms, 106 (37.5%) have moderate symptoms, 111 (39%) have moderately severe symptoms, and four (1.4%) have severe symptoms. Of 380 participants, 221 (58%) have clinical depression (moderate, moderately severe, and severe symptoms). Variables significantly associated with depression were marital status, number of family members, socio-economic status, type of diabetes mellitus, treatment given, presence of comorbidities, and duration of diabetes more than 5 years.
The present study has shown a considerably higher amount of depression in diabetic participants. So, healthcare professionals should consider screening for depression using the Patient Health Questionnaire 9 or other validated tools in all diabetic patients, especially in those who are at a higher risk.
抑郁症和焦虑症在糖尿病患者中很常见，并且会对糖尿病的控制产生负面影响。抑郁症是导致残疾调整生命年的第三大主要原因。一旦抑郁症与糖尿病并存，就会引发重大健康后果，并最终导致不良健康结局。
本研究旨在估计糖尿病患者中抑郁症的患病率，并找出在古吉拉特邦西部综合公立医院接受随访的糖尿病患者中，抑郁症状与社会人口统计学和临床预测因素之间的关联。
这是一项基于机构的横断面研究，在三级医院、城市健康培训中心和农村健康培训中心的糖尿病患者中开展。研究期间为2023年1月至2023年5月。使用结构化问卷收集数据。通过患者健康问卷9评估抑郁症。收集到的数据进行清理、编辑，录入MS Excel（2006），并使用SPSS软件（版本26）进行分析。P值<0.05被认为具有统计学意义。
本研究共纳入380名研究参与者。在380名参与者中，282名（74%）有抑郁症状。在282名有抑郁症状的参与者中，61名（21.6%）有轻度抑郁症状，106名（37.5%）有中度症状，111名（39%）有中度严重症状，4名（1.4%）有重度症状。在380名参与者中，221名（58%）有临床抑郁症（中度、中度严重和重度症状）。与抑郁症显著相关的变量有婚姻状况、家庭成员数量、社会经济地位、糖尿病类型、所接受的治疗、合并症的存在以及糖尿病病程超过5年。
本研究表明糖尿病参与者中抑郁症的发病率相当高。因此，医疗保健专业人员应考虑使用患者健康问卷9或其他经过验证的工具对所有糖尿病患者进行抑郁症筛查，尤其是那些高危患者。
