Ismail Mansoura, Seif Mai Hassan, Metwally Nourhan, Neshnash Marwa, Joudeh Anwar I, Alsaadi Muna, Al-Abdulla Samya, Selim Nagah
Primary Health Care Corporation, Doha-Qatar.
Family Medicine Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Am J Med Open. 2022 May 29;9:100014. doi: 10.1016/j.ajmo.2022.100014. eCollection 2023 Jun.
To assess the prevalence of depression and its associated factors among patients with Type 2 diabetes mellitus attending family medicine clinics in Qatar.
A cross-sectional study was conducted from January to April 2021 where 683 adult patients with Type 2 diabetes mellitus were selected by cluster sampling technique using probability-proportionate to size sampling. Diabetes mellitus was defined as having HA1c of greater than or equal to 6.5%, and patients were assessed for depression using the Patient Health Questionnaire-9. The relationship between depression, glycemic control, and background characteristics was analyzed using Chi-square, and binary logistic regression analyses. Adjusted logistic regression models estimated the significant factors that were independently associated with depression.
20.1% of the study participants had depression with the vast majority of them having mild depression (70.8%). More than three-quarters had uncontrolled diabetes mellitus (81.5%). Male patients were at higher risk for developing depression (AOR =1.98, 1.25-3.14) when compared to female patients. On the other hand, being Qatari was associated with a lower risk for depression compared to non-Qatari patients (AOR =0.56, 0.34-0.90), and treatment with insulin-containing regimens was associated with a lower risk for depression as compared to treatment with non-insulin- containing regimens (AOR =0.49, 0.30-0.78).
Prevalence of depression among patients with Type 2 diabetes attending family medicine clinics in Qatar is high. Therefore, utilizing a multidisciplinary health care plan for screening and management of depression in patients with diabetes in a primary health care setting is highly recommended.
The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
评估卡塔尔家庭医学诊所中2型糖尿病患者的抑郁症患病率及其相关因素。
于2021年1月至4月进行了一项横断面研究，采用按规模大小概率抽样的整群抽样技术选取了683例成年2型糖尿病患者。糖尿病定义为糖化血红蛋白（HA1c）大于或等于6.5%，并使用患者健康问卷-9对患者进行抑郁症评估。采用卡方检验和二元逻辑回归分析抑郁症、血糖控制与背景特征之间的关系。调整后的逻辑回归模型估计了与抑郁症独立相关的显著因素。
20.1%的研究参与者患有抑郁症，其中绝大多数为轻度抑郁症（70.8%）。超过四分之三的患者患有未控制的糖尿病（81.5%）。与女性患者相比，男性患者患抑郁症的风险更高（调整后比值比[AOR]=1.98，1.25 - 3.14）。另一方面，与非卡塔尔患者相比，卡塔尔人患抑郁症的风险较低（AOR =0.56，0.34 - 0.90），与使用不含胰岛素的治疗方案相比，使用含胰岛素的治疗方案与较低的抑郁症风险相关（AOR =0.49，0.30 - 0.78）。
卡塔尔家庭医学诊所中2型糖尿病患者的抑郁症患病率很高。因此，强烈建议在初级卫生保健环境中利用多学科医疗保健计划对糖尿病患者进行抑郁症筛查和管理。
作者未声明从公共、商业或非营利部门的任何资助机构获得过该研究的特定资助。
