Tripathi Pramod, Sharma Baby, Kadam Nidhi, Biswas Mayurika Das, Tiwari Diptika, Vyawahare Anagha, Kathrikolly Thejas, Kuppusamy Maheshkumar, Vijayakumar Venugopal
Department of Research, Freedom from Diabetes Research Foundation, Pune, Maharashtra, India.
Department of Physiology, Government Yoga and Naturopathy Medical College and Hospital, Arumbakkam, Chennai, Tamil Nadu, India.
Ann Neurosci. 2024 May 16:09727531241244569. doi: 10.1177/09727531241244569.
Numerous investigations indicate the presence of a reciprocal association between type 2 diabetes (T2D) and a range of mental health conditions. However, research on the factors that contribute to depression and anxiety in T2D patients in India is scarce.
The present study aims to identify the prevalence and predictors of depression and anxiety in patients with T2D in India.
A cross-sectional study that included 2,730 patients with T2D was conducted at the Freedom from Diabetes Clinic in Pune, India. Anxiety and depression were measured by the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorders-7 (GAD-7) Scale. Binary logistic regression was applied to identify the factors predicting anxiety and depression.
The prevalence of depression and anxiety were 20.3% and 17.3%, respectively. The major predictors of anxiety and depression were female gender, obesity, unmarried marital status, poor glycaemic control and the presence of comorbid conditions.
This study's findings highlight a significant prevalence of depression and anxiety among patients with T2D in India, with key predictors including gender, obesity, marital status, glycaemic control and comorbid conditions. These findings highlight the critical need for integrated mental health support in routine diabetes care to manage depression and anxiety.
大量调查表明2型糖尿病（T2D）与一系列心理健康状况之间存在相互关联。然而，关于印度T2D患者抑郁和焦虑的影响因素的研究却很匮乏。
本研究旨在确定印度T2D患者抑郁和焦虑的患病率及预测因素。
在印度浦那的糖尿病无忧诊所开展了一项横断面研究，纳入了2730例T2D患者。采用患者健康问卷9项（PHQ - 9）和广泛性焦虑障碍7项（GAD - 7）量表来测量焦虑和抑郁。应用二元逻辑回归来确定预测焦虑和抑郁的因素。
抑郁和焦虑的患病率分别为20.3%和17.3%。焦虑和抑郁的主要预测因素为女性、肥胖、未婚、血糖控制不佳以及存在合并症。
本研究结果凸显了印度T2D患者中抑郁和焦虑的高患病率，关键预测因素包括性别、肥胖、婚姻状况、血糖控制和合并症。这些发现突出了在常规糖尿病护理中提供综合心理健康支持以管理抑郁和焦虑的迫切需求。
