Emad Sara, Elawad Sara, Elawad Shaima Omer Moahmed, M Ahmed Ahmed Balla, Elbadawi Mohamed H, Khalid Leena, Abdalhamed Tibyan Yahya Mohammedelhassan, Sosal Wafa, Haiba Aya M
Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
Medicine (Baltimore). 2025 May 9;104(19):e42350. doi: 10.1097/MD.0000000000042350.
Depression is common among individuals with diabetes mellitus, yet many cases go undiagnosed. It is linked to poorer treatment outcomes. However, data from developing countries remains limited. This study aimed to assess the prevalence and severity of depression among diabetic patients in Khartoum State. It also examined the association between depression and diabetes self-care activities in addition to other clinical and personal factors. A descriptive cross-sectional study was conducted at 3 diabetic outpatient clinics in Khartoum State. Depression was measured using the Patient Health Questionnaire 9, while diabetes self-management behaviors were evaluated using the Self-Reported Diabetes Self-Care Activities Questionnaire. Clinical and personal characteristics were also collected. Associations between depression and various factors were analyzed using the chi-square test and Fisher's exact test, with a P-value of less than .05 considered statistically significant. A total of 163 participants were included. The overall prevalence of depression among diabetic patients was 86.5%, with the majority experiencing minimal (33.1%) and mild (30.1%) depression. Depression was significantly associated with the type of diabetes medications (P = .011) and a family history of psychiatric illness (P = .001). Depression was also significantly linked to the loss of a close person (P-value = .001) and lack of social support (P-value = .018), as well as various aspects of diabetes self-care activities. This study revealed a high prevalence of depression among diabetic patients in Khartoum State. Depression was strongly associated with various diabetes self-care activities as well as other clinical and personal factors. Integrating mental health support into diabetes care programs is essential to improve outcomes. Future population-based studies with more robust methodologies are recommended.
抑郁症在糖尿病患者中很常见，但许多病例未被诊断出来。它与较差的治疗结果有关。然而，来自发展中国家的数据仍然有限。本研究旨在评估喀土穆州糖尿病患者中抑郁症的患病率和严重程度。此外，除了其他临床和个人因素外，还研究了抑郁症与糖尿病自我护理活动之间的关联。在喀土穆州的3家糖尿病门诊进行了一项描述性横断面研究。使用患者健康问卷9来测量抑郁症，同时使用自我报告的糖尿病自我护理活动问卷来评估糖尿病自我管理行为。还收集了临床和个人特征。使用卡方检验和费舍尔精确检验分析抑郁症与各种因素之间的关联，P值小于0.05被认为具有统计学意义。总共纳入了163名参与者。糖尿病患者中抑郁症的总体患病率为86.5%，大多数人经历的是轻度（33.1%）和中度（30.1%）抑郁症。抑郁症与糖尿病药物类型（P = 0.011）和精神疾病家族史（P = 0.001）显著相关。抑郁症还与失去亲近的人（P值 = 0.001）、缺乏社会支持（P值 = 0.018）以及糖尿病自我护理活动的各个方面显著相关。本研究揭示了喀土穆州糖尿病患者中抑郁症的高患病率。抑郁症与各种糖尿病自我护理活动以及其他临床和个人因素密切相关。将心理健康支持纳入糖尿病护理计划对于改善治疗结果至关重要。建议未来进行更具稳健方法的基于人群的研究。
