Prevalence of depression among patients with type 2 diabetes mellitus: a cross-sectional study

Authors

  • Sanjay Parihar Consultant Physician, Government District Hospital, Kishtwar, Jammu and Kashmir, India
  • Rajesh Singh Consultant Physician, Community Health Centre, Gundoh, Doda, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20193668

Keywords:

Beck depression inventory, Depression, Prevalence, Type 2 diabetes mellitus

Abstract

Background: Depression can be viewed as a modifiable independent risk factor for the development of T2DM and for progression of complications from either type 1 or type 2 diabetes. The recognition and addressal of this association can have profound implications for prevention and treatment of these disorders. Objectives of this study the prevalence of depression among patients with diabetes mellitus type 2.

Methods: A semi-structured questionnaire was used to collect the sociodemographic profile and the details of the diabetes and its treatment and history of other chronic diseases. Beck depression inventory (BDS-II) was used for evaluation of depression and 8 item Morisky medication adherence scale (MMAS-8) was used for measurement of patient’s adherence to medication.

Results: Majority of the potential cases of depression (33%) were in the age group of 51-60 years. 62% of the patients were male. Majority of the patients (40%) were in the age group of 51-60 years. 73.4% of the married patients were potential cases of depression. 78% of the patients were having family history of type 2 diabetes mellitus. Majority of the patients (72%) were overweight or obese (BMI> 25kg/m2).

Conclusion: Duration of diabetes and duration of treatment was 5-10 years in majority of the patients and were significantly associated with prevalence of depression. Prevalence of depression was associated with sex, religion, and family history but was not statistically significant.

References

Roupa Z, Koulouri A, Sotiropoulou P, Makrinika E, Marneras X, Lahana I, et al. Anxiety and depression in patients with type 2 diabetes mellitus, depending on sex and body mass index. Health Sci J. 2009;3(1):32-40.

Gupta R, Misra A. Type 2 Diabetes in India: Regional Disparities. Br J Diab Vasc Dis. 2007;7(1):12-6.

Norouzi Z, Kaviani M, Tarrahi M, Jariani M, Abdollahian M, Almasian M, et al. The Prevalence of Depression in Patients with Diabetes Mellitus Type II in the Shahid Rahimi Hospital of Khorramabad, Iran. Epidemiol. (Sunnyvale) 2016;6(3):249.

Frederick FT, Maharajh HD. Prevalence of Depression inType 2 Diabetic Patients in Trinidad and Tobago. West Indian Med J. 2013;62(7):628-31.

Friis AM, Consedine NS, Johnson MH Does Kindness Matter? Diabetes, Depression, and Self-Compassion: A Selective Review and Research Agenda. Diabetes Spectrum. 2015;28(4):252-7.

Tabák AG, Akbaraly TN, Batty GD, Kivimäki M. Depression and type 2 diabetes: A causal association? Lancet Diabetes Endocrinol. 2014;2:236‑45.

Williams MM, Clouse RE, Lustman PJ. Treating depression to prevent diabetes and its complications: Understanding depression as a medical risk factor. Clin Diabetes. 2006;24(2):79‑86.

Mendenhall E, Norris SA, Shidhaye R, Prabhakaran D. Depression and type 2 diabetes in low‑ and middle‑income countries: A systematic review. Diabetes Res Clin Pract. 2014;103(2):276‑85.

Thour A, Das S, Sehrawat T, Gupta Y. Depression among patients with diabetes mellitus in North India evaluated using patient health questionnaire-9. Indian J Endocr Metab. 2015;19(2):252-5.

Ramachandran A, Snehalatha C, Ma RC. Diabetes in South‑East Asia: An update. Diabetes Res Clin Pract. 2014;103(2):231‑7.

Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. The prevalence of co-morbid depression in adults with diabetes: A meta-analysis. Diabetes Care. 2001;24:1069-78.

Talbot F, Nouwen A. A review of the relationship between depression and diabetes in adults. Diabetes care. 2000;23:1556-62.

Lustman PJ, Anderson RJ, Freedland KE, de Groot M, Carney RM, Clouse RE. Depression and poor glycemic control: A meta-analytic review of the literature. Diabetes Care. 2000;23(7):934-42.

Schram MT, Baan CA, Pouwer F. Depression and quality of life in patients with diabetes: A systematic review from the European depression in diabetes (EDID) research consortium. Curr Diabetes Rev. 2009;5(2):112-9.

Shaban MC, Fosbury J, Kerr D, Cavan DA. The prevalence of depression and anxiety in adults with Type 1 diabetes. Diabet Med. 2006;23:1381-4.

Simon GE, Katon WJ, Lin EH, Rutter C, Manning WG, Von Korff M, et al. Cost-effectiveness of systematic depression treatment among people with diabetes mellitus. Arch Gen Psychiat. 2007;64(1):65-72.

Knol MJ, Twisk JW, Beekman AT, Heine RJ, Snoek FJ, Pouwer F. Depression as a risk factor for the onset of type 2 diabetes mellitus. A meta-analysis. Diabetologia. 2006;49(5):837-45.

Beck A, Steer R, Brown G. Beck Depression Inventory. Second ed San Antonio, TX, E.U.: Psychological Corporation; 1996.

Morisky DE, Ang A, Krousel‐Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. Clin Hypertens. (Greenwich) 2008;10(5):348-54.

e Silva L, de Menezes N, Lam M, Soares CN, Munoz D, Milev R, et al. Insulin Resistance as a Shared Pathogenic Mechanism Between Depression and Type 2 Diabetes. Front Psychiatry. 2019:10:57.

Kaveeshwar SA, Cornwall J. The current state of diabetes mellitus in India. Australas Med J. 2014;7(1):45-8.

Wu Y, Ding Y, Tanaka Y, Zhang W. Risk factors contributing to type 2 diabetes and recent advances in the treatment and prevention. Int J Med Sci. 2014;11(11):1185-200.

Tovilla-Zarate C, Juarez-Rojop I, Jimenez YP, Jiménez MA, Vázquez S, Bermúdez-Ocaña, et al. Prevalence of anxiety and depression among outpatients with type 2 diabetes in the Mexican population. PLoS One. 2012;7(5):e36887.

Sweileh WM, Abu-Hadeed HM, Al-Jabi SW, Zyoud SH. Prevalence of depression among people with type 2 diabetes mellitus: a cross-sectional study in Plaestine. BMC Public Health. 2014;14(1):163.

Raval A, Dhanaraj E, Bhansali A, Grover S, Tiwari P. Prevalence and determinants of depression in type 2 diabetes patients in a tertiary care centre. Indian J Med Res. 2010;132(2):195-200.

Nouwen A, Winkley K, Twisk J, Lloyd CE, Peyrot M, Ismail K, et al; European Depression in Diabetes (EDID) Research Consortium. Type 2 diabetes mellitus as a risk factor for the onset of depression: a systematic review and metaanalysis. Diabetologia. 2010;53(12):2480-6.

Balhara YP, Sagar R. Correlates of anxiety and depression among patients with type 2 diabetes mellitus. Indian J Endocr Metab. 2011;15(1):S50-4.

Mathew CS, Dominic M, Isaac R, Jacob JJ. Prevalence of depression in consecutive patients with type 2 diabetes mellitus of 5-year duration and its impact on glycemic control. Indian J Endocr Metab. 2012;16(5):764-8.

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Published

2019-09-23

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Original Research Articles