A CROSS-SECTIONAL STUDY: PREVALENCE OF DEPRESSION AMONG DIABETIC PATIENTS

Kamran  Fazal; Pankaj  Kumar; Erum  Yasmin

doi:10.51168/sjhrafrica.v5i12.1466

Authors

Kamran Fazal Associate Professor, Department of Community Medicine, Jawaharlal Nehru Medical College & Hospital, Bhagalpur, Bihar, India
Pankaj Kumar Tutor, Department of Community Medicine, Jawaharlal Nehru Medical College & Hospital, Bhagalpur, Bihar, India
Erum Yasmin Tutor, Department of Community Medicine, Jawaharlal Nehru Medical College & Hospital, Bhagalpur, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i12.1466

Keywords:

Depression, Diabetes, Beck Depression Inventory-II, Demographic factors, Disease-related factors

Abstract

Background

Type 2 diabetes mellitus (T2DM) is a growing global health concern, with a significant prevalence in India. Depression is commonly observed in individuals with T2DM, negatively impacting disease management and outcomes. The coexistence of these conditions exacerbates complications and patient well-being. This study seeks to assess the prevalence of depression in patients with T2DM.

Methods

A cross-sectional study was conducted at Jawaharlal Nehru Medical College & Hospital, Bhagalpur, Bihar, on 480 T2DM patients attending outpatient and inpatient services. Depression was assessed using the Beck Depression Inventory-II (BDI-II), and various disease-related variables were evaluated. Data was collected through interviews, clinical evaluations, and laboratory tests to assess glycemic control and medication adherence.

Results

The study included 480 diabetic patients, with 85% over 40 years of age and 61.9% male. Moderate depression was observed in 31.3% (n=150) of patients, while 35% (n=168) had no depression. Depression severity was significantly associated with factors such as age, marital status, family history of diabetes, BMI, fasting blood sugar levels, and duration of diabetes (p<0.001). A high prevalence of depression was noted in patients with a BMI >30 (63.9%), fasting blood sugar >125 mg/dl (72.7%), and those with diabetes for over 5 years (54.7%).

Conclusion

The study emphasizes the strong link between depression and factors like age, BMI, diabetes duration, and blood sugar levels, highlighting the need for integrated mental health care in diabetes management.

Recommendation

Proper screening for depression among diabetic patients with neuropathy and early screening for neuropathy in type 2 diabetic patients to prevent depression is recommended.

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