A Cross-sectional Study: Prevalence of Depression Among Diabetic Patients

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.

Aims: This study seeks to assess the prevalence of depression in patients with T2DM and explore its impact on disease progression and management.

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.

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 DiabVasc 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 ShahidRahimi 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 depresssion 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 ClinPract 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 ClinPract 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, VonKorff 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. ClinHypertens. (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.

RavalA,Dhanaraj E,Bhansali A,GroverS,TiwariP. 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, TwiskJ, 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

Published

2024-12-31

How to Cite

Fazal, Kamran, Kumar, P. ., & Yasmin, E. . (2024). A Cross-sectional Study: Prevalence of Depression Among Diabetic Patients. Student’s Journal of Health Research Africa, 5(12). https://doi.org/10.51168/sjhrafrica.v5i12.1466

Issue

Section

Section of Community and Public Health Research