Prevalence and Determinants of Depression among Diabetic Patients,Babel Province, Iraq, 2013-2014
DOI:
https://doi.org/10.32007/jfacmedbagdad.564558Keywords:
Diabetes, Depression, Risk Factors, Prevalence, Iraq.Abstract
Background: Diabetes Mellitus is a complex chronic disease, requiring continuous medical care with multi factorial risk reduction strategies beyond glycemic control. Approximately 30% of patients with types 1 and type 2 diabetes had depression. In addition to the high risk of complications and poor glycemic control, individuals with both diabetes and depression have a 2-3 times greater risk of early mortality than do nondepressed people with diabetes. Early detection of this comorbidity is worthy, especially with simple and relatively valid scales.
Objectives: To identify the prevalence and potential risk factors of depression among diabetic patients in Babel province, 2013-2014
Patient and Method: A cross-sectional study conducted in Marjan Hospital, diabetes Center, Babel, October, 1st, 2013 to April, 1st, 2014. The study included all patients with Type1 & 2 diabetes excluding
pregnant women and those with advanced complications. Data on socio-demographic variables, diabetes characteristics and presence of comorbid diseases and complications was compiled. Self Reporting Questioner (SRQ-20) to identify mental illnesses; DSM-IV criteria for depression and Hamilton-17 Scale, for assessment of severity of depression were used.
Results: A total of 466 patients were approached; 91.2% responded. About 90% were of type 2 DM; 37% had depression; 78% had mild and only 4% had severe and very severe depression. Presence of depression was significantly associated with age (P=0.000), marital status (0.036), type of treatment (P=0.001), presence of Ischemic Heart Diseases (P=0.000); retinopathy (0.012), and neuropathy (0.000).
Conclusions: More than one third of diabetic patients had depression. Age, type of treatment, and presence of other comorbid conditions or complications were significant risk factors.
Downloads
Downloads
Published
Issue
Section
License
For all articles published in Journal of the Faculty of Medicine Baghdad, copyright is retained by the authors. Articles are licensed under an open access Creative Commons CC BY NC 4.0 license, meaning that anyone may download and read the paper for free. In addition, the article may be reused and quoted provided that the original published version is cited. These conditions allow for maximum use and exposure of the work, while ensuring that the authors receive proper rights.