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Prevalence of depression and its associated factors in patients with type 2 diabetes: A cross-sectional study in Dhaka, Bangladesh.
- Source :
-
Asian journal of psychiatry [Asian J Psychiatr] 2015 Oct; Vol. 17, pp. 36-41. Date of Electronic Publication: 2015 Jul 29. - Publication Year :
- 2015
-
Abstract
- Depression is a common feature in patients with type 2 diabetes and often remains undetected and untreated, causing increased morbidity and mortality. We explored the prevalence of co-morbid depression and its associated factors, including major life-events among patients with type 2 diabetes in Bangladesh. We conducted a cross-sectional study among 515 patients with type 2 diabetes between September 2013 and July 2014 in a tertiary hospital in Dhaka city. We assessed depression using Patient Health Questionnaire-9 (PHQ-9) with predefined cut-off scores of 5, 10, 15 and 20 to indicate minimal, mild, moderate, moderately-severe, and severe depression. Associations between depression and its associated factors were explored using univariate and multivariate regression. Overall, 61.9% participants had depressive symptoms, and the prevalence was higher among females (70.9%) compared to males (50.6%). One-third (35.7%) of participants had mild depression and 36.2% had moderate to severe depression. In the multivariate analysis, factors significantly associated with depression were: age≤60 years (OR: 2.1, 95% CI=1.2-3.6; p≤0.006), female gender (OR=1.9, 95% CI=1.3-3.0; p≤0.002), those having 1-3 complications (OR=2.3, 95% CI=1.2-4.3; p=0.010), experienced loss of business or crop failure (OR=2.1, 95% CI=1.2-3.6; p=0.006), major family conflicts (OR=2.2, 95% CI=1.4-3.5; p≤0.001), separation or deaths of family members or divorce (OR=2.2, 95% CI=1.4-3.5; p≤0.001), and those who experienced unavailability of food or medicines (OR=2.2, 95% CI=1.0-4.5; p=0.038). Patients with diabetes, especially females, those having other complications, and major life-events should routinely be screened for symptoms of depression with adequate management of these conditions.<br /> (Copyright © 2015 Elsevier B.V. All rights reserved.)
- Subjects :
- Adult
Bangladesh epidemiology
Comorbidity
Cross-Sectional Studies
Female
Humans
Male
Mass Screening methods
Mass Screening organization & administration
Middle Aged
Prevalence
Psychiatric Status Rating Scales
Risk Factors
Depression diagnosis
Depression epidemiology
Depression physiopathology
Diabetes Complications diagnosis
Diabetes Complications epidemiology
Diabetes Mellitus, Type 2 epidemiology
Diabetes Mellitus, Type 2 psychology
Life Change Events
Subjects
Details
- Language :
- English
- ISSN :
- 1876-2026
- Volume :
- 17
- Database :
- MEDLINE
- Journal :
- Asian journal of psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 26259893
- Full Text :
- https://doi.org/10.1016/j.ajp.2015.07.008