January-March 2018

Prevalence and Factors Influencing Depression among Diabetes Patients in a Rural Tertiary Care Centre in Tamilnadu

Ravi Arulanantham1*, Namasivayam K2, Gokulakrishnan3, Shankar Radhakrishnan4

1Associate Professor, 2Professor, 3Post. Graduate student, Department of Internal Medicine, Govt. Thanjavur Medical College & Hospital, Thanjavur, Tamil Nadu.
4Associate Professor VMKVMCH, Salem


BACKGROUND: Prevalence of diabetes is increasing every year, so does depression, however it goes undetected. Available evidences mostly come from developed nations and there is a paucity of published literature from South India. Having diabetes along with depression is associated with higher risk of suicide and suicidal ideation. While depression may contribute to poor diabetes-related outcomes, diabetes and its complications may also contribute to poor depression outcomes. AIM: To assess the prevalence and the factors associated with depression among the patients with type II diabetes mellitus. MATERIALS AND METHODS: Single centre, descriptive, cross-sectional study was conducted in a tertiary care teaching hospital for a period of 3 months. 217 type II diabetes patients aged between 18 and 65 years were included in the study. Patients receiving drugs that can affect the mood, those who are diagnosed with psychiatric illness, patients with gestational diabetes and type 1 diabetes were excluded from the study. Physicians Health Questionnare-9 (PHQ-9) with a score of ≥10 was used to make the diagnosis of depression. RESULTS: Prevalence of depression among the diabetic patients was 42.3% and based on their scores we graded them as mild, moderate, moderately severe and severe depression and majority (22.5%) of them had the grading between moderate to severe depression. Increasing age, female gender, house wife, high BMI, diabetes duration, diabetes related complications, comorbid conditions and poor glycemic control with poor follow-up are the factors which had influenced the depression among the diabetic patients. CONCLUSION: Better outcome in patients overall care and quality of life will be achieved by managing both the depression and diabetes concurrently. Early detection and treatment of depression at the primary care level by effectively screening all diabetic patients for depression would help to bring down the severity of depression among these patients.

Keywords: diabetes, depression, PHQ-9 questionnaire, prevalence

[Full Text Article]  
Twitter Links