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Introduction: Diabetes and depression remain among the major problems of public health in the world. These diseases complicate each other. Several factors contribute to the occurrence of depression in diabetic. Thus, it would be necessary to determine them in order to prevent its occurrence. Aims:To assess the prevalence of depression in a population of diabetics and to identify factors contributing to the occurrence of depression in diabetics. Methods: A cross case-control study among 100 hospitalized diabetics in the department of endocrinology, Hedi Chaker hospital in Sfax Tunisia. We compared them to 100 witnesses. Then, we compared the two subgroups of depressed and non-depressed diabetics. We used the Hospital Anxiety and Depression Scale to screen for depression, the Beck Depression Inventory scale to determine the degree of its severity and the MINI to identify patients with a current major depressive episode (MDE) among depressed subjects. Results: The prevalence of depression was higher in diabetics (35% versus 14%). The prevalence of MDE was 71.43%. Depression was severe in 40% of cases. Comparing to the non-depressed diabetics, depressed diabetics were predominantly female and older. The duration of diabetes, mostly type 2, was longer. These subjects had more acute and chronic complications. Correlation factors of depression in diabetics were: advanced age, low socio economic level, low physical activity, stressful life event, lower limb arteritis, gastroparesis, android obesity, disturbance of lipid profile and anxiety. Conclusion: Factors involved in the onset of depression in diabetic subjects should be taken into account to improve management of diabetes

The aim of the study was to evaluate the impact of polycystic ovary syndrome (PCOS) on marital sexual satisfaction among a sample of women. Methods: Thirty two women diagnosed PCOS, were included in the study. The questionnaire contains a general part concerning socio-demographic conditions, medical history, health problems, PCOS symptoms Sexual satisfaction was evaluated by "the Female Sexual Function Index" (FSFI). Results: The mean age of PCOS women was 28.9±5.6 years, Sixty per cent of PCOS women had miscarriages and half of of the sample was treated for infertility. Eighty five percent of patients with PCOS had a morbid obesity (BMI > 30 kg/m2). Ninety five per cent of PCOS women had an hirsutism Marital sexual dysfunctions were found in 50 % of the sample (global score of FSFI < 26). Marital sexual disorders were significantly increased with presence of hirsutism (p< 0.01). BMI had no impact on the sexual satisfaction. Both obese and non obese women with PCOS reported being significantly less satisfied with their sex life in the past month (p < 0.001), finding themselves significantly less sexually attractive (p=0.03), perceived their husbands as less satisfied with their sex life (p= 0.001), and reporting that excessive body hair affected their sexuality (p= 0.003). BMI also had no significant effect on the frequency of sexual intercourse or sexual thoughts and fantasies. Conclusion: This study shows many sexual problems affecting patients with PCOS. A medical treatment which aimed to improving PCOS-related symptoms can reduce psychological distress and improve sexual self-worth.