Biopsychosocial and Nutritional Factors of Depression among Type 2 Diabetes Mellitus Patients: A Systematic Review

Abstract

The rising prevalence of depression among Type 2 Diabetes Mellitus (T2DM) patients has triggered an alarming situation, and further actions need to be taken by health care professionals and policymakers to curb the issue. There is a lack of evidence review in terms of the biopsychosocial and nutritional factors that are related to depression among T2DM. Hence, this review aimed to identify available evidence on the biopsychosocial and nutritional factors associated with depression among T2DM patients based on the existing literature. Articles were systematically searched from four databases, namely PubMed, Scopus, Web of Science, and EBSCOHost. The approach for the identification of the final articles followed PRISMA guidelines. The selected full-text articles were published between 2017 and 2021 in the English language, and included studies focused on depression among T2DM patients. Using AXIS tools, the eligible articles were evaluated to assess the quality of studies. A total of 19 studies were included in the review, and information related to research questions and associated factors was extracted. Biological, psychological, social, and nutritional factors were shown to be linked with depression among T2DM patients. Future studies need to considered using the biopsychosocial model and incorporating nutritional factors to manage the issues of depression among T2DM patients.

The Impact of Vitamin D Deficiency and Insufficiency on the Outcome of Type 2 Diabetes Mellitus Patients: A Systematic Review

“…Nutritional factors may play an important role in mental health status among T2DM patients [ 67 ]. In this review, two studies reported that vitamin D deficiency was related to mental well-being and poor mental health status, which is depression.…”

Type 2 diabetes mellitus and depression

“…Foi observada evidência de que o IMC e a presença outras doenças crônicas estão relacionadas à ocorrência de depressão em pacientes com diabetes tipo 2 (Amsah;MD Isa;Ahmad, 2022;Felisberto et al 2017;Nguyen et al, 2021) A ocorrência de outras comorbidades e doenças crônicas como hipertensão e doenças cardíacas de um modo geral, foram apontadas com maior incidência de depressão em indivíduos com DM2 (Amsah;…”

“…Portanto os tratamentos mais intensos não devem ser desconsiderados, mas o médico deve estar atento aos sinais de estresse e sintomas depressivos.OMukherjee;Chaturvedi, 2019;Nguyen et al, 2021). Entretanto, exercícios físicos excessivos e muito intensos podem causar fadiga que aparenta ser preditor de sintomas depressivos, além de ocasionar uma menor adesão a prática de atividades, que pode afetar o controle da diabetes(Amsah;MD Isa;Ahmad, 2022;Mukherjee;Chaturvedi, 2019).…”

Targeting the female endocannabinoid system: A CAM intervention addressing behavioral nutrition and treating depression in women with T2DM

“…In 1977, George Engel introduced a biopsychosocial model, which offered the theory that illnesses form through a combination of biological factors, for instance, genetic, psychological, and physiological. He purported that psychological factors that promote sickness are rooted in an individual's health beliefs, behavioral patterns, personality traits, and lifestyle (Amsah et al, 2022). [14] He also pointed out that social factors like family connections, socioeconomic status, and social support, when lacking in efficiency, can be responsible for the onset of disease development.…”

“…He purported that psychological factors that promote sickness are rooted in an individual's health beliefs, behavioral patterns, personality traits, and lifestyle (Amsah et al, 2022). [14] He also pointed out that social factors like family connections, socioeconomic status, and social support, when lacking in efficiency, can be responsible for the onset of disease development. (Amsah et al, 2022).…”