P-625 - Epidemiological estimation of depression among type II diabetes mellitus in primary family health care centers in alexandria: a cross sectional study

Abstract

Background: In Egypt, the total number of persons with diagnosed and undiagnosed Diabetes is expected to increase more than double from 3.80 million to 8.80 million by the year 2025.compared with the prevalence of depression among normal subjects. These reports indicate that >25% of patients with diabetes reach clinical criteria for depression, a rate far higher than in the general population. The comorbidity of diabetes and depression is associated with adverse diabetic outcomes, compared with nondepressed diabetic patients. Aim: To determine prevalence of depression among type II diabetic patients attending family health centers in Alexandria. Material and method: A sample size of approximately 303 adult diabetic cases of type II in the age category of (20-60) years old based on a prevalence of 27% of depression in diabetics, degree of precision of 5% and confidence level of 95%, will be randomly selected from the attendees of the studied family health facilities. Two days of the week will be selected randomly to visit the studied primary health care facilities till the allocated sample size is reachedAn interview questionnaire will be designed for depression assessment by using the Hamilton Depression Rating Scale (HAM-D) among type II diabetic patients. Results: 40.18% (n=135) of diabetic patients in our study showed moderate to severe depression, 12.2%(n=41) showed mild depression while 47.62%(n=160) showed normal values on HAM-D scale.Moderate to severe depression was present in 39.1% and 40.7% in males and females respectively.

Glycemic control of type 2 diabetics and associated depressive disorders spectrum - descriptive comparative study in Ismailia city -Egypt

“…It was mild in 33.3% moderate and severe in 19% of the diabetic group, compared with moderate and severe in 1.9% of the non-diabetic group. Comparing the ndings of our study with others, in an Egyptian study carried out in 2012 to estimates the prevalence of depression among a sample size of 303 type 2 diabetics attending family health centers in Alexandria using Hamilton Depression Rating Scale (HAM-D), moderate to severe depression was present in 39.1% and 40.7% in males and females respectively, compared with 19% in the present study (13) . In a cross-sectional Iranian study 2019 that included 514 type 2 diabetics patients, and used Beck Depression Inventory II scale to assess depression, depression was found in 46.3% of the study population, and there was no signi cant association between glycemic control expressed as HbA1c level and depression (OR: 1.11 95% CI: 0.87-1.57), by contrast , sex (OR: 2.03, 95% CI: 1.03-3.99), residence ( OR: 1.92, 95% CI:1.28-2.91), and sexual complications ( OR: 5.54, 95% CI: 1.07-27.87) have a signi cant statistical association with depression (14) .…”