Prevalence and Impact of Anxiety and Depression on Type 2 Diabetes in Tunisian Patients over Sixty Years Old

Masmoudi, J.; Damak, R.; Zouari, Héla; Ouali, Uta; Mechri, A.; Zouari, N.; Jaoua, A.

doi:10.1155/2013/341782

Cited by 24 publications

(23 citation statements)

References 17 publications

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“…In the current study, there was no significant difference between the two groups as regard the anxiety diagnostic criteria. This was not consistent with the findings of Masmoudi, et al [34] who found that subjects with uncontrolled DM had a higher average anxiety score than those having a good glycemic control. This might be due to the difference in the tests as we used DSM-IV criteria [17] and they used the Hopital Anxiety and Depression Scale (HADS), which is a psychometric scale used as a screening tool.…”

Section: Discussioncontrasting

confidence: 98%

“…This might be due to the difference in the tests as we used DSM-IV criteria [17] and they used the Hopital Anxiety and Depression Scale (HADS), which is a psychometric scale used as a screening tool. Masmoudi et al [34] considered that using a screening psychometric scale, rather than a structured interview, to evaluate anxiety is a limitation to their study. This might basically pick up cases with severe anxiety.…”

Section: Discussionmentioning

confidence: 99%

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Relationship of Cognition, Depression and Anxiety to Glycemic Control in Older Adults with Diabetes

Amer¹,

Rahman²,

Said³

et al. 2014

AAR

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Objective: This study aimed to assess the relationship of cognition, depression and anxiety to glycemic control in elders with diabetes. DM is a chronic medical condition. Its control depends on adherence to medical therapy and making decisions related to lifestyle changes. This decision making capacity is affected by many factors including cognition and psychological status. Design: It was a case control study. Setting: It was done in Ain Shams University Hospital inpatients and DM outpatient clinic, Cairo, Egypt. Participants: Of the one hundred diabetic patients aged ≥ 60 years, 50 had Hemoglobin A1c (HbA1c) ≥ 7.5 (cases) and 50 had Hb A1c < 7.5 (controls). Measurements: Cognition was assessed using minimental status examination (MMSE) test, Mattis Or-* Corresponding author.

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Section: Discussioncontrasting

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Relationship of Cognition, Depression and Anxiety to Glycemic Control in Older Adults with Diabetes

Amer¹,

Rahman²,

Said³

et al. 2014

AAR

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“…This association can be well explained by the underlying neurochemical imbalance [16]. Although other studies have reported incidence of depression to be higher in diabetics who are dependent on insulin for their treatment [12, 17], our study reported different outcomes. This may imply that this association might not be valid for Pakistani population or maybe the individuals being managed with oral hypoglycaemic agents need to be switched to insulin therapy for better control and more promising outcomes.…”

Section: Discussionmentioning

confidence: 55%

“…The outcomes of this study are comparable to those existing in the literature and reinforce the higher incidence of anxiety and depression in type 2 DM patients. In a study conducted in Tunisia, 40% of elderly diabetics were anxious and 22% were depressed [12]. Khuwaja et al in their study reported the incidence of depression and anxiety to be 44% and 58%, respectively [13].…”

Section: Discussionmentioning

confidence: 99%

Incidence of Anxiety and Depression Among Patients with Type 2 Diabetes and the Predicting Factors

Khan¹,

Qayyum²,

Malik³

et al. 2019

Cureus

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Introduction Diabetes mellitus (DM) is a chronic, progressive metabolic illness which is commonly complicated by coexistence of depression and anxiety. This study aimed to assess the prevalence of anxiety and depression among diabetic patients and the factors predicting this coexistence. Methods It was a cross-sectional, observational study which included patients of type 2 DM admitted in the hospital due to diabetes-related condition - diabetic foot infections/ulcers, hyperosmotic hyperglycaemic state (HHS), and hypoglycaemic coma/seizure. Anxiety and depression were measured by using the Hospital Anxiety and Depression Scale (HADS). Data was entered and analysed using SPSS version 22.0 (IBM Corp., Armonk, NY, USA). Results Mean anxiety score of the participants was 10.88 ± 4.075 and mean depression score was 11.82 ± 4.049. There were 72 (50.7%) patients who had anxiety and 70 (49.2%) patients who had depression. Higher scores of anxiety and depression were statistically significant in female gender, older participants, individuals with longer duration of diabetes, those taking non-insulin treatment, and individuals with painful neuropathy, nephropathy, and foot ulcers. Conclusion The incidence of depression and anxiety among hospitalized patients of diabetes mellitus is high. The coexistence of these two chronic debilitating illnesses is worsening the overall quality of life. It is very important to diagnose and manage anxiety and depression in patients with type 2 DM to ensure higher quality of life and life expectancy.

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“…In the present study, 16% of the older patients had depressive symptoms and 23.4% had anxiety symptoms. These values, although clinically significant, are lower than those found in the literature [31, 72, 73], which may be due to the fact that this sample includes patients with few complications associated with DM, an important contributory factor for the increase in these psychiatric manifestations [75].…”

Section: Discussionmentioning

confidence: 72%

Adherence to Medication, Physical Activity and Diet in Older Adults With Diabetes: Its Association With Cognition, Anxiety and Depression

2019

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Background Adherence to medication, physical activity (PA) and diet in diabetes mellitus (DM) patients is crucial for its good management, avoiding acute and chronic complications. There are several risk factors associated with non-adherence, including cognitive impairment, depression and anxiety. Nevertheless, studies on therapeutic adherence in older patients with DM are scarce. In this context, the present study aimed to analyze whether adherence to medication, PA and diet are associated with cognitive impairment, anxiety and depression. It also aimed to identity predictors of medication non-adherence. Methods A cross-sectional study of older patients (≥ 65 years old) with DM was carried out in the Outpatient Department of Internal Medicine Service of CHUSJ-Porto, Portugal. Those unable to communicate were excluded. Cognition (mini-mental state examination), anxiety and depression (hospital anxiety and depression scale) were assessed. Adherence to medication, PA and diet was measured, based on self-reporting patient/family, questionnaires, physician clinical opinion, hemoglobin test and pharmacy records. Patient groups were compared, using the Mann-Whitney or the Kruskal-Wallis test for continuous variables and the Chi-square test for paired categorical variables (significance level of 0.05). The odds ratio (OR) was calculated to identify independent predictors of non-adherence to medication. Results The final sample (n = 94) had a mean age of 75.2 years (standard deviation: 6.7) and mostly were female (53.2%), married (63.8%) and with a low education level (61.7%). Also, 22.3% with cognitive impairment, 16% with depression and 23.4% with anxiety were found. Patients non-adherent to medication had higher depression (P = 0.048) and anxiety (P = 0.010), compared to adherents/partial adherents. Patients non-adherent to PA showed higher anxiety (P = 0.035) and depression (P = 0.004), compared to adherents. Non-adherents to PA had more cognitive impairment than adherents (26.3% vs. 0%; P = 0.034). Patients who had insulin prescribed presented a higher risk of non-adherence to medication (OR: 4.041, 95% confidence interval (CI): 1.404 - 11.628; P = 0.010). Also, the risk of non-adherence to medication is higher by an increase of one unit in anxiety (OR: 1.252, 95% CI: 1.046 - 1.499; P = 0.014). Conclusions Higher anxiety and depression were associated with non-adherence to medication and to PA. Insulin prescribed and high anxiety scores were predictors of medication non-adherence. This study appears to contribute to the knowledge about the influence of cognitive and psychological factors in therapeutic adherence in these older diabetic patients.

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Prevalence and Impact of Anxiety and Depression on Type 2 Diabetes in Tunisian Patients over Sixty Years Old

Cited by 24 publications

References 17 publications

Relationship of Cognition, Depression and Anxiety to Glycemic Control in Older Adults with Diabetes

Relationship of Cognition, Depression and Anxiety to Glycemic Control in Older Adults with Diabetes

Incidence of Anxiety and Depression Among Patients with Type 2 Diabetes and the Predicting Factors

Adherence to Medication, Physical Activity and Diet in Older Adults With Diabetes: Its Association With Cognition, Anxiety and Depression

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