Prevalence of co-morbid depression in out-patients with type 2 diabetes mellitus in Bangladesh

Roy, Tapash; Lloyd, Cathy E.; Parvin, Masuma; Mohiuddin, Khondker Galib B; Rahman, Md. Saydur

doi:10.1186/1471-244x-12-123

Cited by 79 publications

(104 citation statements)

References 37 publications

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“…Further, depression was strongly associated with poor glycemic control and number of co-morbid conditions. 46 In our study also we found that, depressive symptoms are related with age, duration, and glycemic control of diabetes.…”

Section: Discussionsupporting

confidence: 69%

Depressive symptoms in type II diabetics of a tertiary care hospital in southern India

Nagaraja

Sharma

2018

Int J Adv Med

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Background: International diabetes federation has highlighted that “the diabetic epidemic is here and threatens to overwhelm health systems if unchecked’’. The global prevalence of diabetes among adults has risen from 4.7% in 1980 to 8.5% in 2014. India unfortunately tops the list of countries with the largest number of people living with diabetes. Diabetes and depression are independent risk factors for one another and both are associated with increased risk of cognitive decline. Prevalence of depression is doubled in Diabetes mellitus, and also appears to vary by type of Diabetes mellitus, race/ethnicity, and duration of diabetes and associated debilitating complications and co-morbidities. Various studies using different methodology have revealed varying prevalence of depression. Data on this association of Diabetes and depression is limited in Indian context.Methods: This is a cross sectional study conducted on type 2 Diabetics attending outpatient department of Victoria and Bowring and Lady Curzon Hospital. Data regarding duration and treatment of diabetes, HbA1c levels and associated comorbidities were collected along with basic particulars of the patient. Becks depression questionnaire were used for analyzing the depressive symptoms.Results: A total of 302 diabetic patients were included in the study, out of which Males were 156 and Females were 146. Severe depressive symptoms were found in 18.21% of diabetics, and moderate depressive symptoms were found in 39.74% of study population. It is also found that the significant predictors of these depressive symptoms are increasing age, longer duration of diabetes, treatment intensity.Conclusions: In conclusion depressive symptoms are more common in diabetic subjects compared to non-diabetic population. Especially this increases with duration of diabetes and uncontrolled sugars. Hence there is a need to screen all diabetes subjects for depression.

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Section: Discussionsupporting

confidence: 69%

Depressive symptoms in type II diabetics of a tertiary care hospital in southern India

Nagaraja

Sharma

2018

Int J Adv Med

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“…Using the commonly used criterion of a WHO-5 score lower than 52, suggesting poor emotional well-being,39,40 29.4% of older adults compared with 34.7% of young people reported poor emotional well-being (χ 2 =8.46; P <0.01).…”

Section: Resultsmentioning

confidence: 99%

Cohort comparisons: emotional well-being among adolescents and older adults

Momtaz¹,

Hamid²,

Ibrahim³

2014

CIA

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BackgroundThere are several negative stereotypes about older adults that have negatively influenced people’s attitude about aging. The present study compared emotional well-being between older adults and adolescents.MethodsData for this study came from 1,403 community-dwelling elderly persons and 1,190 secondary school students and were obtained from two national cross-sectional surveys. Emotional well-being was measured using the World Health Organization-Five Well-Being Index. Data analysis was conducted using a multivariate analysis of covariance with SPSS software version 20 (IBM Corporation, Armonk, NY, USA).ResultsElderly people significantly scored higher levels of emotional well-being (mean, 62.3; standard deviation, 22.55) than younger people (mean, 57.9; standard deviation, 18.46; t, 5.32; P≤0.001). The findings from the multivariate analysis of covariance revealed a significant difference between older adults and younger people in emotional well-being [F(3, 2587)=120.21; P≤0.001; η2=0.122] after controlling for sex.ConclusionContrary to negative stereotypes about aging, our findings show a higher level of emotional well-being among older adults compared with younger people.

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“…PHQ-9 consists of 9 items and the total score varies between 0 and 27 [29]. Standard PHQ-9 cut-off scores were used to classify minimal (0-4), mild (5-9) and moderate to severe (≥ 10) symptoms of depression [30]. In this study, positive for depressive symptoms was defined as PHQ-9 scores > 5 to identify mild mental health problems, because it is not common that active working medical doctors have a severe mental health problem.…”

Section: Discussionmentioning

confidence: 99%

Effects of work burden, job strain and support on depressive symptoms and burnout among Japanese physicians

Saijo¹,

Yoshioka²,

Watanabe³

et al. 2014

IJOMEH

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Objectives: Days off, on call, night duty, working hours and job stress can affect physicians' mental health, and support from supervisors and co-workers may have a buffering effect. This study elucidates whether job strain and job factors affect physicians' mental health, and whether support from supervisors and co-workers has a protective effect on their mental health. Material and Methods: The subjects included 494 physicians. The Brief Job Stress Questionnaire (BJSQ) was used to evaluate job demand, job control and support. High job strain was defined as a combination of high job demand and low job control. Depressive symptoms were assessed using the Patient Health Questionnaire-9. The Maslach Burnout InventoryGeneral Survey was used to evaluate burnout. Possible confounder adjusted logistic regression analyses were performed to obtain odds ratios for depressive symptoms and burnout. Results: As per the analysis, high job strain had significantly higher odds ratios, and support from co-workers had significant protective odds ratios for depressive symptoms. High job strain and having only 2-4 days off per month (compared to > 8 days off per month) had significantly higher odds ratios, and support from co-workers had significant protective odds ratios for burnout. Conclusions: High job strain was related to depressive symptoms and burnout, and support from co-workers had a buffering effect on depressive symptoms and burnout. An inadequate number of days off was related to burnout. Assessment of job strain may be a good tool to measure physicians' mental health, and a sufficient number of days off may be needed to prevent burnout.

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Prevalence of co-morbid depression in out-patients with type 2 diabetes mellitus in Bangladesh

Cited by 79 publications

References 37 publications

Depressive symptoms in type II diabetics of a tertiary care hospital in southern India

Depressive symptoms in type II diabetics of a tertiary care hospital in southern India

Cohort comparisons: emotional well-being among adolescents and older adults

Effects of work burden, job strain and support on depressive symptoms and burnout among Japanese physicians

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