Proportion of depression and its determinants among type 2 diabetes mellitus patients in various tertiary care hospitals in Mangalore city of South India

Joseph, Nitin; Unnikrishnan, Bhaskaran; Babu, YP Raghavendra; Kotian, M. S.; Nelliyanil, Maria

doi:10.4103/2230-8210.113761

Cited by 46 publications

(48 citation statements)

References 40 publications

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“…Assuming that the prevalence of major depressive disorder among type 2 diabetic patients was 6.2%; 19 According to the formula of sample size calculation: N=T² x P(1-P) M² Where N = required sample size. T = confidence level at 95% (standard value of 1.96), P = estimated prevalence of disease in the project area and M = margin of error at 5% (standard value of 0.05).…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Determinants of Depression among Type 2 Diabetic Patients in Tabuk City, Saudi Arabia

Al-Atawi¹,

Al-Atawi²,

Al-Shehri³

et al. 2016

IJMRP

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Background: Compared with patients with diabetes alone, patients with depression and diabetes have been shown to have poorer self-management and poor adherence to antidiabetics, lipid-lowering and antihypertensive treatment. Objectives: To investigate the prevalence and determinants of depression in patients with T2DM attending general hospitals, Tabuk, Saudi Arabia. Subjects and Methods: A cross-sectional community based study was conducted in Tabuk city, Saudi Arabia. A representative random sample of diabetic type 2 Saudi patients aged 18 years or above who attended out patients clinics of the two main general hospitals, belonging to Ministry of health (King Khalid and King Fahd specialist hospitals) throughout the study period (20 July to 20 Aug, 2016) constituted the population for the study. Data collection questionnaire developed by the researchers composed of two parts; Personal characteristics and diabetes-related variables. The Arabic version of the Patient Health Questionnaire (PHQ-9) was utilized for diagnosis of depression. Results: The study included 221 patients with a response rate of 61%. Approaching one-third of them (34.8%) aged between 50 and 59 years and 4.1% aged over 70 years. Males represent 51.6% of them. Obesity and extreme obesity were reported among 35.7% and 5.5% of the patients, respectively. Family history of depression was reported among 37 patients representing 16.7% of the respondents. Depression was reported among almost most of type 2 diabetic patients

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Section: Methodsmentioning

confidence: 99%

Prevalence and Determinants of Depression among Type 2 Diabetic Patients in Tabuk City, Saudi Arabia

Al-Atawi¹,

Al-Atawi²,

Al-Shehri³

et al. 2016

IJMRP

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“…[13] It was also found to be more than twice as common as depression in the general population of our region. [7,19] This leads us to ask the more imposing question, "Why is depression more prevalent in people with diabetes mellitus?".…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Depression and its Associated Factos in Adults with Diabetes Mellitus : A Cross - Sectional Study in a Teritary Care Centre

Paulraj¹,

Rajasekaran²,

Mathew³

2017

AMS

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“…Similar findings were observed in a study done by Joseph et al in Mangalore. 30 Increasing Depression Severity was in turn associated with fasting blood sugar levels. So increasing depression severity among T2DM could lead to worse Fasting Blood Sugar levels, which could cause diabetic complications, which could increase the morbidity from the disease.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of depression in patients with type 2 diabetes mellitus and its association with fasting blood sugar levels, in an urban area of Kancheepuram district, Tamil Nadu

Gopalakrishnan

Umadevi

2017

Int J Community Med Public Health

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INTRODUCTIONDiabetes mellitus is a group of metabolic disorders characterized by chronic hyperglycemia associated with disturbances of carbohydrate, fat and protein metabolism due to absolute or relative deficiency in insulin secretion and/or action.1 It is categorized into type 1 and type 2 diabetes mellitus. Type 1 Diabetes mellitus usually manifests before adulthood and accounts for about 5% of the cases. It arises through the autoimmune destruction of pancreatic beta cells, which leaves the patient with severe insulinopenia and extreme hyperglycemia. Type 2 diabetes mellitus (T2DM usually manifests in later adult life and accounts for about 95% of all cases. It develops mainly through a combination of insulin resistance and defective beta cell function. T2DM if not treated adequately, can lead to micro-vascular complications affecting the retina, renal glomerulus and the peripheral ABSTRACT Background: Type 2 diabetes mellitus (T2DM) and depressive disorders are among the major health problems in our community. Chronic medical conditions, like diabetes are affectively stressful for patients and may influence pathophysiologic mechanisms as well as mood. This can lead to depression and poor prognosis of T2DM. This study was done to assess the prevalence of depression among T2DM patients and its association with glycemic control. Methods: This descriptive cross sectional study was carried out among 300 T2DM patients attending Urban Health Training Center (UHTC), Anakaputhur, which belongs to the urban field practice area of our institution. Fasting Blood Sugar levels (FBS) were assessed retrospectively from their medical records; and they were screened for depression by administering the nine items, "Patient Health Questionnaire -9". Results: Of the 300 T2DM patients, 54% were females. The mean age of the participants was 53±9.7 years. 31% of the study participants had fasting blood sugar (FBS) levels above 125 mg/dl. Depression was present in 39.7% of the individuals, among which, 17.3% had mild depression, 13% had moderate depression, 6.7% had moderately severe depression and 2.7% had severe depression. Depression was found to be significantly associated with increasing fasting blood sugar levels, diabetic complications, female gender and diabetic treatment. Conclusions: This study shows that depression is highly prevalent among T2DM patients and is associated with poor prognosis, as reflected by poor glycemic control (FBS) and the occurrence of diabetic complications. So screening and counselling for depression among T2DM patients have to be carried out for optimum control and treatment of T2DM.

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Proportion of depression and its determinants among type 2 diabetes mellitus patients in various tertiary care hospitals in Mangalore city of South India

Cited by 46 publications

References 40 publications

Prevalence and Determinants of Depression among Type 2 Diabetic Patients in Tabuk City, Saudi Arabia

Prevalence and Determinants of Depression among Type 2 Diabetic Patients in Tabuk City, Saudi Arabia

Prevalence of Depression and its Associated Factos in Adults with Diabetes Mellitus : A Cross - Sectional Study in a Teritary Care Centre

Prevalence of depression in patients with type 2 diabetes mellitus and its association with fasting blood sugar levels, in an urban area of Kancheepuram district, Tamil Nadu

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