The Association of the Prevalence of Depression in Type 2 Diabetes Mellitus with Visual-Related Quality of Life and Social Support

Ding, Xiaoxia; Rong, Shi Song; Wang, Yu; Dong, Lei; Wen, Lihui; Zou, Bo; Zang, Dongxiao; Feng, Ke; Liang, Yuanbo; Wang, Fenghua; Hao, Yi

doi:10.2147/dmso.s343926

Cited by 12 publications

(6 citation statements)

References 45 publications

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“…In the current study, approximately one-third of people had depression symptoms, and the prevalence of depression symptoms in the Kuwaiti Arab population is higher than the other diabetes populations. 38,39 Regarding the association between self-care and depression, healthy eating plans and exercise behaviors were low in people with depression symptoms. Many studies reported that depression was associated with problems engaging with exercise, diet, and medication self-care behaviors 40,41 and markedly impaired the quality of diabetes self-care management.…”

Section: Discussionmentioning

confidence: 99%

Association Between Depression, Diabetes Self-Care Activity and Glycemic Control in an Arab Population with Type 2 Diabetes

Al-Ozairi¹,

Taghadom²,

Irshad³

et al. 2023

DMSO

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Poor self-care behavior and depression are associated with worse glycemic control, but the relationship between these variables is poorly reported. The present study aimed to describe self-care behaviors and explore the association between depression, self-care and glycemic control in people with type 2 diabetes in an Arab population. Patients and Methods: This study recruited 446 patients with type-2 diabetes from an outpatient clinic in Kuwait and completed assessments of diabetes self-care using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire and depression using the Patients Health Questionnaire-9 (PHQ-9) scales. Multiple linear regression models were used to determine the associations between depression, self-care behaviors and glycemic control. Results: Self-care behaviors were highest for medication taking (92.9%), an average for foot care (61.4%), blood glucose testing (60%) and healthy diet (55.7%), and lowest for exercise (27.1%). Depression, poor self-care activities and poor HbA1c levels were inter-correlated in univariate analysis (p< 0.03). In regression analysis, following healthful eating (B= −0.27, p< 0.001), general eating plan (B= −0.21, p= 0.01), more space carbohydrates evenly throughout the day (B= -0.17, p= 0.03) and exercise at least 30 minutes (B= −0.17, p= 0.02) behaviors were associated with better HbA1c levels. However, depression was associated with poor scores of following a general eating plan (B= −0.20, p= 0.03), space carbohydrates evenly throughout the day (B= −0.21, p= 0.05), and exercising at least 30 minutes (B= −0.24, p= 0.03) behaviors. Depression scores were also associated with poor HbA1c levels (B= 0.32, p= 0.03). However, this association no longer persists after mutual adjustment with following a healthy diet (B= 0.14, p= 0.38) and exercise (B = 0.26, p = 0.08) behaviors. Conclusion: Self-care activity was less than fifty percent in people with type 2 diabetes and higher activity was associated with better glycemic control. However, depression adversely affects self-care behaviors. To maintain and achieve glycemic control, diabetes educators might motivate people with type 2 diabetes to enhance their self-care activities, particularly those with depression symptoms and poor compliance with self-care activities.

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Section: Discussionmentioning

confidence: 99%

Association Between Depression, Diabetes Self-Care Activity and Glycemic Control in an Arab Population with Type 2 Diabetes

Al-Ozairi¹,

Taghadom²,

Irshad³

et al. 2023

DMSO

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“…Previous studies 16,17 have proven that the NEI VFQ-25 is valid and consistent for assessing VR-QOL for patients with diabetes. In our study, we assessed VR-QOL in patients with different bilateral vision statuses.…”

Section: Discussionmentioning

confidence: 98%

The impact of bilateral vision status on vision-related quality of life in people with diabetes mellitus

Lin,

Li,

Lin

et al. 2024

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Purpose: To assess the impact of bilateral vision status on vision-related quality of life (VR-QOL) in patients with type 2 diabetes in a Chinese cohort. Methods: Patients with presenting visual acuity (PVA) and VR-QOL data from the Fushun Diabetic Retinopathy Cohort Study were included. VR-QOL was assessed using the National Eye Institute Visual Function Questionnaire-25 (VFQ-25). Monocular PVA (Snellen) was categorized into 3 levels for both the better-seeing eye (BSE) and worse-seeing eye (WSE): 1) High PVA (H, > 6/18); 2) Moderate PVA (M, 6/18–6/60); and 3) Low PVA (L, < 6/60). Based on the monocular PVAs, 6 categories of bilateral vision status were defined (H-H, H-M, H-L, M-M, M-L, L-L). The parameters of VR-QOL were analyzed between the groups. Results: A total of 1717 patients were enrolled. For BSEs in the same PVA level, the VFQ-25 composite score decreased significantly with declining PVA in the WSE (H-M vs H-L: 80.5±17.9 vs. 73.6±22.5, P=0.01; M-M vs M-L: 78.7±19.6 vs. 69.1±26.4, P=0.01). Conversely, for WSEs in the same PVA level, there was no significant difference in the VFQ-25 composite score as PVA changed in the BSE (H-M vs M-M, 80.5±17.9 vs. 78.7±19.6, P=0.30; H-L vs. M-L: 73.6±22.5 vs. 69.1±26.4, P=0.25). Conclusion: The PVA of the WSE in bilateral vision has a greater impact on VR-QOL in diabetic patients. Priority treatment may be considered for the WSE for diabetic patients with different bilateral vision statuses, to better improve VR-QOL.

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“…15,16 As a result, the patient's quality of life and the economic burden associated with diabetes become more severe. [17][18][19] Clinically, depression is commonly diagnosed based on diagnostic criteria, questions, or scales to assess depression, such as the International Classification of Diseases tenth revision (ICD-10) depression diagnostic standard, the Patient Health Questionnaire-9 (PHQ-9), Beck's depression detection scale, Hamilton Depression Rating Scale, and Montgomery Asberg Depression Rating Scale, in which PHQ-9 is considered a short and reliable questionnaire that has been studied and applied in many countries around the world to screen and evaluate depression. 20,21 The PHQ-9 is not only suitable for screening for major depressive stages in the community 22 but also reliable to diagnose depressive disorders in adults.…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Depression and Multifactorial Control and Microvascular Complications in Vietnamese with Type 2 Diabetes Mellitus Aged 30–60 Years

Le¹,

Duong²,

Nguyen³

et al. 2022

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Background: Depression is a common mental disorder in people with type 2 diabetes mellitus (T2DM). Depression and T2DM have a reciprocal interaction through many factors, of which the most important is the multifactorial control and microvascular complications of T2DM.Aim: This research aims to determine the rate of depression and the association between depression and multifactorial control and microvascular complications in patients with T2DM aged 30-60 years in Vietnam. Methods: A cross-sectional and descriptive study was conducted on 231 outpatients with T2DM at Bach Mai hospital, Hanoi, Vietnam. Depression severity was measured with the Patient Health Questionnaire-9 (PHQ-9). Results: The rate of depression in patients with T2DM aged 30-60 years was 16.9% (in which, the rate of mild depression was 15.2% and moderate depression was 1.7%; no serious depression). The prevalence of depression was higher in female patients than in male patients (p = 0.049). There is a statistically significant difference in the rate of depression by age, duration of diabetes, and treatment method for type 2 diabetes. Poor HbA1c control and microvascular complications increase the risk of depression (OR = 2.37; 95% CI 1.11-5.02, p = 0.033 and OR = 2.62; 95% CI 1.15-5.93, p = 0.027, respectively). When the multivariate analysis was performed, it was shown that sex, treatment for glycemic control, and microvascular complications had a statistically significant influence on PHQ-9 score. Conclusion: In Vietnam, there are 16.9% of patients with T2DM aged 30-60 years suffer from depression. Poor HbA1c control, the presence of microvascular complications, and without antihyperglycemic treatment increase the risk of developing depression.

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The Association of the Prevalence of Depression in Type 2 Diabetes Mellitus with Visual-Related Quality of Life and Social Support

Cited by 12 publications

References 45 publications

Association Between Depression, Diabetes Self-Care Activity and Glycemic Control in an Arab Population with Type 2 Diabetes

Association Between Depression, Diabetes Self-Care Activity and Glycemic Control in an Arab Population with Type 2 Diabetes

The impact of bilateral vision status on vision-related quality of life in people with diabetes mellitus

The Relationship Between Depression and Multifactorial Control and Microvascular Complications in Vietnamese with Type 2 Diabetes Mellitus Aged 30–60 Years

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