Assessment of depression as a comorbidity in patients of diabetes mellitus
Journal Title: IP International Journal of Maxillofacial Imaging - Year 2018, Vol 5, Issue 2
Abstract
Introduction: The prevalence of diabetes mellitus has reached epidemic levels globally. Depression as a comorbidity in patients with Diabetes Mellitus has been reported by many studies. The coexistence of diabetes and depression is associated with significant morbidity, mortality, and increased healthcare cost. The reports of studies are conflicting and the exact mechanisms linking depression and diabetes are unclear. Aim and Objective: The aim of the study was to determine the prevalence as well as the correlation of depression with socio demographic profile, duration of disease state, presence of complications and effect of therapeutic intervention in patients with Diabetes mellitus. Materials and Methods: A cross sectional survey was conducted with an aim of assessing depression as a comorbidity in patients with diabetes mellitus. Depression was assessed using the patient health questionairre-9 (PHQ-9). Results: Depression as defined by PHQ score ?5 was present in 45% of the individuals. Severe depression (PHQ score ?15) was present in 8% subjects, moderate depression (PHQ score ?10) in 14% subjects, and mild depression was present in 23% of subjects. Coexisting depression in patients with diabetes was associated with decreased adherence to treatment, poor metabolic control, higher complication rates, decreased quality of life and increased disability. Depression was significantly more prevalent in rural subjects (59%) as compared to urban ones (26%). Conclusion: Coordinated strategies for clinical care are necessary to improve clinical outcomes and reduce the burden of illness. Currently, recognition of depression among individuals with diabetes is suboptimal, therefore global approaches to establish coordinated, multifaceted interventions to improve early recognition of depression and early initiation of treatment for depression are required to reduce the worldwide burden of depression among individuals with diabetes.
Authors and Affiliations
Namrata Chhabra, Amandeep Kaur, Sarah Chhabra, Sahiba Kukreja
Keywords
Related Articles
- EP ID EP472702
- DOI 10.18231/2394-6377.2018.0037
- Views 66
- Downloads 0
A case report of TMJ closed lock reduced with occlusal splint therapy with MRI evidence
Introduction: Symptomatic cases of TMJ internal derangement can be associated with significant morbidity causing severe pain and limitation in functioning. Painful clicking or locking should be treated initially and at t...
Radiographic Quality of root fillings performed by dentists in Jammu and Kashmir, North India
The present study aimed at assessing the quality of root canal obturations being performed in the state of Jammu and Kashmir. Records of 1056 endodontically treated teeth from patients who visited the department of Conse...
Evaluation of size and morphology of sella turcica
Introduction: One of the most commonly used cranial landmarks for cephalometric tracing is sella point. Sella point is located in the centre of sella turcica with the turcica housing the pituitary gland in the crainal ba...
Prevalence of Radix Entomolaris in population of Central region of Nepal: A radiographic study
Objective: The objective of this study was to see the prevalence of Radix Entomolaris in population of Central region of Nepal using radiographs. Materials and Method: A total of 200 patients were included in the study a...
Evaluation of microalbuminuria in patients with hypertension from North Indian population: A case-control study
Introduction: Microalbuminuria has recently emerged as an early marker of hypertension induced target organ damage. Microalbuminuria in hypertensive patients may act as a potential risk factor for cardiovascular and kidn...