Prevalence and Correlates of Depression among Persons with Type 2 Diabetes Mellitus in Uyo, South-South Nigeria
Journal Title: International Journal of Medical and Health Sciences - Year 2018, Vol 7, Issue 1
Abstract
Background: Diabetes mellitus (DM) is a chronic metabolic disease with various complications throughout its course. The presence of co-morbid depression is common among such patients and may affect their response to treatment. The objective of this study was to estimate the prevalence of depression in patients with type 2 diabetes and to determine the factors associated with the presence of depression. Method: A cross-sectional study conducted among outpatients who attended the diabetes clinic of the University of Uyo Teaching Hospital. A total of 106 type 2 Diabetes mellitus patients are included in this study. To diagnose Depressive Episode, the depressive module of The Mini International Neuropsychiatric Interview (MINI) English Version 5.0.0 was applied. All patients were evaluated with a semi-structured socio-demographic proforma to assess socio-demographic characteristics; Hamilton Rating Scale for Depression (HAM-D) was administered to study participants. Result: The point prevalence of depression among persons with type 2 diabetes was 30.8%. Among the depressed respondents, 45.3%, 21.4% and 33.3% had mild, moderate and severe depression respectively. Depression was more common among females (p=0.02), single/widowed (p=<0.001), subjects with poor social support or those with no supervision of treatment (p=<0.001) and those with poor adherence to medication (p=<0.001). Predictors of depression by multiple regression analysis were treatment non adherence (p=0.008), being single/widowed (p=<0.003) and high medication cost (p=0.004) Conclusion: There is a high prevalence of depression among persons with type 2 diabetes in a resource poor setting.
Authors and Affiliations
Jombo, Henry Effiong , Onung Samuel Inih
Keywords
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