Prevalence of depression among diabetic patients -a prospective study
Journal Title: Indian Journal of Basic and Applied Medical Research - Year 2018, Vol 8, Issue 1
Abstract
Introduction: Depression is both a cause and consequence of Diabetes mellitus. Diabetes mellitus and Depression are chronic debilitating conditions that are associated with high rates of complications and death. Depression is contributing factor to mortality, morbidity and increase health care costs. Many times physicians are unable to identify depression in patients with DM. This study was conducted to determine the prevalence depression among diabetes mellitus patients. Materials and methods: Patients with type 2 diabetes mellitus for more than 5-year duration with no prior history of psychiatric illnesses or intake of anti-depressants attending medical outpatient department/ Diabetic op in various tertiary care medical college hospitals in Tamil Nadu and Kerala , are assessed through a questionnaire ,FBS,PPBS,HbA1c was obtained to assess glycemic control. Depression was assessed with the Major Depression Inventory and scores obtained were classified as consistent with mild, moderate and severe depression. Results: Total number of 1009 patients selected 242 (24%) had depressive symptoms. Among them155 (64 %) had mild depression, 82 (34%) had moderate depression, and 5 (2%) had severe depression. Conclusions: In persons with diabetes there is an increased risk of developing depression. And if depressed, they may have a greater chance of developing type 2 diabetes.. And effectively managing one can have a positive effect on the other. Over ONE FOURTH of patients with type 2 diabetes mellitus of over 5-year duration had depressive symptoms. The presence of depressive symptoms was associated with a significant worsening of glycemic control.
Authors and Affiliations
T. RAVI KUMAR
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