Prevalence and predictors of depression and anxiety in patients of diabetes mellitus in a tertiary care center
| Autor: | Deepak Gehlan, Rajiv Gupta, Pratibha Gehlawat, Rajesh Rajput, Meena Rajput |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Hamilton Anxiety Rating Scale Endocrinology Diabetes and Metabolism prevalence 030209 endocrinology & metabolism Disease Anxiety lcsh:Diseases of the endocrine glands. Clinical endocrinology Nephropathy 03 medical and health sciences 0302 clinical medicine Endocrinology Rating scale Internal medicine Diabetes mellitus Medicine 030212 general & internal medicine lcsh:RC799-869 Psychiatry Depression (differential diagnoses) lcsh:RC648-665 business.industry Type 2 Diabetes Mellitus medicine.disease predictors depression diabetes mellitus Original Article lcsh:Diseases of the digestive system. Gastroenterology medicine.symptom business |
| Zdroj: | Indian Journal of Endocrinology and Metabolism, Vol 20, Iss 6, Pp 746-751 (2016) Indian Journal of Endocrinology and Metabolism |
| ISSN: | 2230-8210 |
| Popis: | Background: Diabetes is one of the most common chronic diseases and affects virtually every organ of the human system. Depression and anxiety is common among patients with diabetes and associated with worse diabetes outcomes. Aims and Objective: To study the prevalence and predictors of depression and anxiety in patients of Type 2 diabetes mellitus (T2DM) in Pt. B.D. Sharma, PGIMS, Rohtak, Haryana, India, a tertiary care center in Northern India. Materials and Methods: Four hundred ten consecutive patients having T2DM and 410 healthy controls matched for age and sex attending the endocrine out-patient department of a tertiary care center of Northern India were included in the study. Sociodemographic and relevant clinical variables were collected. They were evaluated for depression and anxiety using Hamilton Depression Rating Scale and Hamilton Anxiety Rating Scale respectively. Results: It was found that a significantly larger proportion of diabetic patients had depression (26.3% vs. 11.2%, P = 0.001), anxiety (27.6% vs. 12.7%, P = 0.001) and comorbid depression and anxiety (21.0% vs. 7.3%, P = 0.001) as compared to healthy controls. Diabetic women had higher depression (17.1% vs. 9.3%) and anxiety (17.6% vs. 10.0%) than men. The major predictors for a severe form of depression and anxiety among T2DM cases were age, female sex, insulin therapy, retinopathy, nephropathy, and ischemic heart disease. Conclusion: The present findings reveal that diabetic cases had significantly higher depression and anxiety as compared to healthy controls. The risk factors for depression and anxiety were age, female sex, insulin therapy, and diabetic complications. |
| Databáze: | OpenAIRE |
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