The Association among Glycemic Control and Depression Symptoms in Patients with Type 2 Diabetes
| Autor: | Natasa Trifunovic, Alma Dzubur Kulenovic, Hasiba Erkocevic, Irma Dzambo, Adem Cemerlic, Elvira Hasanovic, Zaim Jatic |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Original Paper endocrine system diseases business.industry Disease Type 2 diabetes medicine.disease family medicine Diabetes mellitus Internal medicine Bayesian multivariate linear regression Linear regression diabetes mellitus depression symptoms glycemic control Medicine business Association (psychology) Depression (differential diagnoses) Glycemic |
| Zdroj: | Materia Socio-Medica |
| ISSN: | 1986-597X 1512-7680 |
| Popis: | Introduction: Diabetes and depression are two common and major non-communicable diseases with significant disease burdens worldwide. Aim: The aim of this study is to obtain the association among A1C levels and symptoms of depression in patients with type 2 diabetes in family medicine offices. Methods: This cross-sectional study was carried out between June 2016 and July 2017. We recruited 150 adults with type 2 diabetes from various family medicine offices. The study questionnaire had two parts; the first one for participants and the second one for family medicine physicians. Participants completed the part of the questionnaire with the PHQ-9 scale and questions regarding demographic data. Family medicine physicians completed the part of the questionnaire with questions concerning clinical data. A univariate and multivariate linear regression analysis was conducted to identify significant predictors of depressive symptoms revealed by the PHQ-9 score. Results: Multiple linear regression showed that the level of A1C was a significant predictor of the PHQ-9 score in all three models. Increases in the A1C level were followed by increases in depressive symptoms. Other significant predictors of a positive PHQ-9 score were smoking, level of education and income. Conclusion: The level of A1C as an indicator of glycemic control has been shown to have a significant association with the scores of the PHQ-9 questionnaire, which identifies the intensity of symptoms of depression. An increase in the level of A1C is followed by an increase in the intensity of symptoms of depression. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|