RESUMO
Background and Objectives: diabetes and depression are highly prevalent conditions and have significant impact on health outcomes. The combination of depression with type 2 diabetes is a public health problem. Therefore, we aimed to assess some socio-demographic characteristics of type 2 diabetes and to investigate the relationship between type 2 diabetes and depression among patients aged from 40 to 60 years old
Methods: 125 patients diagnosed with type 2 diabetes attending diabetes clinics in the Al-Zahraa hospital were invited to participate in this cross-sectional study. Patients were interviewed using structured questionnaires to gather data on socio-demographics, clinical, self care compliance, medication usage, and diabetes complications. The MADRS was administered as a screening tool for depression level evaluation. Binary logistic regression model was used to examine association between predictor variables and risk of depression among diagnosed type 2 diabetes at 95% C.I. and P < 0.05
Results: one hundred and twenty five participants completed the interview. More than half of participants were females [58.4%] and the mean age was 48 [sd = 5.9], 47.2% hypertensive, and 59.2% on insulin. More than two third [74.4%] of patients were depressed; [24.8% mild, 37.6% moderate and 12% severely depressed]. Almost four out of five patients [88.8%] had diabetes complications; Depression was strongly associated with neuropathy, age, retinopathy, sex and cardiac complications. However, the likelihood of depression was not associated with nephropathy, hypertension and sexual dysfunction
Conclusion: the current study demonstrates a strong correlation between depression and diabetes particularly complications. In particular, patients who are depressed tended to have poorer self-care, more severe physical symptoms and were less likely to adhere to prescribed care regimens. These findings raise the possibility that improving the mental health as part of a comprehensive management plan for diabetes may improve the overall long term outcomes of these patients
RESUMO
Depression is a common, disturbing concomitant of medical conditions. The reported prevalence of major depressive episodes in physically ill patients varies from 5% to more than 40%. However, because depression is often unrecognized and under treated in sick patients, the prevalence reported in most studies is probably an underestimate. The subjects about 80 patients were selected from the inpatient admitted in internal and surgical departments of Al-zhra hospital of Al-Azhar University. The results of patients were classified into two groups, group A patients in surgical department and group B patients in department of internal medicine. Each group comprised 40 patients. Mean age of group A is 28.50+ 8.30 yr and that of group B is 39.40+13.11 yr. All patients subjected to: Psychological and social assessment: Hamilton Rating Scale for Depression [HDS]. For assessing depression, Clinical assessment: Psychiatric assessment using a semistructured interview full. Detailed Life events questionnaire. We estimated the prevalence of depression in 80 medical and surgical inpatients. results of this study revealed that depression presented in about 28 patients who was admitted to surgical department of Al Zahra general hospital all of them above 40 years old and duration of illness more than 6 months. While patients of group B showed depressive disorder in about 32 patients of 40 patients who admitted in department of general medicine in the same hospital. Prevalence of depression in hospitalized patients admitted in internal ward is grate. The high levels of depression detected in this sample suggests that screening for psychological co-morbidity is important in rehabilitation settings and should be included in the clinical interview carried out by the doctors at the duration of admission to the ward. Accurate diagnosis of co-morbid depressive disorders in patients who admitted in medical care services is essential in understanding the cause and in optimizing the management of somatic symptom burden