FREQUENCY OF DEPRESSION IN TYPE-2 DIABETIC PATIENTS PRESENTING TO A TERTIARY CARE HOSPITAL
Dr. Umaima Shafiq*, Dr. Zermina Tanvir and Dr. Rana Zeshan
ABSTRACT
Background: Depression has strong negative influence on glycemic control in diabetic patients with worse outcomes. Major portion of evidence linking DM and depression comes from developed countries, and there is insufficiency of research in this regard in developing countries. Aim of this study was to find the prevalence of depression in diabetic patients and its association with diabetic control. Methodology: It is a cross-sectional study involving 200 patients with Type 2 Diabetes mellitus above the age of 40 years with HbA1c of < 8% was taken as the controlled group and with HbA1c of ? 8% as the uncontrolled group. „The Hamilton?s Depression Scoring? was used to assess their level of depression. Data regarding demographic detail, educational status, marital status, duration of illness, compliance with treatment and financial status etc. was noted. Results: We enrolled 200 consecutive patients in our study with male to female ratio of 1:1.8. Among these patients male were 70 (35%) and female 130 (65%). We concluded that maximum strength of Diabetic patients in our study were from 50-59 years age group i.e. 102 (51 %). The academic status of these 200 cases was illiterate (21%), primary education (25%), high school (45%) and higher education (9%). In our study 168 (84%) were married and 118 (59%) were from urban area. We found that element of depression was equal among male (16 out of 70) and female (32 out of 130). Diabetic patients belong to age group 50-59 years were having more depression as compared to other age groups. Patient having more than 5 years duration of disease were more depressive i.e. 34 patients out of 102. Monthly income of the patient 10000-20000 had rich element of depression. Conclusion: In this current study we noted that physician should pay attention to pick up sign and symptom of depression while managing diabetes. We found that patient having longer duration of disease, low socioeconomic status and those who belongs to urban area have high depression level. Patient with uncontrolled diabetes were more prone to depression and suicidal tendencies than the controlled diabetics.
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