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Prevalence and Determinants of Depression among Diabetic Patients,Babel Province, Iraq, 2013-2014 | ||
| Journal of the Faculty of Medicine | ||
| Article 1, Volume 56, Issue 4, 2014, Pages 411-416 | ||
| Authors | ||
| ; alan Al Aboudi; Faris Lami; Ashraf Al Maliki | ||
| Abstract | ||
| Background: Diabetes Mellitus is a complex chronic disease, requiring continuous medical care with multi factorial risk reduction strategies beyond glycemic control. Approximately 30% of patients with types 1 and type 2 diabetes had depression. In addition to the high risk of complications and poor glycemic control, individuals with both diabetes and depression have a 2-3 times greater risk of early mortality than do non-depressed people with diabetes. Early detection of this comorbidity is worthy, especially with simple and relatively valid scales. Objectives: To identify the prevalence and potential risk factors of depression among diabetic patients in Babel province, 2013-2014 Patient and Method: A cross-sectional study conducted in Marjan Hospital, diabetes Center, Babel, October, 1st, 2013 to April, 1st, 2014. The study included all patients with Type1 & 2 diabetes excluding pregnant women and those with advanced complications. Data on socio-demographic variables, diabetes characteristics and presence of comorbid diseases and complications was compiled. Self Reporting Questioner (SRQ-20) to identify mental illnesses; DSM-IV criteria for depression and Hamilton-17 Scale, for assessment of severity of depression were used. Results: A total of 466 patients were approached; 91.2% responded. About 90% were of type 2 DM; 37% had depression; 78% had mild and only 4% had severe and very severe depression. Presence of depression was significantly associated with age (P=0.000), marital status (0.036), type of treatment (P=0.001), presence of Ischemic Heart Diseases (P=0.000); retinopathy (0.012), and neuropathy (0.000). Conclusions: More than one third of diabetic patients had depression. Age, type of treatment, and presence of other comorbid conditions or complications were significant risk factors. Key words: Diabetes, Depression, Risk Factors, Prevalence, Iraq | ||
| Keywords | ||
| Diabetes; depression; risk factors; prevalence; Iraq | ||
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