Assessment of depression and diabetes distress in type 2 diabetes mellitus patients in a tertiary care hospital of South India

Authors

  • Prerna Dogra Department of Medicine, JSS Medical College and Hospital, JSS University, Mysuru, Karnataka, India
  • Rajendra Prasad S. Department of Medicine, JSS Medical College and Hospital, JSS University, Mysuru, Karnataka, India
  • Subhashchandra B. J. Department of Medicine, JSS Medical College and Hospital, JSS University, Mysuru, Karnataka, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20173696

Keywords:

Comorbidity, Depression, Diabetes complications, Risk factors

Abstract

Background: Depression is one of the many complications seen among diabetics. Depression leads to lack of self-care by the diabetic and endangers the therapeutic compliance, accounting for a derangement in metabolic control which in turn causes further diabetic complications and may even result in hospitalization. This leads to an increase in depressive symptoms and thus the vicious cycle continues.

Methods: It is a Descriptive, cross sectional study conducted in the Medicine outpatient department. Depression was assessed by Hamilton depression rating scale. Diabetic distress was assessed by diabetic distress scale.

Results: Out of the 250 study participants, 142 (56.8%) were found to be suffering from depression and 6 (2.4%) were found to have diabetes distress. The magnitude of depression was similar in both male and female. Depression was high among illiterates, unemployed (70%), single, separated individuals and patients with complications of diabetes. There was no significant association between religion and low economic status with depression. Treatment modalities, complications of diabetes, sociodemographic factors like age, sex, occupation, education, marital status, religion and socio-economic status had no significant correlation with diabetic distress. But there was a statistically significant association between diabetic distress and co-morbid conditions. 95.8% with depression had no distress and this association was found to be statistically significant (0.038).

Conclusions: The magnitude of depression and distress is much high among diabetics. Early detection, counselling and treatment are required for all diabetics, especially those who have additional risk factors for the development of depression.

Author Biographies

Prerna Dogra, Department of Medicine, JSS Medical College and Hospital, JSS University, Mysuru, Karnataka, India

Assistant Professor, Department of Medicine

Rajendra Prasad S., Department of Medicine, JSS Medical College and Hospital, JSS University, Mysuru, Karnataka, India

Professor and HOD of Medicine, Department of Medicine

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Published

2017-08-26

How to Cite

Dogra, P., S., R. P., & B. J., S. (2017). Assessment of depression and diabetes distress in type 2 diabetes mellitus patients in a tertiary care hospital of South India. International Journal of Research in Medical Sciences, 5(9), 3880–3886. https://doi.org/10.18203/2320-6012.ijrms20173696

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Original Research Articles