Prevalence of depression and anxiety in type 2 diabetes mellitus patients in tertiary care hospital


  • Ashok M. Kamat Department of Psychiatry, KAHER Institute of Nursing Sciences, Belagavi, Karnataka, India
  • Sudha A. Raddi Department of OBG, KAHER Institute of Nursing Sciences, Belagavi, Karnataka, India



Anxiety, Depression, Tertiary care hospital, Type 2 diabetes mellitus


Background: The prevalence of depression and anxiety in diabetes is considerably higher than normal population and found to have a negative impact on diabetes. Objective of the study was to assess the prevalence of depression and anxiety and to identify their associated risk factors among people with type 2 diabetes mellitus.

Methods: Descriptive study was done in Endocrine and medicine outpatient Department of Vijaya Hospital in Belagavi, South India. Total 384 patients with type 2 diabetes mellitus were interviewed for depression and anxiety by administering the Hospital Anxiety and Depression Scale (HADS).

Results: Of the total 384 patients surveyed, depression and anxiety were found in 32.56%. (95%CI 27.8-37.2%) and 37.76% (95% CI 33.1-42.9%) respectively. In Multiple Logistic regression analysis age, unmarried, religion, duration of type II diabetes and type of treatment were significantly associated with depression symptoms, Anxiety symptoms were associated with age, Qualification, Occupation, Religion, Duration and type of treatment.

Conclusions: This study found a high prevalence of depression and anxiety in patients with Type 2 DM. Therefore, the care of individuals with type 2 Diabetes Mellitus (DM) should include the screening and possible treatment of depression and anxiety in order to achieve and sustain treatment goals.

Author Biography

Ashok M. Kamat, Department of Psychiatry, KAHER Institute of Nursing Sciences, Belagavi, Karnataka, India



AS Fauci, DL Kasper, SL Hauser, JL Jameson, J Loscalzo, Dan Longo J, et al. Harrison’s principles of internal medicine. 17th ed. New York: McGraw Hill; 2008:2275-2276.

Diabetes Programm, Facts and figures. Available at: Accessed 17 December 2007.

Anjana RM, Ali MK, Pradeepa R, Deepa M, Datta M, Unnikrishnan R, et al. The need for obtaining accurate nationwide estimates of diabetes prevalence in India-rationale for a national study on diabetes. Ind J Med Res. 2011 Apr;133(4):369.

King H, Aubert RE, Herman WH. Global burden of diabetes, 1995–2025: prevalence, numerical estimates, and projections. Diabe Care. 1998 Sep 1;21(9):1414-31.

DIaMoND JED. Medicine. Diabe Ind. 2011; 469(7331):478-9.

Wittchen HU. Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): a critical review. J Psychiatr Res. 1994 Jan 1;28(1):57-84.

Al-Amer RM, Sobeh MM, Zayed AA, Al-domi HA. Depression among adults with diabetes in Jordan: risk factors and relationship to blood sugar control. J Diabe Compl. 2011 Jul 1;25(4):247-52.

Balhara YP, Sagar R. Correlates of anxiety and depression among patients with type 2 diabetes mellitus. Ind J Endocrinol Metab. 2011 Jul;15(Suppl1):S50.

Raval A, Dhanaraj E, Bhansali A, Grover S, Tiwari P. Prevalence & determinants of depression in type 2 diabetes patients in a tertiary care centre. Ind J Med Res. 2010 Aug 1;132(2):195.

Pouwer F, Geelhoed‐Duijvestijn PH, Tack CJ, Bazelmans E, Beekman AJ, Heine RJ, et al. Prevalence of comorbid depression is high in out‐patients with Type 1 or Type 2 diabetes mellitus. Results from three out‐patient clinics in the Netherlands. Diabe Med. 2010 Feb;27(2):217-24.

Nasser J, Habib F, Hasan M, Khalil N. Prevalence of depression among people with diabetes attending diabetes clinics at primary health settings. Bahrain Med Bull. 2009 Sep;31:1-7.

Kaur G, Tee GH, Ariaratnam S, Krishnapillai AS, China K. Depression, anxiety and stress symptoms among diabetics in Malaysia: a cross sectional study in an urban primary care setting. BMC Family Pract. 2013 Dec;14(1):69.

Khullar S, Dhillon H, Kaur G, Sharma R, Mehta K, Aggarwal R, et al. The prevalence and predictors of depression in type 2 diabetic population of Punjab. Commu Mental Health J. 2016;52:479-83.

Bener A, Al-Hamaq AA, Dafeeah E. High prevalence of depression, anxiety and stress symptoms among diabetes mellitus patients. Open Psychia J. 2011;5:5-12.

Eren I, Edi O, Ozcankaya R. Relationship between blood glucose control in type 2 diabetic patients. Turk Psikiyatri Derg. 2000 ;4:546-50.

Li C, Ford ES, Strine TW, Mokdad AH. Prevalence of depression among US adults with diabetes: findings from the 2006 behavioral risk factor surveillance system. Diabe Care. 2008 Jan 1;31(1):105-7.

Kendrick T, Dowrick C, McBride A, Howe A, Clarke P, Maisey S, et al. Management of depression in UK general practice in relation to scores on depression severity questionnaires: analysis of medical record data. BMJ. 2009 Mar 19;338:b750.

Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabe Care. 2001 Jun 1;24(6):1069-78.




How to Cite

Kamat, A. M., & Raddi, S. A. (2020). Prevalence of depression and anxiety in type 2 diabetes mellitus patients in tertiary care hospital. International Journal of Research in Medical Sciences, 8(4), 1308–1313.



Original Research Articles