PREVALENCE OF DEPRESSION AMONG PATIENTS WITH DIABETES MELLITUS ATTENDING AN URBAN HEALTH CENTRE, TAMILNADU

Dr Sayujya S Ghosh; Dr Vasantha Mallika MC

Volume : VIII, Issue : III, March - 2019

PREVALENCE OF DEPRESSION AMONG PATIENTS WITH DIABETES MELLITUS ATTENDING AN URBAN HEALTH CENTRE, TAMILNADU

Dr Sayujya S Ghosh, Dr Vasantha Mallika Mc

Abstract :

Background: Diabetes mellitus is considered to be one of the most common Non–Communicable diseases having a growing disease burden. Among 340 million Diabetics all over the world, 65 million are in India. Diabetics with co–morbid depression leads to lack of adherence to treatment, lost to follow up and poor compliance to lifestyle modifications. Therefore it is very important to assess the prevalence of depression among patients with Diabetes. Objectives: To study the prevalence of depression among Diabetics and its associated factors. Methodology: A cross–sectional study was conducted among 160 Diabetics attending the Urban Health Centre under SMIMS, Kulasekharam from December 2018 to January 2019. Depression was assessed using a previously validated PHQ–9 questionnaire. Data were analyzed. Percentages and proportions were calculated. Result: Out of the 160 patients, 158 were taken for the study and 63.3% of them were women. 57% of them were married and living with their spouse. 40.5%of them were having depression. Among those had depression, 27% had mild depression, 7.6% had moderate depression, 2.5% had moderately severe depression and 2.5% had severe depression. Age, Gender, Marital Status, Duration of Diabetes, Family history, Glycemic control, Medications, and Co–morbidities were found to be significantly associated with depression with a p–value (<0.05). In binary logistic regression Gender, Duration of Diabetes, Glycemic control, Medications, and Co–morbidities was found to be having a significant association with depression. Conclusion: There is a high prevalence of depression among patients with Diabetes. Prevalence of Diabetes and Depression show significant association with Glycemic control, Medications, and Duration of Diabetes. The early detection and prompt treatment with lifestyle modifications can prevent depression among diabetics