Community Based Screening for Depression in Diabetes Mellitus in Urban Areas of Thiruvallur District. A Cross Sectional-Analytical Study
DOI:
https://doi.org/10.52783/jns.v14.3467Keywords:
Psychosocial, Depression, Glycemic control, Diabetes mellitus, PHQ Questionnaire ScreeningAbstract
Type 2 diabetes and depression are serious health issues in our society. Chronic diseases like diabetes may stress people and impact pathophysiologic systems and mood. This may cause despair and a poor T2DM prognosis. T2DM patients with depression are at risk for heart disease, stroke, and death. Depressive symptoms are not screened for, hence depression is underdiagnosed in diabetes patients despite its increased incidence and management burden. This research estimated the frequency of depression in T2DM patients in Thiruvallur District and examined its relationship to glycaemic management and other risk variables. This descriptive cross-sectional research included 271 T2DM patients from Urban Health Training Centre (UHTC), Thirumazhisai, our urban field practice region. The trial ran from July to August 2024. The nine-item “Patient Health Questionnaire-9” was used to screen for depression and monitor fasting and postprandial blood sugar levels. 46.5% of 271 T2DM patients were women and 53.5% were men. The average participation age was 55.12. 75.6 percent of research participants had FBS ≥ 125 mg/dl. Among the 69.3% with depression, 44% had mild, 14% moderate, 8% moderately severe, and 4% severe. Fasting blood glucose, family history, complications, diabetes duration, and exercise were substantially linked with depression. This research reveals that depression is common in T2DM patients and is linked to poor prognosis, as seen by poor FBS and PPBS and diabetes complications. Screening and counselling for depression in T2DM patients are necessary for optimal management and therapy.
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Sharad P. Practical Management of Diabetes. Chapter 1. 2nd edition. India: Jaypee Brothers Medical Publishers; 2002: 16.
Krentz AJ, Bailey CJ. Type 2 Diabetes in Practice. Chapter 1. India: Panther Publishers; 2001:1.
Kaveeshwar S. The current state of diabetes mellitus in India. Australas Med J. 2014;7(1):45–8.
NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4.4 million participants. Lancet. 2016;387(10027):1513–30.
World Health Organization Regional office for Europe. Depression: definition. Available at: http://www.euro.who.int/en/health-topics/non- communicable-diseases/pages/news/news/2012/10/ depression-in-europe/depression-definition. Accessed on 19 December 2016.
Grover S, Dutt A, Avasthi A. An overview of Indian research in depression. Indian J Psychiatry. 2010;52(7):178-88.
Poongothai S, Pradeepa R, Ganesan A, Mohan V. Prevalence of Depression in a Large Urban South Indian Population - The Chennai Urban Rural Epidemiology Study (Cures-70). PLoS ONE. 2009;4(9):7185.
Khuwaja AK, Lalani S, Dhanani R, Azam IS, Rafique G, White F. Anxiety and depression among outpatients with type 2 diabetes: A multi-centre study of prevalence and associated factors. Diabetol Metabol Synd. 2010;2(1):72.
Das R, Singh O, Thakurta RG, Khandakar M, Ali S, Mallick A, et al. Prevalence of depression in patients with type II diabetes mellitus and its impact on quality of life. Indian J Psychol Med. 2013;35(3):284-9.
Talbot F, Nouwen A. A review of the relationship between depression and diabetes in adults: is there a link? Diabetes Care. 2000;23(10):1556–62.
Nichols L, Barton PL, Glazner J, McCollum M. Diabetes, minor depression and health care utilization and expenditures: a retrospective database study. Cost Eff Resour Alloc. 2007;5(1):4.
Bouwman V, Adriaanse MC, Van „t Riet E, Snoek FJ, Dekker JM, Nijpels G. Depression, anxiety and glucose metabolism in the general Dutch population: the new Hoorn study. PLoS One. 2010;5(4):9971.
Zhang X. Depressive Symptoms and Mortality among Persons with and without Diabetes. Am J Epidemiol. 2005;161(7):652–60.
Katon WJ. The Comorbidity of Diabetes Mellitus and Depression. Am J Med. 2008;121(11):8–15.
Goldston DB, Kovacs M, Ho VY, Parrone PL, Stiffler L. Suicidal ideation and suicide attempts among youth with insulin-dependent diabetes mellitus. J Am Acad Child Adolesc Psychiatry. 1994;33(2):240-6.
Goldston DB, Kelley AE, Reboussin DM, Daniel SS, Smith JA, Schwartz RP, et al. Suicidal ideation and behavior and noncompliance with the medical regimen among diabetic adolescents. J Am Acad Child Adolesc Psychiatry. 1997;36(11):1528-36.
Liang CC, Tsan KW, Ma SM, Chow SF, Wu CC. The Relationship between Fasting Glucose and HbA1c among Customers of Health Examination Services. Formos J Endocrin Metab. 2010;1(3):1-5.
Indian Council of Medical Research. Guidelines for Management of Type 2 Diabetes Mellitus. Available at: http://icmr.nic.in/guidelines_diabetes/section4. pdf. Accessed on 25 December 2016.
Bonora E, Tuomilehto J. The Pros and Cons of Diagnosing Diabetes with A1C. Diabetes Care. 2011;34(2):184-90.
Musenge EM, Manankov A, Michelo C, Mudenda B. Relationship between glycated hemoglobin and fasting plasma glucose among diabetic out-patients at the University Teaching Hospital, Lusaka, Zambia. Tanzan J Health Res. 2016;18(3):1-9.
Instruction Manual. Instructions for Patient Health Questionnaire (PHQ) and GAD-7 Measures. Available at: https://phqscreeners.pfizer.edrupal- gardens.com/sites/g/files/g10016261/f/201412/instr uctions.pdf. Accessed on 12 February 2017.
Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13.
Li C, Ford ES, Strine TW, Mokdad AH. Prevalence of depression among U.S. adults with diabetes: findings from the 2006 behavioral risk factor surveillance system. Diabetes Care. 2008;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;338:750.
Madhu M, Abish A, Anu K, Jophin RI, Kiran AM, Vijayakumar K. Predictors of depression among patients with diabetes mellitus in Southern India. Asian J Psychiatr. 2013;6(4):313–7.
Sahota PKC, Knowler WC, Looker HC. Depression, Diabetes, and Glycemic Control in an American Indian Community. J Clin Psychiatry. 2008;69(5):800-9.
Bajaj S, Agarwal SK, Varma A, Singh VK. Singh. Association of depression and its relation with complications in newly diagnosed type 2 diabetes. Indian J Endocrinol Metab. 2012;16(5):759-63.
Dejenie HT, Radie YT, Sharew NT. Prevalence of Depression among Type 2 Diabetic Outpatients in Black Lion General Specialized Hospital, Addis Ababa, Ethiopia. Depress Res Treat. 2015;(2015):184902.
Joseph N, Unnikrishnan B, Raghavendra Babu YP, Kotian MS, Nelliyanil M. Proportion of depression and its determinants among type 2 diabetes mellitus patients in various tertiary care hospitals in Mangalore city of South India. Indian J Endocrinol Metab. 2013;17(4):681-8.
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