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A clinical study on depressive disorder in patients with type 2 diabetes mellitus in North-Eastern India

Author: 
Robin Victor, Kamal Nath, Giridhari Kar and Subrata Naskar
Subject Area: 
Health Sciences
Abstract: 

Background: Diabetes mellitus (DM) has acquired an epidemic form and requires immediate attention. Depression is found to be common among patients with diabetes and it is associated with poor outcomes in disease control. However, the data on this important relationship are limited from North–Eastern India. Aims: To study the prevalence and severity of depression in diabetes and to identify its correlation with sociodemographic variables, glycaemic control and other factors. Settings and Design: A cross-sectional case study in which consecutive 150 diagnosed cases of type 2 DM cases were selected and interviewed to find if they fulfilled the ICD-10 criteria for depressive disorder. Severity of depression was assessed using Hamilton Depressive Rating Scale 17(items).Glycaemic control among the cases was assessed by measuring HbA1c level. Results: The mean age of the study group was 50.19 ± 7.29 years with 52.66% males while 47.33% females. Prevalence of depressive disorder among the cases was 34.66%. Majority of the cases had mild depression (38.46%) followed by moderate depression (32.69%). Prevalence and severity of depression was higher in cases with age >50 years of age (49.39%), female sex (38.08%), rural background (46.15%), unmarried/separated subjects (91.66%), joint family structure (40%), lower education (45.09%), unemployment/unskilled/retired/housewife occupants (45.12%), and lower/lower middle socioeconomic status (48.48%). Depression was also associated with the duration of diabetes mellitus and the glycaemic control Majority of these findings were statistically significant (p<0.05). Conclusions: Early identification of the type 2 diabetic cases who are more vulnerable to develop depressive disorder is extremely important for management and prognosis of both these chronic disorders.

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