Depression among type-II diabetes mellitus attending a tertiary hospital, Kolkata, evaluated by patient health questionnaire-9

Abstract

Back ground and Objectives: India has the largest number of diabetic patients turning it a capital for Diabetes in recent days. Depression is a major public health problem associ¬ated with chronic disease like diabetes and co existence of Diabetes and depression is as¬sociated with significantly increases risk of morbidity and mortality. This study was conducted to determine the prevalence and the level of depression and to identify the associated factors related with the disease among the study population attending the Diabetic OPD of SSKM Hospital. Methodology: A cross-sectional study was conducted among 406 diabetic patients attending diabetic OPD of SSKM Hospital using a pre-designed, pre-tested, structured schedule by face-to-face interview method and reviewing of investigation records. Data were analysed using SPSS v16.0. Multi-variable binary logistic regression was performed to find the factors associated depression. Results: The prevalence of depression among adult diabetic patient in this study was found to be 44.4 %. Statistically significant factors associated with depression were fasting sugar, post pandial sugar, HbA1c, medication socioeconomic class, gender and duration of diabetes. Conclusion: This study confirms the link between depression and Diabetes where the prevalence of depression was inevitable as a co-morbid condition with Diabetes. Universal screening for depression and management of depres¬sion in Diabetes can improve the health status and reduce the economic burden of the community.

Keywords

• psychosis
• glycosylated haemoglobin
• comorbidity
• quality of life (qol)