Prevalence and determinants of depression among patients with Type 2 diabetes mellitus attending family medicine clinics in Qatar

American journal of medicine open Pub Date : 2023-06-01 DOI:10.1016/j.ajmo.2022.100014

Mansoura Ismail , Mai Hassan Seif , Nourhan Metwally , Marwa Neshnash , Anwar I. Joudeh , Muna Alsaadi , Samya Al-Abdulla , Nagah Selim

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引用次数: 3

Abstract

Aims

To assess the prevalence of depression and its associated factors among patients with Type 2 diabetes mellitus attending family medicine clinics in Qatar

Methods

A cross-sectional study was conducted from January to April 2021 where 683 adult patients with Type 2 diabetes mellitus were selected by cluster sampling technique using probability-proportionate to size sampling. Diabetes mellitus was defined as having HA1c of greater than or equal to 6.5%, and patients were assessed for depression using the Patient Health Questionnaire-9. The relationship between depression, glycemic control, and background characteristics was analyzed using Chi-square, and binary logistic regression analyses. Adjusted logistic regression models estimated the significant factors that were independently associated with depression.

Results

20.1% of the study participants had depression with the vast majority of them having mild depression (70.8%). More than three-quarters had uncontrolled diabetes mellitus (81.5%). Male patients were at higher risk for developing depression (AOR =1.98, 1.25-3.14) when compared to female patients. On the other hand, being Qatari was associated with a lower risk for depression compared to non-Qatari patients (AOR =0.56, 0.34—0.90), and treatment with insulin-containing regimens was associated with a lower risk for depression as compared to treatment with non-insulin- containing regimens (AOR =0.49, 0.30-0.78).

Conclusions

Prevalence of depression among patients with Type 2 diabetes attending family medicine clinics in Qatar is high. Therefore, utilizing a multidisciplinary health care plan for screening and management of depression in patients with diabetes in a primary health care setting is highly recommended.

Funding

The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

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卡塔尔家庭医学诊所2型糖尿病患者抑郁的患病率和决定因素

目的评估卡塔尔家庭医学门诊就诊的2型糖尿病患者抑郁症患病率及其相关因素。方法采用概率比例抽样整群抽样方法，于2021年1月至4月对683例成年2型糖尿病患者进行横断面研究。糖尿病定义为糖化血红蛋白大于或等于6.5%，并使用患者健康问卷-9评估患者是否患有抑郁症。使用卡方和二元logistic回归分析分析抑郁、血糖控制和背景特征之间的关系。结果20.1%的研究对象患有抑郁症，其中绝大多数为轻度抑郁症(70.8%)。超过四分之三(81.5%)患有未控制的糖尿病。男性患者患抑郁症的风险高于女性患者(AOR =1.98, 1.25-3.14)。另一方面，与非卡塔尔人相比，卡塔尔人患抑郁症的风险更低(AOR =0.56, 0.34-0.90)，与不含胰岛素的治疗方案相比，含胰岛素治疗方案患抑郁症的风险更低(AOR =0.49, 0.30-0.78)。结论卡塔尔家庭医学门诊就诊的2型糖尿病患者抑郁患病率较高。因此，强烈建议在初级卫生保健机构中利用多学科卫生保健计划筛查和管理糖尿病患者的抑郁症。作者没有从任何公共、商业或非营利部门的资助机构为这项研究宣布特定的资助。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of medicine open Medicine and Dentistry (General)

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审稿时长

47 days