Assessment of depression, anxiety and stress among patients with type II diabetes mellitus attending a tertiary care centre

Kasturi Hazarika; M. Fahad Ali; Saurabh Agarwal; Shivendra Verma; Vipul Singh

doi:10.18203/2349-3933.ijam20231871

Authors

Kasturi Hazarika Department of Medicine, GSVM Medical College, Kanpur, Uttar Pradesh, India
M. Fahad Ali Department of Medicine, GSVM Medical College, Kanpur, Uttar Pradesh, India
Saurabh Agarwal Department of Medicine, GSVM Medical College, Kanpur, Uttar Pradesh, India
Shivendra Verma Department of Medicine, GSVM Medical College, Kanpur, Uttar Pradesh, India
Vipul Singh Department of Psychiatry, GSVM Medical College, Kanpur, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20231871

Keywords:

Depression, Anxiety, Stress, DASS, Diabetes mellitus

Abstract

Background: India is home to 17% diabetic (~80 million) population of world and is expected to increase to 135 million by 2045. Chronic illnesses association with psychiatric morbidity. Positive relationship exists between diabetes and psychiatric disorders and have definite negative impact on self-care practices, worsening physical and mental health, diminishing quality of life (QoL) and poor resulting in greater economic burden both to family and society.

Method: A cross-sectional study was conducted in a diabetes clinic of a tertiary care facility in North India. Hindi version of DASS 21 was used to ascertain the psychological health of patients which determine the presence of depression, anxiety and stress. Data were analysed using SPSS 20.0

Results: We found a high prevalence of depression (49.7%), anxiety (69.7%) and stress (68.3%) among patients belonging to lower socioeconomic status, rural residence and lower literacy rates/illiteracy. The prevalence of depression was higher among females.

Conclusions: There is a high prevalence of psychiatric morbidity among the North Indian diabetic population which shows some variability with changing demographic profile.

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References

Patten SB. Long-term medical conditions and major depression in the Canadian population. Can J Psychiatr. 1999;44(2):151-7.

Dixon L. Prevalence and correlates of diabetes in national schizophrenia samples. Schizophrenia Bull. 2000;26(4):903-12.

Coodin S. Body mass index in persons with schizophrenia. Canadian J Psychiat. 2001;46(6):549-55.

Brown LC, Svenson LW, Beck CA. Diabetes and mental health disorders in Alberta,” in Alberta diabetes atlas 2007. Institute Health Economics. 2007;113-25.

Goff DC. A comparison of ten-year cardiac risk estimates in schizophrenia patients from the Catie study and matched controls. Schizophrenia Res. 2005;80(1):45-53.

Gilmour H. Depression and risk of heart disease. Health Rep. 2008;19(3).

Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. (2nd Ed.) Sydney: Psychology Foundation. 1995.

Gurpreet K, Tee GH, Suthahar A. Depression, Anxiety and Stress Symptoms among Diabetics In Malaysia: A Cross Sectional Study In An Urban Primary Care Setting. BMC Fam Pract. 2013;14:69.

Tan KC. Depression, Anxiety and Stress Among Patients With Diabetes In Primary Care: A Cross-Sectional Study. Malays Fam Physician. 2015;10(2):9-21.

Amit T, Subhash D, Tejasav S, Yashdeep G. Depression Among Patients with Diabetes Mellitus in North India Evaluated Using Patient Health Questionnaire-9. Indian J Endocrinol Metab. 2015;19(2):252-5.

Bell RA, Smith S, Arcury TA, Snively BM, Stafford JM, Quandt SA. Prevalence And Correlates of Depressive Symptoms Among Rural Olderafrican Americans, Native Americans, And Whites with Diabetes. Diabetes Care. 2005;2:823-9.

Sulaiman N, Hamdan A, Tamim H, Mahmood DA, Young D. The Prevalence and Correlates of Depression And Anxiety In A Sample Of Diabetic Patients In Sharjah United Arab Emirates. BMC Fam Pract. 2010;1.

Kruse J, Norbert S, Wolfgang T. On The Association Between Diabetes and Mental Disorders in A Community Sample. Diabetes Care: Results from The German National Health Interview and Examination Survey. 2003:26(6).

Khuwaja AK, Lalani S, Dhanani R, Azam Si, Rafique G, White F. Anxiety and Depression Among Outpatients with Type 2 Diabetes: A Multi-Centre Study of Prevalence and Associated Factors. Diabetol Metab Syndr. 2010;2(72):2-7.

Tovilla-Zárate C, Juárez-Rojop I, Peralta Jimenez Y, Jiménez MA, Vázquez S, Bermúdez-Ocaña D et al. Prevalence of Anxiety and Depression Among Outpatients with Type 2 Diabetes in The Mexican Population. Plos One. 2012;7(5):E36887.

Tann SS, Yabiku ST, Okamoto SK, Yanow J. Triadd: The Risk for Alcohol Abuse, Depression, And Diabetes Multimorbidity in The American Indian and Alaskan Native Population. Am Indian Native Ment Health Res. 2007;14(1):1-23.

Collins MM, Corcoran P, Perry IJ. Anxiety And Depression Symptoms in Patients with Diabetes. Diabet Med. 2009;26(2):153-61.

Abdulbari B, Oaa Al-Hamaq A, Dafeeah EE. High Prevalence of Depression, Anxiety and Stress Symptoms Among Diabetes Mellitus Patients. Open Psychiatr J. 2011;5:5-12.

Dahlén I, Janson C. Anxiety and Depression Are Related to The Outcome Of Emergency Treatment In Patients With Obstructive Pulmonary Disease. Chest. 2002;122(5):1633-7.

Raval A, Dhanaraj E, Bhansali A, Grover S, Tiwari P. Prevalence and Determinants of Depression in Type 2 Diabetes Patients In A Tertiary Care Centre. Indian J Med Res. 2010;132:195 200.

Anderson RJ, Freedland KE, Clouse RE, Lustman P. The Prevalence of Comorbid Depression In Adults With Diabetes: A Meta-Analysis. Diabetes Care. 2001;24:1069-78.

Khuwaja AK, Lalani S, Dhanani R, Azam Si, Rafique G, White F. Anxiety and Depression Among Outpatients with Type 2 Diabetes: A Multi-Centre Study of Prevalence And Associated Factors. Diabetol Metab Syndr. 2010;2(72):2-7.

Tovilla-Zárate C, Juárez-Rojop I, Peralta Jimenez Y, Jiménez Ma, Vázquez S, Bermúdez-Ocaña D et al. Prevalence of Anxiety and Depression Among Outpatients with Type 2 Diabetes in The Mexican Population. Plos One 2012, 7(5):E36887.

Agbir TM, Audu MD, Adebowale TO, Goar SG. Depression Among Medical Outpatients with Diabetes: A Cross-Sectional Study at Jos University Teaching Hospital, Jos. Nigeria Ann Afr Med. 2010;9:5-10.

Nichols GA, Brown JB. Unadjusted and Adjusted Prevalence of Diagnosed Depression in Type 2 Diabetes. Diabetes Care. 2003;26(3):744-9.

Tann SS, Yabiku ST, Okamoto SK, Yanow J. Triadd: The Risk for Alcohol Abuse, Depression, and Diabetes Multimorbidity in The American Indian and Alaskan Native Population. Am Indian Native Ment Health Res. 2007;14(1):1-23.

Piccinelli M, Wilkinson G. Gender Differences in Depression: Critical Review. Br J Psychiatr. 2000;177:486-92.

Taylor DJ, Lichstein KL, Durrence HH, Reidel BW, Bush AJ. Epidemiology Of Insomnia, Depression, And Anxiety. Sleep. 2005;28(11):1457-64.

St John PD, Montgomery PR. Marital Status, Partner Satisfaction, And Depressive Symptoms in Older Men and Women. Can J Psychiatr. 2009;54(7):487-92.

Afifi TO, Cox BJ, Enns MW. Mental Health Profiles Among Married, Never Married, And Separated/Divorced Mothers in A Nationally Representative Sample. Soc Psychiatry Psychiatr Epidemiol. 2006;41:122-9.

Stutzer A, Bruno SF. Does Marriage Make People Happy, Or Do Happy People Get Married? J Socio Econ. 2006;35:326-47.

Krantz G, Östergren PO. Double Exposure: The Combined Impact of Domestic Responsibilities And Job Strain On Common Symptoms In Employed Swedish Women. Eur J Public Health. 2001;11:413-9.

Romosan F, Lenci M, Stoica I, Dehelean L. Stressful life events and anxiety disorders. Timisoara Med J. 2004;54(1):36-8.