A Cross Sectional Study on Prevalence of Depression in Type 2 Diabetes Mellitus Patients in Rural Field Practice Area of S Nijalingappa Medical College, Bagalkot, Karnataka

Jayaraj R Mhetri, Basavaraj S Mannapur, Ashok S Dorle, R Manjula

Abstract


Background: Diabetes and depression are highly prevalent chronic conditions that have significant impact on health outcomes. Patients with depression and diabetes have been shown to have poorer self-management and adherence to anti-diabetic, treatment when compared with diabetic patient’s alone.

Objectives: To find out, the prevalence and determinants of depression in patients with established type II Diabetes Mellitus(T2DM)

Materials and Methods: This Cross-sectional descriptive study was undertaken in rural field practice area (Shirur) of department of community Medicine, S N Medical College, Bagalkot. A total of 150 Patients with established T2DM were evaluated for depression by administering the 21 item Beck Depression Inventory (BDI) Scale. Results: A total of 150 diabetes patients were assessed for depression, out of which 51% were male and 49% were females. 40.6% of the participants belonged to age group of 61-70 years .31.3% of the subjects had diabetes for last 6-10 years. According to becks depression scale ,44%of the subjects were not depressed, 29% of them suffered from mild depression, 16% had moderate and 11% had severe depression. 31.2% of 41-50 years’ age group were severely depressed. Majority of the severely depressed subjects belonged to class 3 Socioeconomic class according to modified B G Prasad classification which was statistically significant. 56.2% of patients on insulin and OHA s were severely depressed, 56.2% of severely depressed patients had diabetes for 10-15 years, 75% of overweight or obese patients were severely depressed. 48% of the depressed patients had some form of co morbidities, patients with co morbities were likely to be more depressed than those without co morbidities with odds ratio of 3.18.38.6% of the depressed patients had suicidal thoughts. Subjects with depression were more likely to think about suicide, with odds ratio of 3.90.

Keywords: Depression, Diabetes, Rural, Becks Depression Inventory


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