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


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 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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