The Prevalence of Depression among Type 2 Diabetic Patients in PhangKhon Hospital

Abstract

Background and Objective: Diabetes mellitus is a chronic illness and leading cause of major and minor vascular complications. Heart disease, hypertension, stroke, and end-stage renal disease are major complications of diabetes. Depression in people with diabetes is associated with poor glycemic control, risk of complications, healthcare utilization and cost. Depression is major psychiatric problem. At the first of diagnosis of depression, management and continuely follow up are reduce complications, improve healthy and quality of life.  This study aims to assess prevalence and factors of depression among type 2 diabetic patients in Phangkhon hospital.

Methods : The design was cross – sectional descriptive study. All of the type 2 diabetic patients in Phangkhon hospital which the age > 35 years old and follow up at diabetic clinic 1 year or more. Each participant was asked to answer the depression questionnaires from Mental Health Department, Ministry of Public Health. Analysis was frequency (percent), Mean and SD. The depression factors were analysis by multinomial logistic regression.

Results : There were 330 type 2 diabetic patients in Phangkhon hospital which were 101 men and 229 women at the end of the study. The mean age was 61.7±10.2 years. Type 2 diabetic patients with depression were 10.3% (12.2% in women and 5.9% in men) most likely is mild depression and the risk of suicidal was 11.8%. The prevalence of DM with tree coexisting chronic conditions was 29.8%. Depression was associated significantly with sex, age, coexisting chronic conditions and duration of diabetes (p< 0.05).

Conclusion: Prevalence of depression among type 2 diabetic patients in Phangkhon hospital was mostly in women and mild depression. The risk of suicidal was mild. The factors of depression were sex, age, coexisting chronic conditions and duration of diabetes. Appropriately treatment of depression in type 2 diabetic patients and continuely follow up was related to good glycemic control in type 2 diabetic patients and decreased complications and better quality of life.

Key Words : Depression, Type 2 diabetes Mellitus, Coexisting chronic conditions