Depression in Barbadian adults with type 2 diabetes

Abstract

Purpose

The aim of this study was to explore the frequency and distribution of depression in Barbadian adults with type 2 diabetes.

Methods

Adults aged 20–80 years with type 2 diabetes, completed a cross-sectional survey comprised of, a profile section, and the standardized questionnaire; the Patient Health Questionnaire (PHQ-9). Additionally, biological (HbA1c and blood pressure) measurements were collected.

Results

For the 509 participants, 65.4%, 1.4%, 22% and 8% showed minimal, moderately severe to severe; mild and moderate depression respectively. Female participants ranked higher in depression than males. Persons who reported having never been married were identified as having the greatest prevalence of mild and severe depression. There was a small positive correlation between glycemic control and depression.

Conclusions

The results suggest that the presence of this affective disorder may be under-recognized in Barbadian patients with type 2 diabetes mellitus. Management protocol could incorporate the screening for depression.

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Data availability

Not applicable.

References

  1. 1.

    WHO. WHO | Global status report on noncommunicable diseases 2010 [Internet]. WHO. 2010 [cited 2014 Mar 9]. Available from: http://www.who.int/nmh/publications/ncd_report2010/en/. Accessed 09 Mar 2014.

  2. 2.

    La S, Rj W, Te F. Chronic diseases–facing a public health challenge. West Indian Med J. 2001;50(Suppl 4):27–31.

    Google Scholar 

  3. 3.

    Geneau R, Stuckler D, Stachenko S, McKee M, Ebrahim S, Basu S, et al. Raising the priority of preventing chronic diseases: a political process. Lancet. 2010;376:1689–98.

    Article  Google Scholar 

  4. 4.

    Regional Health Observatory [Internet]. 2014 [cited 2014 Oct 31]. Available from: http://www.paho.org/hq/index.php?option=com_content&view=category&layout=blog&id=2395&Itemid=2523. Accessed 21 Oct 2014.

  5. 5.

    International Diabetes Federation. 2014. Barbados [Internet]. [cited 2014 Jul 14]. Available from: http://www.idf.org/membership/nac/barbados. Accessed 21 Oct 2014.

  6. 6.

    Adams OP, Carter AO. Knowledge, attitudes, practices, and barriers reported by patients receiving diabetes and hypertension primary health care in Barbados: a focus group study. BMC Fam Pract. 2011;12:135.

    Article  Google Scholar 

  7. 7.

    Banwari G. Comorbid depression and diabetes mellitus: a double whammy. NHL J Med Sci 2 2 9–14 [Internet]. 2013 [cited 2015 Jan 22]; Available from: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.403.6139&rep=rep1&type=pdf. Accessed 22 Jan 2015.

  8. 8.

    Fisher L, Skaff MM, Mullan JT, Arean P, Glasgow R, Masharani U. A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with Type 2 diabetes. Diabet Med J Br Diabet Assoc. 2008;25:1096–101.

    CAS  Article  Google Scholar 

  9. 9.

    Ott A, Stolk RP, van Harskamp F, Pols HAP, Hofman A, Breteler MMB. Diabetes mellitus and the risk of dementia. The Rotterdam study. Neurology. 1999;53:1937–7.

    CAS  Article  Google Scholar 

  10. 10.

    Llorente MD, Urrutia V, Diabetes. Psychiatric Disorders, and the Metabolic Effects of Antipsychotic Medications. Clin Diabetes. 2006;24:18–24.

    Article  Google Scholar 

  11. 11.

    Egede LE, Ellis C. Diabetes and depression: Global perspectives. Diabetes Res Clin Pract. 2010;87:302–12.

    Article  Google Scholar 

  12. 12.

    Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. The Prevalence of Comorbid Depression in Adults With Diabetes A meta-analysis. Diabetes Care. 2001;24:1069–78.

    CAS  Article  Google Scholar 

  13. 13.

    Black SA, Markides KS, Ray LA. Depression predicts increased incidence of adverse health outcomes in older Mexican Americans with type 2 diabetes. Diabetes Care. 2003;26:2822–8.

  14. 14.

    Peyrot M, Rubin RR. Levels and Risks of Depression and Anxiety Symptomatology Among Diabetic Adults. Diabetes Care. 1997;20:585–90.

    CAS  Article  Google Scholar 

  15. 15.

    Karlson B, Agardh CD. Burden of illness, metabolic control, and complications in relation to depressive symptoms in IDDM patients. Diabet Med J Br Diabet Assoc. 1997;14:1066–72.

    CAS  Article  Google Scholar 

  16. 16.

    Lin EHB, Von Korff M. Mental disorders among persons with diabetes—Results from the world mental health surveys. J Psychosom Res. 2008;65:571–80.

    Article  Google Scholar 

  17. 17.

    Monroe CE, Affuso O, Martin MY, Aung M, Crossman L, Jolly PE. Correlates of symptoms of depression and anxiety among clinic outpatients in Western Jamaica. West Indian Med J. 2013;62:533–42.

    CAS  Article  Google Scholar 

  18. 18.

    Gibson RC, Neita SM, Abel WD, James K, Eldemire-Shearer D. Sociodemographic factors associated with depressive symptoms among elderly persons from two communities in Kingston, Jamaica. West Indian Med J. 2013;62:615–9.

    CAS  Article  Google Scholar 

  19. 19.

    Martin JS, Neita SM, Gibson RC. Depression among cardiovascular disease patients on a consultation-liaison service at a General Hospital in Jamaica. West Indian Med J. 2012;61:499–503.

    CAS  Article  Google Scholar 

  20. 20.

    Hickling FW. The epidemiology of schizophrenia and other common mental health disorders in the English-speaking Caribbean. Rev Panam Salud Pública. 2005;18:256–62.

    Article  Google Scholar 

  21. 21.

    Kroenke K, Spitzer RL. The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Ann. 2002;32:509–15.

    Article  Google Scholar 

  22. 22.

    Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum; 1988.

    Google Scholar 

  23. 23.

    Ali S, Stone MA, Peters JL, Davies MJ, Khunti K. The prevalence of co-morbid depression in adults with Type 2 diabetes: a systematic review and meta-analysis. Diabet Med J Br Diabet Assoc. 2006;23:1165–73.

    CAS  Article  Google Scholar 

  24. 24.

    Asghar S, Hussain A, Ali SMK, Khan AKA, Magnusson A. Prevalence of depression and diabetes: a population-based study from rural Bangladesh. Diabet Med J Br Diabet Assoc. 2007;24:872–7.

    CAS  Article  Google Scholar 

  25. 25.

    Joseph N, Unnikrishnan B, Raghavendra Babu Y, Kotian Ms, Nelliyanil M. Proportion of depression and its determinants among type 2 diabetes mellitus patients in various tertiary care hospitals in Mangalore city of South India. Indian J Endocrinol Metab. 2013;17:681.

    Article  Google Scholar 

  26. 26.

    Frederick FT, Maharajh HD. Prevalencia de la depresión en pacientes con diabetes tipo 2 en Trinidad y Tobago. West Indian Med J. 2013;62:628–31.

    CAS  PubMed  Google Scholar 

  27. 27.

    Detzer MJ, Wendt SJ, Solomon LJ, Dorsch E, Geller BM, Friedman J, et al. Barriers to condom use among women attending planned parenthood clinics. Women Health. 1995;23:91–102.

    CAS  Article  Google Scholar 

  28. 28.

    Scott KM, Wells JE, Angermeyer M, Brugha TS, Bromet E, Demyttenaere K, et al. Gender and the relationship between marital status and first onset of mood, anxiety and substance use disorders. Psychol Med. 2010;40:1495–505.

    CAS  Article  Google Scholar 

  29. 29.

    Eren I, Erdi O, Ozcankaya R. [Relationship between blood glucose control and psychiatric disorders in type II diabetic patients]. Türk Psikiyatri Derg Turk J Psychiatry. 2003;14:184–91.

    Google Scholar 

  30. 30.

    Zuberi SI, Syed EU, Bhatti JA. Association of depression with treatment outcomes in Type 2 Diabetes Mellitus: A cross-sectional study from Karachi, Pakistan. BMC Psychiatry. 2011;11:27.

    Article  Google Scholar 

  31. 31.

    El Adl T, Talaat A, Elsayed O, Shahda M, Neamatallah M. Psychiatric morbidity and glycemic control in type 2 non obese diabetic Egyptian patients. Life Sci J [Internet]. 2013 [cited 2015 Jan 22];10. Available from: http://www.lifesciencesite.com/lsj/life1001/166_15405life1001_1071_1078.pdf. Accessed 22 Jan 2015.

  32. 32.

    Bolton P, Bass J, Neugebauer R. Group interpersonal psychotherapy for depression in rural uganda: A randomized controlled trial. JAMA. 2003;289:3117–24.

    Article  Google Scholar 

  33. 33.

    Araya R, Flynn T, Rojas G, Fritsch R, Simon G. Cost-effectiveness of a primary care treatment program for depression in low-income women in Santiago, Chile. Am J Psychiatry. 2006;163:1379–87.

    Article  Google Scholar 

  34. 34.

    Patel V, Weiss HA, Chowdhary N, Naik S, Pednekar S, Chatterjee S, et al. Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial. Lancet. 2010;376:2086–95.

    Article  Google Scholar 

  35. 35.

    Dziemidok P, Makara-Studzińska M, Jarosz MJ. Diabetes and depression: a combination of civilization and life-style diseases is more than simple problem adding - literature review. Ann Agric Environ Med AAEM. 2011;18:318–22.

    PubMed  Google Scholar 

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Correspondence to Allison A. DaSantos.

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DaSantos, A.A., Goddard, C. & Ragoobirsingh, D. Depression in Barbadian adults with type 2 diabetes. J Diabetes Metab Disord (2020). https://doi.org/10.1007/s40200-020-00677-z

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Keywords

  • Barbados
  • Depression
  • Type 2 diabetes
  • Adults