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Sociodemographic, clinical and lifestyle factors associated with psychiatric illness among individuals with diabetes

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Abstract

The aims of this study were to assess the prevalence of psychiatric illness among patients with diabetes and to elucidate the association of sociodemographic, clinical and lifestyle factors with the presence of psychiatric illness.A random sample of 262 patients with diabetes (age 50.48 ± 12.02 years, duration of diabetes 5.85 ± 5.36 years, 55 % females, 89 % type 2 diabetes) was accrued for the study after taking informed consent and was assessed for clinically relevant anxiety and depression using Aga Khan University Anxiety and Depression Scale (AKUADS). Multivariate logistic regression analysis was used for determining the association of various factors with psychiatric illness.A high prevalence of clinically significant levels of anxiety and depression of 56.49 % (95 % CI=50.50–62.48 %) as defined by a score of ≥ 19 on AKUADS was found in the study population. Factors significantly associated with a higher likelihood of having scores indicative of presence of anxiety and depression included younger age, female sex, being unmarried, being from urban locality, low income, unemployment, poor glycemic control, being a non-smoker and being physically inactive. In conclusion, Age, marital status, locality, income, employment status, glycemic control, smoking and physical activity are associated with an increased likelihood of meeting criteria for psychiatric illness highlighting the need of routine screening of patients with diabetes.

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References

  1. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87:4–14.

    Article  PubMed  CAS  Google Scholar 

  2. 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.

    Article  PubMed  CAS  Google Scholar 

  3. Ali S, Stone M, Skinner TC, Robertson N, Davies M, Khunti K. The association between depression and health-related quality of life in people with type 2 diabetes: a systematic literature review. Diabetes Metab Res Rev. 2010;26:75–89.

    Article  PubMed  Google Scholar 

  4. Katon W, von Korff M, Ciechanowski P, Russo J, Lin E, Simon G, et al. Behavioral and clinical factors associated with depression among individuals with diabetes. Diabetes Care. 2004;27:914–20.

    Article  PubMed  Google Scholar 

  5. Katon W, Fan MY, Unützer J, Taylor J, Pincus H, Schoenbaum M. Depression and diabetes: a potentially lethal combination. J Gen Intern Med. 2008;23:1571–5.

    Article  PubMed  Google Scholar 

  6. Bell RA, Smith SL, Arcury TA, Snively BM, Stafford JM, Quandt SA. Prevalence and correlates of depressive symptoms among rural older, African Americans, native Americans and whites with diabetes. Diabetes Care. 2005;28:823–9.

    Article  PubMed  Google Scholar 

  7. Engum A, Mykletun A, Midthjell K, Holen A, Dahl AA. Depression and diabetes: a large population-based study of sociodemographic, lifestyle, and clinical factors associated with depression in type 1 and type 2 diabetes. Diabetes Care. 2005;28:1904–9.

    Article  PubMed  Google Scholar 

  8. Gendelman N, Snell-Bergeon JK, McFann K, Kinney G, Paul Wadwa R, Bishop F, et al. Prevalence and correlates of depression in individuals with and without type 1 diabetes. Diabetes Care. 2009;32:575–9.

    Article  PubMed  Google Scholar 

  9. 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. 2006;23:1165–73.

    Article  PubMed  CAS  Google Scholar 

  10. Holt RI, Phillips DI, Jameson KA, Cooper C, Dennison EM, Peveler RC, et al. The relationship between depression and diabetes mellitus: findings from the Hertfordshire Cohort Study. Diabet Med. 2009;26:641–8.

    Article  PubMed  CAS  Google Scholar 

  11. Roy MS, Roy A, Affouf M. Depression is a risk factor for poor glycemic control and retinopathy in African-Americans with type 1 diabetes. Psychosom Med. 2007;69:537–42.

    Article  PubMed  Google Scholar 

  12. Van Tilburg MA, McCaskill CC, Lane JD, Edwards CL, Bethel A, Feinglos MN, et al. Depressed mood is a factor in glycemic control in type 1 diabetes. Psychosom Med. 2001;63:551–5.

    PubMed  Google Scholar 

  13. Rush WA, Whitebird RR, Rush MR, Solberg LI, O’Connor PJ. Depression in patients with diabetes: does it impact clinical goals? J Am Board Fam Med. 2008;21:392–7.

    Article  PubMed  Google Scholar 

  14. Lustman PJ, Anderson RJ, Freedland KE, de Groot M, Carney RM, Clouse RE. Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care. 2000;23:934–42.

    Article  PubMed  CAS  Google Scholar 

  15. deGroot M, Anderson R, Freedland KE, Clouse RE, Lustman PJ. Association of depression and diabetes complications: a meta-analysis. Psychosom Med. 2001;63:619–30.

    CAS  Google Scholar 

  16. Ludman EJ, Katon W, Russo J, Von Korff M, Simon G, Ciechanowski P, et al. Depression and diabetes symptom burden. Gen Hosp Psychiatry. 2004;26:430–6.

    Article  PubMed  Google Scholar 

  17. Le TK, Able SL, Lage MJ. Resource use among patients with diabetes, diabetic neuropathy, or diabetes with depression. Cost Eff Resour Alloc. 2006;4:18.

    Article  PubMed  Google Scholar 

  18. Fisher L, Chesla CA, Mullan JT, Skaff MM, Kanter RA. Contributors to depression in Latino and European-American patients with type 2 diabetes. Diabetes Care. 2001;24:1751–7.

    Article  PubMed  CAS  Google Scholar 

  19. Lloyd CE, Dyer PH, Barnett AH. Prevalence of symptoms of depression and anxiety in a diabetes clinic population. Diabet Med. 2000;17:198–202.

    Article  PubMed  CAS  Google Scholar 

  20. Anderson RJ, Grigsby AB, Freedland KE, de Groot M, McGill JB, Clouse RE, et al. Anxiety and poor glycemic control: a meta-analytic review of the literature. Int J Psychiatry Med. 2002;32:235–47.

    Article  PubMed  Google Scholar 

  21. Petrak F, Herpertz S. Treatment of depression in diabetes: an update. Curr Opin Psychiatry. 2009;22:211–7.

    Article  PubMed  Google Scholar 

  22. Hirschfeld RM. The Comorbidity of Major Depression and Anxiety Disorders: Recognition and Management in Primary Care. Prim Care Companion J Clin Psychiatry. 2001;3:244–54.

    Article  PubMed  Google Scholar 

  23. Khuwaja AK, Lalani S, Dhanani R, Azam IS, 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.

    Article  PubMed  Google Scholar 

  24. 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  PubMed  Google Scholar 

  25. Ali BS, Reza H, Khan MM, Jehan I. Development of an indigenous screening instrument in Pakistan: the Aga Khan University Anxiety and Depression Scale. J Pak Med Assoc. 1998;48:261–5.

    PubMed  CAS  Google Scholar 

  26. Yu R, Y-Hua L, Hong L. Depression in newly diagnosed type 2 diabetes. Int J Diab Dev Ctries. 2010;30:102–4.

    Article  Google Scholar 

  27. Yekta Z, Pourali R, Yavarian R. Behavioural and clinical factors associated with depression among individuals with diabetes. East Mediterr Health J. 2010;16:286–91.

    PubMed  CAS  Google Scholar 

  28. Mansour AA, Jabir MA. The prevalence of comorbid depression among adults with diabetes in southern Iraq. Pak J Med Sci. 2007;23:185–7.

    Google Scholar 

  29. Mirza I, Jenkins R. Risk factors, prevalence, and treatment of anxiety and depressive disorders in Pakistan: systematic review. BMJ. 2004;328:794.

    Article  PubMed  Google Scholar 

  30. Muhammad Gadit AA, Mugford G. Prevalence of depression among households in three capital cities of Pakistan: need to revise the mental health policy. PLoS One. 2007;2:209.

    Article  Google Scholar 

  31. Jadoon NA, Munir W, Choudhry ZS, Yaqoob R, Shehzad MA, Bashir I, et al. Risk factors and Prevalence of Anxiety and Depression in Urban Multan. Nishtar Med J. 2009;1:14–8.

    Google Scholar 

  32. Thomas J, Jones G, Scarinci I, Brantley P. A descriptive and comparative study of the prevalence of depressive and anxiety disorders in low-income adults with type 2 diabetes and other chronic illnesses. Diabetes Care. 2003;26:2311–7.

    Article  PubMed  Google Scholar 

  33. Gonzalez JS, Safren SA, Cagliero E, Wexler DJ, Delahanty L, Wittenberg E, et al. Depression, self-care, and medication adherence in type 2 diabetes: relationships across the full range of symptom severity. Diabetes Care. 2007;30:2222–7.

    Article  PubMed  Google Scholar 

  34. Bergmann MM, Jacobs EJ, Hoffmann K, Boeing H. Agreement of self-reported medical history: comparison of an in-person interview with a self-administered questionnaire. Eur J Epidemiol. 2004;19:411–6.

    Article  PubMed  Google Scholar 

  35. Nicholson TR, Taylor JP, Gosden C, Trigwell P, Ismail K. National guidelines for psychological care in diabetes: how mindful have we been? Diabet Med. 2009;26:447–50.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgement

We would like to acknowledge the help of Prof. Ghulam Mohyuddin Choudhry, Head Diabetes Research Centre, Nishtar Medical College Hospital, Multan for his support in the research.

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The authors declare that they have no conflict of interest.

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Correspondence to Nauman A. Jadoon.

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Presented in part as a poster at the 20th World Diabetes Congress, Montreal, Canada. October 21 & 22, 2009.

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Jadoon, N.A., Shahzad, M.A., Munir, W. et al. Sociodemographic, clinical and lifestyle factors associated with psychiatric illness among individuals with diabetes. Int J Diabetes Dev Ctries 32, 98–104 (2012). https://doi.org/10.1007/s13410-012-0076-0

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  • DOI: https://doi.org/10.1007/s13410-012-0076-0

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