Abstract
AimsThis study aims to determine the association between depression with glycemic control (HbA1c) and its complications. Materials and methodsThis was a cross-sectional study that included 514 diabetic patients. The patients were randomly selected from among all type 2 diabetes patients referred to health and medical centers in Khorramabad town (Iran). Two questionnaires used for data collection. The first questionnaire included demographic information, diabetes and its complications and the second questionnaire was Beck Depression Inventory (BDI-II) which was used to assess depression. The stata software version 14 was used for data analysis. Then, for evaluate the association between depression with glycemic contol and its complications, Univariate and multiple logistic regression analysis were employed. ResultsThe prevalence of depression in diabetic patients under study was 46.3% and for female and male was 49.6 and 36.8%; respectively. The results showed that 48.6% of diabetic patients did not have appropriate glycemic control status (HbA1c > 8). There was no significant association between glycemic control expressed as HbA1c levels and depression (OR: 1.11, 95% CI: 0.87–1.57). By contrast, sex (OR: 2.03, CI 95%: 1.03–3.99), residence (OR: 1.92, 95% CI: 1.28–2.91) and sexual complications (OR: 5.54, 95% CI: 1.07–27.87) have a significant statistical association with depression. ConclusionThe study highlights the high prevalence of depression in diabetic patients. However, there was no significant association between depression and glycemic control. The implementation of mental health screening for rapid diagnosis and timely treatment of depression seems essential in diabetic patients.
Published Version
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