PREVALENCE AND SOME RELATED FACTORS TO DEPRESSION AMONG OUT-PATIENTS WITH TYPE 2 DIABETES IN CAN THO CITY

Abstract

Background: Depression is a common mental disorder in both clinical psychiatry and primary care, increasing in different risk groups including patients with diabetes. However, this disorder could be missed as symptoms overlap with common medical conditions which might lead to bad outcomes of diabetes and mental health for patients. Objectives: To determine the prevalence of depression and some related factors to depression among patients with type 2 diabetes in outpatient departments. Materials and methods: A cross-sectional descriptive study was conducted on 192 patients who had been diagnosed and treated for diabetes for at least prior 3 months. The patients were recruited randomly at the Outpatient Departments of the two hospitals: Can Tho University of Medicine and Pharmacy Hospital and Can Tho Cardiovascular Hospital. Data collection was carried out from May to June 2022. PHQ-9 questionnaires were used to determine presence and severity levels of depression Results: 192 patients participated in the study. Their mean age was 60.6 years old. Most of the participants were women (60.4%), at primary education (35.4%), belonging to the age group of 60 - 69 (36%), married (77.1%) and lived with their families (92.2%). There were 50% of patients who were overweight and 12% of patients smoking. The rate of depression among patients with type 2 diabetes were 28.7%. The corresponding severity levels of depression were mild (65.5%), moderate (23.6%), moderate - severe (10.9%) and no severe cases. The statistically meaningful factors related to depression and diabetes with 95% confidence included the under 60-year-old group (OR = 1.80, 95%CI = 1.13 – 2.86), housewife (OR = 1.74, 95% CI = 1.10 – 2.70), overweight/obese (OR=2.50, 95%CI = 1.28 – 4.89), anxiety (OR = 3.06, 95%CI = 1.47 – 6.36.), being retired (OR = 0.52, 95% CI = 0.33 – 0.82) and smoking (OR = 0.28, 95%CI = 0.72 – 1.06). Conclusions: Depression was common among outpatients with type 2 diabetes. Routine screening for depression among those patients should be performed.