Depression prevalence, its psychosocial and clinical predictors, in diabetes mellitus patients attending two health institutions of north India catering rural population

Indian J Psychiatry. 2020 Sep-Oct;62(5):566-571. doi: 10.4103/psychiatry.IndianJPsychiatry_172_19. Epub 2020 Oct 10.

Abstract

Background: Diabetes mellitus (DM) poses a greater risk of depression and a poor quality of life (QoL). There is a limited data regarding relationship of depression to QoL in patients from rural health care settings of North India.

Aim: To know the prevalence and predictors of depression in patients of DM among various sociodemographic, clinical and QoL variables.

Settings and design: This cross-sectional study was conducted in two hospitals of North India mostly catering rural population from 2014 to 2018.

Materials and methods: Sociodemographic and clinical data of DM patients was collected. They were applied Hindi translation of QoL Instrument for Indian Diabetes Patients and Patient Health Questionnaire-9. Analyses were done by Statistical Package for Social Sciences (Version 17.0, USA).

Results: Among 300 patients, 25.6% had clinical depression. Illiteracy, the affect on general, emotional/mental health and role limitation by diabetes predicted risk of depression.

Conclusion: Education of patients regarding self-management in DM to assure good health should be emphasised.

Keywords: Depression; diabetes; quality of life.