Factors associated with depression in the patients with diabetes mellitus type 2

Background/Aim. The assessment of association of depression and diabetes mellitus type 2 using the Patient Health Questionaire (PHQ-9) has not been done in Montenegro. The aim of this study was to assess the prevalence of depression in the patients with type 2 diabetes mellitus, and to identify the...

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Main Authors: Šabanović Admir, Maksimović Nataša, Stojanović-Tasić Mirjana, Bakić Marijan, Grgurević Anita
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2019-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501800029S.pdf
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author Šabanović Admir
Maksimović Nataša
Stojanović-Tasić Mirjana
Bakić Marijan
Grgurević Anita
author_facet Šabanović Admir
Maksimović Nataša
Stojanović-Tasić Mirjana
Bakić Marijan
Grgurević Anita
author_sort Šabanović Admir
collection DOAJ
description Background/Aim. The assessment of association of depression and diabetes mellitus type 2 using the Patient Health Questionaire (PHQ-9) has not been done in Montenegro. The aim of this study was to assess the prevalence of depression in the patients with type 2 diabetes mellitus, and to identify the risk factors associated with the presence of depression. Methods. A cross-sectional study was conducted at the General Hospital in Bijelo Polje, from July to September, 2015. It included 70 patients over 35 years of age with the diagnosis of diabetes for at least six months. For the assessment of depression presence and intensity PHQ–9 was used. All variables associated with the presence of depression at a significance level of p < 0.05 were included into the final method of the multivariate logistic regression analysis. Results. Comorbidities were statistically significant more frequent among patients with depression (χ2 = 5.40; p = 0.020). Duration of diabetes over five years was significantly associated with depression (χ2 = 12.48; p < 0.001). Depression occurred more frequently among physically inactive subjects (χ2 = 10.74; p = 0.005). The presence of diabetic polyneuropathy (χ2 = 6.04; p = 0.014) and cataract (χ2 = 5.351; p = 0.021) were also significantly associated with depression. A multivariate logistic regression analysis showed that the duration of diabetes over five years and presence of cataract were independently associated with depression. Conclusion. The risk factors for depression among the subjects with diabetes were disease duration more than five years and the presence of cataract. Since depression is a serious disease and can be a risk factor for many chronic diseases, the best way of prevention is its early detection and treatment.
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spelling doaj-art-2a93abf398bb47f48a6db3da7f00e9e62025-08-20T03:17:39ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202019-01-0176111178118310.2298/VSP170328029S0042-84501800029SFactors associated with depression in the patients with diabetes mellitus type 2Šabanović Admir0Maksimović Nataša1Stojanović-Tasić Mirjana2Bakić Marijan3Grgurević Anita4Primary Health Center Bijelo Polje, Bijelo Polje, MontenegroUniversity of Belgrade, Faculty of Medicine, Institute of Epidemiology, SerbiaUniversity of Priština-Kosovska Mitrovica, Faculty of Medicine, Kosovska Mitrovica, SerbiaInstitute for Public Health of Montenegro, Podgorica, MontenegroUniversity of Belgrade, Faculty of Medicine, Institute of Epidemiology, SerbiaBackground/Aim. The assessment of association of depression and diabetes mellitus type 2 using the Patient Health Questionaire (PHQ-9) has not been done in Montenegro. The aim of this study was to assess the prevalence of depression in the patients with type 2 diabetes mellitus, and to identify the risk factors associated with the presence of depression. Methods. A cross-sectional study was conducted at the General Hospital in Bijelo Polje, from July to September, 2015. It included 70 patients over 35 years of age with the diagnosis of diabetes for at least six months. For the assessment of depression presence and intensity PHQ–9 was used. All variables associated with the presence of depression at a significance level of p < 0.05 were included into the final method of the multivariate logistic regression analysis. Results. Comorbidities were statistically significant more frequent among patients with depression (χ2 = 5.40; p = 0.020). Duration of diabetes over five years was significantly associated with depression (χ2 = 12.48; p < 0.001). Depression occurred more frequently among physically inactive subjects (χ2 = 10.74; p = 0.005). The presence of diabetic polyneuropathy (χ2 = 6.04; p = 0.014) and cataract (χ2 = 5.351; p = 0.021) were also significantly associated with depression. A multivariate logistic regression analysis showed that the duration of diabetes over five years and presence of cataract were independently associated with depression. Conclusion. The risk factors for depression among the subjects with diabetes were disease duration more than five years and the presence of cataract. Since depression is a serious disease and can be a risk factor for many chronic diseases, the best way of prevention is its early detection and treatment.http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501800029S.pdfdepressiondiabetes mellitus type 2patient health questionnairemontenegro
spellingShingle Šabanović Admir
Maksimović Nataša
Stojanović-Tasić Mirjana
Bakić Marijan
Grgurević Anita
Factors associated with depression in the patients with diabetes mellitus type 2
Vojnosanitetski Pregled
depression
diabetes mellitus type 2
patient health questionnaire
montenegro
title Factors associated with depression in the patients with diabetes mellitus type 2
title_full Factors associated with depression in the patients with diabetes mellitus type 2
title_fullStr Factors associated with depression in the patients with diabetes mellitus type 2
title_full_unstemmed Factors associated with depression in the patients with diabetes mellitus type 2
title_short Factors associated with depression in the patients with diabetes mellitus type 2
title_sort factors associated with depression in the patients with diabetes mellitus type 2
topic depression
diabetes mellitus type 2
patient health questionnaire
montenegro
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501800029S.pdf
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