Mukut Roy1, Nilanjan Sengupta2, Pranab Kumar Sahana2, Chanchal Das3, Payel Talukdar4, Arjun Baidya2, Soumik Goswami2. 1. Department of Medicine, Tripura Medical College & D.R.B.R.A.M Teaching Hospital, Agartala, Tripura, India; Department of Endocrinology, Nilratan Sircar Medical College, Kolkata, West Bengal, India. Electronic address: mukutdoc@gmail.com. 2. Department of Endocrinology, Nilratan Sircar Medical College, Kolkata, West Bengal, India. 3. West Bengal Health Services; Department of Endocrinology, Nilratan Sircar Medical College, Kolkata, West Bengal, India. 4. Department of Psychiatry, Nilratan Sircar Medical College, Kolkata, West Bengal, India.
Abstract
AIMS: Common psycho-social emotional reactions of patients with diabetes may be termed as diabetes-specific distress which is conceptually distinctive from depression. In patients with type 2 diabetes, different screening methods for depression may get influenced by simultaneous presence of diabetes distress. This study was planned to assess magnitude and relationship of depression and diabetes specific distress in patients with type 2 diabetes. METHODS: Two hundred and fifty (250) adult patients with type 2 diabetes (T2DM) were assessed for depression based on Beck Depression Inventory (BDI) and Diagnostic and Statistical Manual, Fourth edition (DSM IV) criteria. Diabetes specific distress was assessed as per Diabetes Distress Scale (DDS) score. RESULTS: Among study population of 250 adult T2DM patients, based on BDI score, 97 (38.8%) patients were found to suffer from depression and based on DSM IV criteria, prevalence of depression was 29.2%. A total of 62 (24.8%) patients were found to suffer from diabetes specific distress based on DDS score. Patients with severe diabetes specific distress had associated matching of symptoms with mild depression based on BDI score which was also statistically significant (p < 0.0001). However, these same individuals were non-depressed as per DSM-IV criteria. CONCLUSION: Recognizing depression with self-administered questionnaires may be influenced by concomitant presence of symptoms due to diabetes specific distress. Therefore, proper diagnosis of depression may be established by structured clinical interview and psycho-social management of type 2 diabetes should possibly include both assessment of depression and diabetes specific distress.
AIMS: Common psycho-social emotional reactions of patients with diabetes may be termed as diabetes-specific distress which is conceptually distinctive from depression. In patients with type 2 diabetes, different screening methods for depression may get influenced by simultaneous presence of diabetes distress. This study was planned to assess magnitude and relationship of depression and diabetes specific distress in patients with type 2 diabetes. METHODS: Two hundred and fifty (250) adult patients with type 2 diabetes (T2DM) were assessed for depression based on Beck Depression Inventory (BDI) and Diagnostic and Statistical Manual, Fourth edition (DSM IV) criteria. Diabetes specific distress was assessed as per Diabetes Distress Scale (DDS) score. RESULTS: Among study population of 250 adult T2DM patients, based on BDI score, 97 (38.8%) patients were found to suffer from depression and based on DSM IV criteria, prevalence of depression was 29.2%. A total of 62 (24.8%) patients were found to suffer from diabetes specific distress based on DDS score. Patients with severe diabetes specific distress had associated matching of symptoms with mild depression based on BDI score which was also statistically significant (p < 0.0001). However, these same individuals were non-depressed as per DSM-IV criteria. CONCLUSION: Recognizing depression with self-administered questionnaires may be influenced by concomitant presence of symptoms due to diabetes specific distress. Therefore, proper diagnosis of depression may be established by structured clinical interview and psycho-social management of type 2 diabetes should possibly include both assessment of depression and diabetes specific distress.
Authors: Michelle D Owens-Gary; Xuanping Zhang; Shawn Jawanda; Kai McKeever Bullard; Pamela Allweiss; Bryce D Smith Journal: J Gen Intern Med Date: 2018-10-22 Impact factor: 5.128
Authors: Sohail M Noman; Jehangir Arshad; Muhammad Zeeshan; Ateeq Ur Rehman; Amir Haider; Shahzada Khurram; Omar Cheikhrouhou; Habib Hamam; Muhammad Shafiq Journal: Int J Environ Res Public Health Date: 2021-04-03 Impact factor: 3.390