Kamyar Mansori1, Narges Shiravand2, Fatemeh Khosravi Shadmani3, Yousef Moradi4, Meisam Allahmoradi5, Mehdi Ranjbaran6, Shiler Ahmadi7, Abbas Farahani8, Kobra Samii8, Mehrdad Valipour9. 1. Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran; Department of Epidemiology, School of Public Heath, Iran University of Medical Sciences, Iran. 2. Department of Communicable Disease Control and Prevention, Deputy of Health, Lorestan University of Medical Sciences, Khorramabad, Iran. 3. Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 4. Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran. 5. Islamic Azad University, Baneh Branch, Baneh, Iran. 6. Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran. 7. School of Nursing and Midwifery Islamic Azad University, Sanandaj Branch, Sanandaj, Iran. 8. School of Public Health, Lorestan University of Medical Sciences, Khorramabad, Islamic Republic of Iran. 9. Department of Epidemiology, School of Public Heath, Iran University of Medical Sciences, Iran; School of Public Health, Lorestan University of Medical Sciences, Khorramabad, Islamic Republic of Iran. Electronic address: valipourmehrdad@yahoo.com.
Abstract
AIMS: This study aims to determine the association between depression with glycemic control (HbA1c) and its complications. MATERIALS AND METHODS: This 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. RESULTS: The 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. CONCLUSION: The 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.
AIMS: This study aims to determine the association between depression with glycemic control (HbA1c) and its complications. MATERIALS AND METHODS: This was a cross-sectional study that included 514 diabeticpatients. The patients were randomly selected from among all type 2 diabetespatients 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. RESULTS: The prevalence of depression in diabeticpatients under study was 46.3% and for female and male was 49.6 and 36.8%; respectively. The results showed that 48.6% of diabeticpatients 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. CONCLUSION: The study highlights the high prevalence of depression in diabeticpatients. 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 diabeticpatients.
Authors: Beata Dziedzic; Zofia Sienkiewicz; Anna Leńczuk-Gruba; Ewa Kobos; Wiesław Fidecki; Mariusz Wysokiski Journal: Int J Environ Res Public Health Date: 2020-05-19 Impact factor: 3.390