PMID- 30863775
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220408
IS  - 2314-4327 (Print)
IS  - 2314-4335 (Electronic)
IS  - 2314-4327 (Linking)
VI  - 2019
DP  - 2019
TI  - Prevalence of Depression and Associated Factors among Patients with Type 2 
      Diabetes Attending the Diabetic Clinic at a Tertiary Care Hospital in Sri Lanka: 
      A Descriptive Study.
PG  - 7468363
LID - 10.1155/2019/7468363 [doi]
LID - 7468363
AB  - BACKGROUND: Research focusing on the psychological aspect of diabetes is limited 
      in Sri Lanka. AIM: Determine the prevalence of depression among patients with 
      type 2 diabetes mellitus (T2DM) attending an out-patient clinic at a tertiary 
      care hospital in Colombo, the capital of Sri Lanka. METHODS: A descriptive 
      cross-sectional study carried out among patients diagnosed with T2DM. Pregnant 
      and patients with a prior psychiatric history were excluded. Depression assessed 
      using validated Sinhala and Tamil version of the Beck's Depression Index. 
      Sociodemographic data and health related data were obtained from 
      interviewer-based questionnaires and health records. RESULTS: Of the 3000 
      patients, 72.7% were female. Mean age was 58.3 +/-10.3 years and mean duration of 
      diabetes 10.8 +/- 7.3 years. Percentage of depression was 5.9% in the entire 
      patient population with mild, moderate, and severe depression in 4.0%, 1.6%, and 
      0.3%, respectively. In multiple logistic regression, depression was significantly 
      associated with female gender (OR 2.63, 95% CI 1.26-5.46; P=0.009), living 
      without a spouse (single/divorced/widowed) (OR 1.83, 95% CI 1.12-2.98; P=0.01), 
      lower education level (OR 1.92, 95% CI 1.14-3.22; P=0.01), and peripheral 
      neuropathy (OR 1.79, 95% CI 1.00-3.18; P=0.04). Only 13.3% of the respondents 
      said that doctors have ever inquired to their mental well-being. CONCLUSION: 
      Depression was low in prevalence comparative to neighboring countries in the 
      region. Patients were much more affected by the social factors than disease 
      related factors. An individualized holistic approach taking psychosocial issues 
      to consideration should be focused in the comprehensive plan of management.
FAU - Arambewela, Maulee Hiromi
AU  - Arambewela MH
AUID- ORCID: 0000-0002-8785-3756
AD  - Department of Diabetes and Endocrinology, National Hospital of Sri Lanka, 
      Colombo, Sri Lanka.
AD  - Department of Physiology, Faculty of Medical Sciences, University of Sri 
      Jayawardenepura, Nugegoda, Sri Lanka.
FAU - Somasundaram, Noel P
AU  - Somasundaram NP
AD  - Department of Diabetes and Endocrinology, National Hospital of Sri Lanka, 
      Colombo, Sri Lanka.
FAU - Jayasekara, Hettiarachchige Buddhi Pradeep Ranjan
AU  - Jayasekara HBPR
AD  - Ministry of Health, Colombo, Sri Lanka.
FAU - Kumbukage, Mahesh P
AU  - Kumbukage MP
AUID- ORCID: 0000-0001-9685-6361
AD  - Ministry of Health, Colombo, Sri Lanka.
LA  - eng
PT  - Journal Article
DEP - 20190203
PL  - Egypt
TA  - Psychiatry J
JT  - Psychiatry journal
JID - 101607838
PMC - PMC6378022
EDAT- 2019/03/14 06:00
MHDA- 2019/03/14 06:01
PMCR- 2019/02/03
CRDT- 2019/03/14 06:00
PHST- 2018/08/19 00:00 [received]
PHST- 2018/12/19 00:00 [accepted]
PHST- 2019/03/14 06:00 [entrez]
PHST- 2019/03/14 06:00 [pubmed]
PHST- 2019/03/14 06:01 [medline]
PHST- 2019/02/03 00:00 [pmc-release]
AID - 10.1155/2019/7468363 [doi]
PST - epublish
SO  - Psychiatry J. 2019 Feb 3;2019:7468363. doi: 10.1155/2019/7468363. eCollection 
      2019.