PMID- 32612374
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220415
IS  - 1178-7007 (Print)
IS  - 1178-7007 (Electronic)
IS  - 1178-7007 (Linking)
VI  - 13
DP  - 2020
TI  - Factors Associated with Untreated Depression Among Type 2 Diabetic Patients at 
      Halaba Kulito Hospital, South Ethiopia: A Cross-Sectional Study.
PG  - 2189-2198
LID - 10.2147/DMSO.S255360 [doi]
AB  - BACKGROUND: Depressed type 2 diabetes mellitus patients (T2DM) show poorer 
      compliance with treatment and self-care recommendations than non-depressed T2DM 
      patients. This contributes to poor prognosis and accelerates diabetic-related 
      complications including poor glucose regulation, diabetic retinopathy, 
      neuropathy, nephropathy, and escalated healthcare expenditure. OBJECTIVE: This 
      study aimed to determine the magnitude of untreated depression and associated 
      factors among people living with T2DM at outpatient diabetic clinic in Halaba 
      Kulito General Hospital, Southern Ethiopia. METHODS: Institution-based 
      cross-sectional study was conducted from November 1 to December 15, 2019 at 
      Halaba Kulito Hospital, Southern Ethiopia. We collected data by face-to-face 
      interview with patient record review. A total of 418 type 2 diabetic patients 
      were systematically selected and interviewed using a pretested structured 
      questionnaire. We used a composite score of nine-items Patient Health 
      Questionnaire (PHQ-9) to assess depression status. Descriptive statistics was 
      used to summarize respondents' background characteristics. Logistic regression 
      analysis was done to identify associated factors with the outcome variable. 
      Levels of significance were set at 5% (P<0.05). RESULTS: The finding depicted 
      that 120 (29.3% with 95% Confidence interval (CI) = 25.0%, 34.0%) study 
      participants satisfied diagnostic criteria for depression disorder. After 
      controlling for confounding effect, we identified being hypertensive (Adjusted 
      Odds Ratio (AOR) = 5.66; 95% CI: 3.24, 9.86), having no child (AOR = 3.32; 95% 
      CI: 1.88, 5.86), and poor glycemic control (AOR = 6.23; 95% CI: 3.65, 10.54) as 
      risk factors for untreated depression among people with type 2 diabetes. 
      CONCLUSION: Findings of this study indicate that untreated depression among type 
      2 diabetic patients is high. Poor glycemic control, not having a child and having 
      hypertension were among significantly associated factors with depression. These 
      results suggest much need for interventions, including strong medication 
      adherence and self-care activities such as exercise or healthful diet for optimal 
      glycemic control.
CI  - (c) 2020 Azeze et al.
FAU - Azeze, Gedion Asnake
AU  - Azeze GA
AUID- ORCID: 0000-0002-6347-8648
AD  - Department of Midwifery, College of Health Science and Medicine, Wolaita Sodo 
      University, Wolaita Sodo, Ethiopia.
FAU - Adema, Bulcha Guye
AU  - Adema BG
AUID- ORCID: 0000-0002-0014-9732
AD  - Department of Pediatrics and Child Health Nursing, College of Health Science and 
      Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
FAU - Adella, Getachew Asmare
AU  - Adella GA
AD  - Reproductive Health and Nutrition Department, School of Public Health, College of 
      Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
FAU - Demissie, Birhanu Wondimeneh
AU  - Demissie BW
AUID- ORCID: 0000-0003-4019-6522
AD  - Department of Pediatrics and Child Health Nursing, College of Health Science and 
      Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
FAU - Obsa, Mohammed Suleiman
AU  - Obsa MS
AUID- ORCID: 0000-0001-5078-346X
AD  - Department of Anesthesia, College of Health Science and Medicine, Wolaita Sodo 
      University, Wolaita Sodo, Ethiopia.
LA  - eng
PT  - Journal Article
DEP - 20200624
PL  - New Zealand
TA  - Diabetes Metab Syndr Obes
JT  - Diabetes, metabolic syndrome and obesity : targets and therapy
JID - 101515585
PMC - PMC7323570
OTO - NOTNLM
OT  - Ethiopia
OT  - anxiety
OT  - depression
OT  - diabetes
COIS- The authors declare that they have no competing interest.
EDAT- 2020/07/03 06:00
MHDA- 2020/07/03 06:01
PMCR- 2020/06/24
CRDT- 2020/07/03 06:00
PHST- 2020/03/25 00:00 [received]
PHST- 2020/06/12 00:00 [accepted]
PHST- 2020/07/03 06:00 [entrez]
PHST- 2020/07/03 06:00 [pubmed]
PHST- 2020/07/03 06:01 [medline]
PHST- 2020/06/24 00:00 [pmc-release]
AID - 255360 [pii]
AID - 10.2147/DMSO.S255360 [doi]
PST - epublish
SO  - Diabetes Metab Syndr Obes. 2020 Jun 24;13:2189-2198. doi: 10.2147/DMSO.S255360. 
      eCollection 2020.