PMID- 33292422
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201212
IS  - 1752-4458 (Print)
IS  - 1752-4458 (Electronic)
IS  - 1752-4458 (Linking)
VI  - 14
IP  - 1
DP  - 2020 Nov 4
TI  - Detection and prevalence of depression among adult type 2 diabetes mellitus 
      patients attending non-communicable diseases clinics in Lilongwe, Malawi.
PG  - 79
LID - 10.1186/s13033-020-00413-3 [doi]
LID - 79
AB  - BACKGROUND: Depression is associated with chronic physical illnesses and 
      negatively affects health outcomes. However, it often goes undiagnosed and 
      untreated. We investigated the prevalence of depression among adult type 2 
      diabetes mellitus (T2DM) patients attending non-communicable diseases (NCD) 
      clinics in Lilongwe, Malawi, and estimated the level of routine detection by NCD 
      clinicians. This study set out to determine the prevalence of major depression 
      and its detection among adult type 2 diabetes mellitus (T2DM) patients attending 
      NCD clinics in Lilongwe, Malawi. METHODS: In a cross-sectional study design, 323 
      T2DM patients aged >/= 18 years were screened for depression with the Patient 
      Health Questionnare-9 (PHQ-9) followed by diagnostic assessment with the 
      Structured Clinical Interview for DSM-IV (SCID). We analysed the association 
      between presence of major depression and sociodemographic factors using logistic 
      regression. RESULTS: Three quarters of the participants (76%) were females. The 
      participants' ages ranged from 21-79 years. Of the 323 participants, 58 (18%) met 
      criteria for DSM-IV major depression. None of the cases of major depression had 
      been identified by the NCD clinicians. Major depression was found not to be 
      significantly associated with any of the sociodemographic factors. CONCLUSIONS: 
      We found that depression is common among NCD clinic attendees with T2DM in 
      Malawi, and poorly detected by NCD clinicians. Given the high prevalence and 
      challenges in clinical identification, integration of depression screening with a 
      standardized validated tool should be a high priority so as to link patients to 
      appropriate services.
FAU - Udedi, Michael
AU  - Udedi M
AUID- ORCID: 0000-0001-8769-4313
AD  - Department of Mental Health, College of Medicine, University of Malawi, Chichiri, 
      P/Bag 360, Blantyre 3, Malawi. mphatsoudedi@yahoo.co.uk.
AD  - Department of Clinical Services, Ministry of Health, P. O. Box 30377, Capital 
      City, Lilongwe 3, Malawi. mphatsoudedi@yahoo.co.uk.
AD  - Department of Public Health, College of Medicine, University of Malawi, Chichiri, 
      P/Bag 360, Blantyre 3, Malawi. mphatsoudedi@yahoo.co.uk.
FAU - Pence, Brian W
AU  - Pence BW
AD  - Epidemiology Department, University of North Carolina At Chapel Hill Gillings 
      School of Global Public Health, 135 Dauer Dr, Chapel Hill, NC, 27599, USA.
FAU - Stewart, Robert C
AU  - Stewart RC
AD  - Department of Mental Health, College of Medicine, University of Malawi, Chichiri, 
      P/Bag 360, Blantyre 3, Malawi.
AD  - Division of Psychiatry, University of Edinburgh, Royal Edinburgh Hospital, 
      Morningside Park, Edinburgh, EH10 5HF, UK.
AD  - Malawi Epidemiology and Intervention Research Unit (MEIRU), Box 148, Lilongwe 3, 
      Malawi.
FAU - Muula, Adamson S
AU  - Muula AS
AD  - Department of Public Health, College of Medicine, University of Malawi, Chichiri, 
      P/Bag 360, Blantyre 3, Malawi.
AD  - Africa Center of Excellence in Public Health and Herbal Medicine, College of 
      Medicine, University of Malawi, Chichiri, P/Bag 360, Blantyre 3, Malawi.
LA  - eng
GR  - DEL-15-01/WT_/Wellcome Trust/United Kingdom
PT  - Journal Article
DEP - 20201104
PL  - England
TA  - Int J Ment Health Syst
JT  - International journal of mental health systems
JID - 101294224
PMC - PMC7640665
OTO - NOTNLM
OT  - Depression
OT  - Malawi
OT  - Type 2 diabetes mellitus
COIS- The authors declare that they have no competing interests.
EDAT- 2020/12/10 06:00
MHDA- 2020/12/10 06:01
PMCR- 2020/11/04
CRDT- 2020/12/09 05:43
PHST- 2020/07/01 00:00 [received]
PHST- 2020/10/29 00:00 [accepted]
PHST- 2020/12/09 05:43 [entrez]
PHST- 2020/12/10 06:00 [pubmed]
PHST- 2020/12/10 06:01 [medline]
PHST- 2020/11/04 00:00 [pmc-release]
AID - 10.1186/s13033-020-00413-3 [pii]
AID - 413 [pii]
AID - 10.1186/s13033-020-00413-3 [doi]
PST - epublish
SO  - Int J Ment Health Syst. 2020 Nov 4;14(1):79. doi: 10.1186/s13033-020-00413-3.