PMID- 33678837
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220421
IS  - 0019-5545 (Print)
IS  - 1998-3794 (Electronic)
IS  - 0019-5545 (Linking)
VI  - 62
IP  - 5
DP  - 2020 Sep-Oct
TI  - Association between depression, anxiety and quality of life among patients with 
      diabetes mellitus and/or hypertension in a tertiary care railway hospital in 
      India: A cross-sectional study.
PG  - 555-558
LID - 10.4103/psychiatry.IndianJPsychiatry_794_19 [doi]
AB  - INTRODUCTION: Comorbid depression and anxiety have been found to be highly 
      present in patients suffering from chronic physical illnesses such as diabetes 
      mellitus (DM) and hypertension (HTN). These comorbid psychiatric conditions 
      further reduce the quality of life (QOL) in the sufferers. The present study 
      aimed to assess the association between depression, anxiety, and QOL among 
      patients with DM and/or HTN. MATERIALS AND METHODS: This cross-sectional study 
      was carried out in the outpatient setting of the medicine department of the 
      tertiary care referral hospital of East Central Indian Railways. One hundred and 
      twenty-three individuals of DM and/or HTN of more than 1-month duration were 
      assessed for depression, anxiety, and QOL using the Hospital Anxiety and 
      Depression Scale (HADS) and the World Health Organization QOL Brief (WHOQOL-BREF) 
      version scale. RESULTS: The mean age of the sample (53.7% had HTN, 12.2% had 
      diabetes, and 34.1% had both HTN and diabetes) which comprised 87% males was 
      50.20 (+/-6.0) years. The mean HADS (anxiety and depression) scores were 3.6 for 
      both (range 0-14). Nearly 10.6% and 17.1% of the samples had scores above the 
      cutoff for HADS anxiety and depression subscales. The WHOQOL-BREF scores were 
      highest for the environmental domain and were lower for psychological, physical, 
      and social domains. The HADS anxiety and depressive scores correlated 
      significantly negatively with the WHOQOL-BREF physical and psychological domains. 
      Female gender and the presence of an additional medical illness were 
      significantly associated with higher HADS depression scores. CONCLUSION: Fair 
      proportion of patients with HTN and/or diabetes has been affected with higher 
      anxiety and depressive scores, which predicted a poor QOL. This calls for early 
      identification of these mental health issues in sufferers of depression and HTN, 
      which will facilitate an early holistic management.
CI  - Copyright: (c) 2020 Indian Journal of Psychiatry.
FAU - Ranjan, Rajeev
AU  - Ranjan R
AD  - Department of Psychiatry, All India Institute of Medical Sciences, Patna, Bihar, 
      India.
FAU - Nath, Santanu
AU  - Nath S
AD  - Department of Psychiatry, All India Institute of Medical Sciences, Bhubaneswar, 
      Odisha, India.
FAU - Sarkar, Siddharth
AU  - Sarkar S
AD  - Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, 
      India.
LA  - eng
PT  - Journal Article
DEP - 20201010
PL  - India
TA  - Indian J Psychiatry
JT  - Indian journal of psychiatry
JID - 0013255
PMC - PMC7909011
OTO - NOTNLM
OT  - Anxiety
OT  - depression
OT  - diabetes mellitus
OT  - hypertension
OT  - quality of life
COIS- There are no conflicts of interest.
EDAT- 2021/03/09 06:00
MHDA- 2021/03/09 06:01
PMCR- 2020/09/01
CRDT- 2021/03/08 05:47
PHST- 2020/01/12 00:00 [received]
PHST- 2020/02/11 00:00 [revised]
PHST- 2020/08/10 00:00 [accepted]
PHST- 2021/03/08 05:47 [entrez]
PHST- 2021/03/09 06:00 [pubmed]
PHST- 2021/03/09 06:01 [medline]
PHST- 2020/09/01 00:00 [pmc-release]
AID - IJPsy-62-555 [pii]
AID - 10.4103/psychiatry.IndianJPsychiatry_794_19 [doi]
PST - ppublish
SO  - Indian J Psychiatry. 2020 Sep-Oct;62(5):555-558. doi: 
      10.4103/psychiatry.IndianJPsychiatry_794_19. Epub 2020 Oct 10.