Association of Stress and Depression with Controlling Blood Sugar Among Diabetes Mellitus Type 2 Patients at Samakkee Primary Health Care Center, Mahasarakham Province

Abstract

Objectives : Inability to control blood sugar levels was caused by many factors, including physical, social and psychological factors. The main psychological factors are stress and depression which causing diabetic patients to lose interest in taking care of themselves resulting in the symptoms of diabetes are more severe. The purpose of this study was to determine the association of stress and

Method : A cross-sectional analytic study was conducted among 280 T2DM of patients who attending at the Samakkee primary health care center, Mahasarakham Province. Data was collecting during April to July 2021. The research tool was consisted of 4 parts including a personal information questionnaire, health care behavior questionnaire, mental health stress scale (5-ST) and mental health depression assessment form (2Q9Q). Data were analyzed by using multiple logistic regression with a level of statistical significance at less than 0.05 (p < 0.05).

Results : Most of the samples were female (59.6%), mean age 60 years, had moderate health care behaviors. Most of the subjects had high blood sugar (68.9%), low stress (70.9%). Most were without depression (88.9%) and mild depression (11.1%). A multiple logistic regression analysis revealed a positive between depression and high blood sugar (OR = 0.404, 95% CI = 0.188-0.870, p-value = 0.022). But stress, there was no relationship with blood sugar levels (p-value = 0.648).

results : Depression was positive significantly associated with blood sugar levels. As for stress, there was no relationship with the level of blood sugar. However, stress and depression should be screened for all diabetic patients to prevent the severity of depression.