Prevalence and Risk Factors of Depression in Thai Diabetic Patients
Keywords:
Depression, Diabetes mellitus, Risk factors, Prevalence, ScreeningAbstract
Objective: The goal of this study was to determine the prevalence of depression in Thai diabetic patients and to examine clinical characteristics of diabetes that are associated with depression.
Method: Diabetic patients from diabetic clinical of Ramathibodi hospital who had no know history of depression were studied. The Thai version of the Patient Health Questionnaire (PHQ-9) was used to screen for depression. Clinical characteristics and laboratory data of patients were obtained from medical records. Multivariate logistic regression was used to determine the independent risk factors depression.
Results: Three-hundred eighty-five individuals were participated. The prevalence of depression was 15.8%. By univariate analysis, risk factors that were associated with depression included education less than primary school, treatment with insulin and poor glycemic control (HbA1C 8%). However, with multivariate logistic regression analysis, only education less than primary school and treatment with insulin were two significant risk factors associated with depression in diabetic patients.
Conclusion: The prevalence of depression among diabetic patients in diabetic clinic of Ramathibodi hospital was unexpectedly high. Education less than primary school and treatment with insulin were the independent risk factors of depression in Thai diabetic patients.
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