Frequency of depression among patients with Type-I diabetes in a developing country, Pakistan
Objective: To determine the frequency of depressive symptoms among young people with Type-I diabetes.
Methods: This cross sectional study was conducted at Baqai Institute of Diabetology & Endocrinology, Karachi, Pakistan from February to December 2015. All People aged between 12-20 years with Type-I diabetes for at least 1 year attending the OPD were included in the study. Information about participantsâ€™ demographic characteristics, co morbidities and Complications, current treatment and medications were obtained. Acylated hemoglobin (HbA1C) levels were checked in all People. The Center for Epidemiologic Studies Depression (CES-D) scale was used to assess the depressive symptoms in the study participants. A cut off value of â‰¥ 16 was used to screen for depression. SPSS 19 was used to analyze the results.
Results: Out of 104 people with Type-I diabetes, depressive symptoms were observed in 44 (42.3%) participants. Depressive symptoms were more frequent in females (28/55, 50.9%). Depressed people had more episodes of DKA (11/44, 25%), hypoglycemia (12/44, 27.3%) or hospitalization (7/44, 15.9%) in the last six months which were not statistically significant.
Conclusion: Depressive symptoms are quite common in people with Type-I diabetes. Health care professionals should consider screening youth with diabetes for depression regularly. Further large scale studies are needed to validate our findings.
How to cite this:Riaz M, Imran N, Fawwad A, Basit A. Frequency of depression among patients with Type-I diabetes in a developing country, Pakistan. Pak J Med Sci. 2017;33(6):1318-1323.Â Â doi: https://doi.org/10.12669/pjms.336.13911
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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