Prevalence and Associated Factors of Anxiety and Depression Among Patients with Type 2 Diabetes in Kerman, Southern Iran

Tania Dehesh,1 Paria Dehesh,2 Shahla Shojaei3 1Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran; 2Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran; 3College of Pharmacy, Ra...

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Autores principales:	Dehesh T, Dehesh P, Shojaei S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	anxiety depression type 2 diabetes hamilton questionnaire beck questionnaire Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/4fb079c6f0ed42cf86aaad1f9dc5377a
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spelling	oai:doaj.org-article:4fb079c6f0ed42cf86aaad1f9dc5377a2021-12-02T09:53:47ZPrevalence and Associated Factors of Anxiety and Depression Among Patients with Type 2 Diabetes in Kerman, Southern Iran1178-7007https://doaj.org/article/4fb079c6f0ed42cf86aaad1f9dc5377a2020-05-01T00:00:00Zhttps://www.dovepress.com/prevalence-and-associated-factors-of-anxiety-and-depression-among-pati-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Tania Dehesh,1 Paria Dehesh,2 Shahla Shojaei3 1Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran; 2Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran; 3College of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, CanadaCorrespondence: Paria Dehesh Email Paria_dehesh@yahoo.comPurpose: Depression and anxiety are common disorders in patients suffering from type 2 diabetes. These disorders can lead to premature morbidity, exacerbate disease complications, make patients suffer more, and increase health-care costs. As diabetes has increased worldwide recently, it is necessary to reduce the prevalence of factors that are associated with depression and anxiety in diabetes patients. This study aimed to assess the prevalence of anxiety and depression and to identify their associated factors, including metabolic components among people with type 2 diabetes.Patients and Methods: We performed a cross-sectional study in 1500 patients with type 2 diabetes in Kerman, in the southern part of Iran. The prevalence of depression and anxiety was estimated using the Beck Depression Inventory and the Hamilton Anxiety questionnaires, respectively. After calculating the proportions of depression and anxiety, univariate logistic regression was performed. Factors whose P-values were smaller than 0.2 in univariate logistic regression were included in multiple logistic regression for confounder adjustments. The analysis was performed using SPSS version 20.Results: The rates of depression and anxiety were 59% (95% CI: 54.48– 63.12) and 62% (95% CI: 59.51– 66.27), respectively. Factors found to be independently associated with anxiety were high FBS, high LDL-C, high TG, hypertension, complications, low physical activity. Factors found to be independently associated with depression were female gender, older age, high BMI, high FBS, high LDL-C, low HDL-C, high TG, high HbA1c, hypertension, and low physical activity. Complications were independently associated with anxiety but not with depression. Female gender, older age, high BMI, low HDL-C, and high HbA1c were independently associated with depression but not with anxiety.Conclusion: Current findings demonstrated that a large proportion of patients with type 2 diabetes suffer from depression and anxiety. This study also identified factors associated with these disorders. Controlling some metabolic variables will decrease the prevalence of these disorders and improves clinical remedy and quality of life in patients with type 2 diabetes.Keywords: anxiety, depression, type 2 diabetes, Hamilton questionnaire, Beck questionnaireDehesh TDehesh PShojaei SDove Medical Pressarticleanxietydepressiontype 2 diabeteshamilton questionnairebeck questionnaireSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 1509-1517 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	anxiety depression type 2 diabetes hamilton questionnaire beck questionnaire Specialties of internal medicine RC581-951
spellingShingle	anxiety depression type 2 diabetes hamilton questionnaire beck questionnaire Specialties of internal medicine RC581-951 Dehesh T Dehesh P Shojaei S Prevalence and Associated Factors of Anxiety and Depression Among Patients with Type 2 Diabetes in Kerman, Southern Iran
description	Tania Dehesh,1 Paria Dehesh,2 Shahla Shojaei3 1Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran; 2Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran; 3College of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, CanadaCorrespondence: Paria Dehesh Email Paria_dehesh@yahoo.comPurpose: Depression and anxiety are common disorders in patients suffering from type 2 diabetes. These disorders can lead to premature morbidity, exacerbate disease complications, make patients suffer more, and increase health-care costs. As diabetes has increased worldwide recently, it is necessary to reduce the prevalence of factors that are associated with depression and anxiety in diabetes patients. This study aimed to assess the prevalence of anxiety and depression and to identify their associated factors, including metabolic components among people with type 2 diabetes.Patients and Methods: We performed a cross-sectional study in 1500 patients with type 2 diabetes in Kerman, in the southern part of Iran. The prevalence of depression and anxiety was estimated using the Beck Depression Inventory and the Hamilton Anxiety questionnaires, respectively. After calculating the proportions of depression and anxiety, univariate logistic regression was performed. Factors whose P-values were smaller than 0.2 in univariate logistic regression were included in multiple logistic regression for confounder adjustments. The analysis was performed using SPSS version 20.Results: The rates of depression and anxiety were 59% (95% CI: 54.48– 63.12) and 62% (95% CI: 59.51– 66.27), respectively. Factors found to be independently associated with anxiety were high FBS, high LDL-C, high TG, hypertension, complications, low physical activity. Factors found to be independently associated with depression were female gender, older age, high BMI, high FBS, high LDL-C, low HDL-C, high TG, high HbA1c, hypertension, and low physical activity. Complications were independently associated with anxiety but not with depression. Female gender, older age, high BMI, low HDL-C, and high HbA1c were independently associated with depression but not with anxiety.Conclusion: Current findings demonstrated that a large proportion of patients with type 2 diabetes suffer from depression and anxiety. This study also identified factors associated with these disorders. Controlling some metabolic variables will decrease the prevalence of these disorders and improves clinical remedy and quality of life in patients with type 2 diabetes.Keywords: anxiety, depression, type 2 diabetes, Hamilton questionnaire, Beck questionnaire
format	article
author	Dehesh T Dehesh P Shojaei S
author_facet	Dehesh T Dehesh P Shojaei S
author_sort	Dehesh T
title	Prevalence and Associated Factors of Anxiety and Depression Among Patients with Type 2 Diabetes in Kerman, Southern Iran
title_short	Prevalence and Associated Factors of Anxiety and Depression Among Patients with Type 2 Diabetes in Kerman, Southern Iran
title_full	Prevalence and Associated Factors of Anxiety and Depression Among Patients with Type 2 Diabetes in Kerman, Southern Iran
title_fullStr	Prevalence and Associated Factors of Anxiety and Depression Among Patients with Type 2 Diabetes in Kerman, Southern Iran
title_full_unstemmed	Prevalence and Associated Factors of Anxiety and Depression Among Patients with Type 2 Diabetes in Kerman, Southern Iran
title_sort	prevalence and associated factors of anxiety and depression among patients with type 2 diabetes in kerman, southern iran
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/4fb079c6f0ed42cf86aaad1f9dc5377a
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Prevalence and Associated Factors of Anxiety and Depression Among Patients with Type 2 Diabetes in Kerman, Southern Iran

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