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Depression in romanian patients with type 2 diabetes: prevalence and risk factors
BACKGROUND AND AIMS: Co-existing major depression was found to have a negative impact on the diabetes outcome and the quality of life. The aim of the present study was to assess the prevalence of depressive symptoms in Romanian diabetes patients and to identify the risk factors associated with depre...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Iuliu Hatieganu University of Medicine and Pharmacy
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4990432/ https://www.ncbi.nlm.nih.gov/pubmed/27547056 http://dx.doi.org/10.15386/cjmed-641 |
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author | MOCAN, ANDREIA S. IANCU, SILVIA S. DUMA, LIVIA MURESEANU, CAMELIA BABAN, ADRIANA S. |
author_facet | MOCAN, ANDREIA S. IANCU, SILVIA S. DUMA, LIVIA MURESEANU, CAMELIA BABAN, ADRIANA S. |
author_sort | MOCAN, ANDREIA S. |
collection | PubMed |
description | BACKGROUND AND AIMS: Co-existing major depression was found to have a negative impact on the diabetes outcome and the quality of life. The aim of the present study was to assess the prevalence of depressive symptoms in Romanian diabetes patients and to identify the risk factors associated with depression. METHODS: A total of 144 type 2 diabetes patients were included in the study. Five models of presumed predictors were used to assess the risk factors for depressive symptoms, using hierarchical regression analysis. Together with demographics, disease, lifestyle predictors, previous depressive symptoms and diabetes distress were taken into account. RESULTS: In our sample the prevalence of depression was 12.6%. Main risk factors for depressive symptoms were previous depressive symptoms which were associated with depression in both Model 4 (β=0.297, p=0.013) and Model 5 (β=0.239, p=0.017) and diabetes distress in Model 5 (β=0.540, p≤0.001). Employment (β =−0.276, p=0.029) and increased number of diabetes complications (β=0.236, p=0.017) became significant when diabetes distress was added to the analysis. CONCLUSIONS: The overall prevalence of depressive symptoms was found to be in range with the prevalence identified in the literature. Previous depression and diabetes distress were both independently associated with depression, confirming the bidirectional relationship between depression and diabetes distress. Due to the consequences for daily living, screening for diabetes distress and depression should be done in primary care units both by physicians and trained nurses. |
format | Online Article Text |
id | pubmed-4990432 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Iuliu Hatieganu University of Medicine and Pharmacy |
record_format | MEDLINE/PubMed |
spelling | pubmed-49904322016-08-19 Depression in romanian patients with type 2 diabetes: prevalence and risk factors MOCAN, ANDREIA S. IANCU, SILVIA S. DUMA, LIVIA MURESEANU, CAMELIA BABAN, ADRIANA S. Clujul Med Original Research BACKGROUND AND AIMS: Co-existing major depression was found to have a negative impact on the diabetes outcome and the quality of life. The aim of the present study was to assess the prevalence of depressive symptoms in Romanian diabetes patients and to identify the risk factors associated with depression. METHODS: A total of 144 type 2 diabetes patients were included in the study. Five models of presumed predictors were used to assess the risk factors for depressive symptoms, using hierarchical regression analysis. Together with demographics, disease, lifestyle predictors, previous depressive symptoms and diabetes distress were taken into account. RESULTS: In our sample the prevalence of depression was 12.6%. Main risk factors for depressive symptoms were previous depressive symptoms which were associated with depression in both Model 4 (β=0.297, p=0.013) and Model 5 (β=0.239, p=0.017) and diabetes distress in Model 5 (β=0.540, p≤0.001). Employment (β =−0.276, p=0.029) and increased number of diabetes complications (β=0.236, p=0.017) became significant when diabetes distress was added to the analysis. CONCLUSIONS: The overall prevalence of depressive symptoms was found to be in range with the prevalence identified in the literature. Previous depression and diabetes distress were both independently associated with depression, confirming the bidirectional relationship between depression and diabetes distress. Due to the consequences for daily living, screening for diabetes distress and depression should be done in primary care units both by physicians and trained nurses. Iuliu Hatieganu University of Medicine and Pharmacy 2016 2016-07-28 /pmc/articles/PMC4990432/ /pubmed/27547056 http://dx.doi.org/10.15386/cjmed-641 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License |
spellingShingle | Original Research MOCAN, ANDREIA S. IANCU, SILVIA S. DUMA, LIVIA MURESEANU, CAMELIA BABAN, ADRIANA S. Depression in romanian patients with type 2 diabetes: prevalence and risk factors |
title | Depression in romanian patients with type 2 diabetes: prevalence and risk factors |
title_full | Depression in romanian patients with type 2 diabetes: prevalence and risk factors |
title_fullStr | Depression in romanian patients with type 2 diabetes: prevalence and risk factors |
title_full_unstemmed | Depression in romanian patients with type 2 diabetes: prevalence and risk factors |
title_short | Depression in romanian patients with type 2 diabetes: prevalence and risk factors |
title_sort | depression in romanian patients with type 2 diabetes: prevalence and risk factors |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4990432/ https://www.ncbi.nlm.nih.gov/pubmed/27547056 http://dx.doi.org/10.15386/cjmed-641 |
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