Prevalence of Depression and Associated Factors among Adult Diabetic Patients Attending Outpatient Department, at Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia, 2016
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Date
2016-06
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Addis Ababa University
Abstract
Background: Diabetes and depression are a highly prevalent, devastating and disabling condition
associated with high morbidity, mortality, and healthcare consumption. Co-existing depression in
people with Diabetes mellitus (DM) results in decreased adherence, poor health outcome,
decreased quality of life, increased disability, lost productivity increased and risk of death.
Prevalence and contribute factors were varies from pace to place and data on depression in the
diabetes patients in Ethiopia are scarce particularly in the study area that which needs further
investigation.
Objective: The aim of this study was to determine the prevalence and associated factors of
depression among outpatients with diabetes in Felege Hiwot Referral Hospital.
Method: Institution based cross-sectional study was conducted on outpatients from Felege Hiwot
Referral Hospital. A face to face interview was conducted using structured questionnaire by
trained and experienced health professionals. The participants were selected by using systematic
random sampling technique. Depression was assessed by Patient Health Questionnaire- 9 (PHQ
9) and data was analyzed by using simple descriptive, univariate and multivariate logistic
regression analysis method. P <0.05 with 95% CI was considered statistically significant.
Result: Of 416 people interviewed; 25.72% fulfilled the criteria for mild, 6.73% for moderate,
5.53% for moderately sever, and 2.40% for severe form of depression two weeks prior to the
study period respectively. The overall prevalence of depression among patient with diabetes was
40.4% when a cut-off score of PHQ 9 ≥ 5 was used. Poor social support (AOR 5.82, 95% CI
(2.821, 12.004)); age 45-54 years old (AOR: 2.717, 95% CI (1.041, 7.096)); oral hypoglycemic
treatment regime (AOR: 2.213, 95% CI 1.174, 4.171)) and high fear of complication (AOR
9.129, 95% CI (4.97, 16.769)) were found statistically significant factors.
Conclusion: This study revealed a relatively high prevalence of depression episodes in diabetic
outpatients.
High perceptions for fear of complication, less level of social support, oral
hypoglycemic treatment regime and adult age (45-54) were found to be the most important risk
factors for depressive episodes. Therefore, providing social support co-morbid depression could
help ameliorate some of the deleterious effects of depressive symptoms in DM outpatients.
Keywords: Diabetes; Depression; Adult patient; Co-morbidity; Associated factors
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Keywords
Diabetes, Depression, Adult patients, Co-morbidity