Wordofa BerhanuW/Giorgis Teshager2018-07-232023-11-062018-07-232023-11-062016-06http://etd.aau.edu.et/handle/123456789/9658Background: Diabetes and depression are a highly prevalent, devastating and disabling conditionassociated with high morbidity, mortality, and healthcare consumption. Co-existing depression inpeople 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 thediabetes patients in Ethiopia are scarce particularly in the study area that which needs furtherinvestigation. Objective: The aim of this study was to determine the prevalence and associated factors ofdepression among outpatients with diabetes in Felege Hiwot Referral Hospital. Method: Institution based cross-sectional study was conducted on outpatients from Felege HiwotReferral Hospital. A face to face interview was conducted using structured questionnaire bytrained and experienced health professionals. The participants were selected by using systematicrandom sampling technique. Depression was assessed by Patient Health Questionnaire- 9 (PHQ9) and data was analyzed by using simple descriptive, univariate and multivariate logisticregression 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 thestudy period respectively. The overall prevalence of depression among patient with diabetes was40.4% 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 hypoglycemictreatment regime (AOR: 2.213, 95% CI 1.174, 4.171)) and high fear of complication (AOR9.129, 95% CI (4.97, 16.769)) were found statistically significant factors. Conclusion: This study revealed a relatively high prevalence of depression episodes in diabeticoutpatients.High perceptions for fear of complication, less level of social support, oralhypoglycemic treatment regime and adult age (45-54) were found to be the most important riskfactors for depressive episodes. Therefore, providing social support co-morbid depression couldhelp ameliorate some of the deleterious effects of depressive symptoms in DM outpatients. Keywords: Diabetes; Depression; Adult patient; Co-morbidity; Associated factorsenDiabetes Depression Adult patients Co-morbidityThesis