Depression and its Association with Sociodemographic Factors and Self Care in Patients with Type-2 Diabetes Mellitus in a Tertiary Care Hospital

Data shows that stress and changing lifestyle are proving to be major contributors of depression in diabetic patients. It is having a deteriorating effect on self-care practice and quality of life. Objectives 1) Aimed to investigate the extent of depression among diabetics, 2) To find out its association between socio-demographic factors, diabetic co-morbidities and self-care practices. Methods A cross sectional study was carried out in the tertiary care hospital, Krishna Hospital and Research Centre, Malkapur, Karad, in western Maharashtra. The study was conducted during a period of two months from March 2014 to August 2014. A structured questionnaire pre validated and modified, was used for collecting the data. Depression was evaluated using translated in vernacular language (Marathi) version of Beck Depression Inventory (BDI). Weight and height were measured with frequently standardized equipments. Blood sugar level was assessed by Glucose Oxidase Peroxidase method. Results Mean age of diabetic subjects was 50. There was no statistical significance in income group, education and marriage of diabetic subjects suffering from depression. Prevalence of depression was significantly higher in group having long duration treatment, with co-morbidities like retinopathy (pless than0.05), nephropathy (pless than0.0001), neuropathy (p=0.0002), IHD (p=0.0002) and obesity (pless than0.0001). Conclusion The prevalence of depression was high among diabetics. It was associated with obesity, mode of treatment, duration of disease and diabetic co morbidities. Therefore screening and management of depression is recommended to achieve optimum control of diabetes.