Depression And Quality of Life Among Type-2 Diabetes Mellitus Patients: A Case Control Study

Authors

  • Suleman Shareef Mahammad Lincoln University College & SVIMS, SPMCW
  • A Indira Narayana College of Nursing, Nellore
  • Visweswara Rao Guthi SVIMS-Sri Padmavathi Medical College for Women, Tirupati
  • Alex Viji Narayana College of Nursing, Nellore, India
  • G Aruna Narayana College of Nursing, Nellore
  • Katari Kantha Narayana College of Nursing, Nellore
  • J Jasmine Mother Theresa Post graduate and Research Institute of Health Sciences, Puducherry

DOI:

https://doi.org/10.55489/njcm.13052022423

Keywords:

Quality of life, Depression, Diabetes Mellitus, Tertiary care hospital

Abstract

Background: Diabetes is accompanied by a distinct decreased in subject’s quality of life (QOL) and it shows to elevated disability-adjusted life years than most diseases. Depression shows the degrade QOL and is associated with wretched treatment outcomes and lesser the glycaemic control in diabetes. Objective of this study is to study the association between Quality of Life (QoL) and depression among type2 diabetes mellitus in Andhra Pradesh.

 Methodology: The present study is a case control study. There were 300 participants including 150 type2 diabetes mellitus patients, & 150 healthy individuals (age and gender matched) were also selected as a control to meet the purpose of the study. Subjects age range was set between 35-65 years. Beck depression inventory (BDI-II) and WHO quality of life scale (QOL BREF) were used for data collection, SPSS-26(v).

Results: The study findings showed that significant but negative relation between depression scores and quality of life. 65% have Poor Quality of life & 57% have high depression in Diabetes Patients. 54% have good Quality of life & 78% have Mild Depression in Healthy Individuals.

Conclusion: It is concluded that association between depression and sub-scales of quality of life indicating that high depression scores may lead to lower physical and psychological health impacting social relationship and environmental health.

References

Ozougwu JC, Obimba K.C, BelonwuC.D and UnakalambaC.B.The pathogenesis and pathophysiology of type 1 and type 2 diabetes mellitus. Journal of physiology and pathophysiology 2013;4:46-57. doi: https://doi.org/10.5897/JPAP2013.0001 DOI: https://doi.org/10.5897/JPAP2013.0001

Gupta M,Prabhu K, Parajatham B.O, Kalaselvi VS, Rajendran SM and Jamila Rose.Prevalence of diabetes mellitus in South India: A retrospective analysis. JIMSA 2012; 25:239-40.

Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035.Diabetes Res Clin Pract 2014; 103:137-49. doi: https://doi.org/10.1016/j.diabres.2013.11.002 PMid:24630390 DOI: https://doi.org/10.1016/j.diabres.2013.11.002

Global report on diabetes. World Health Organisation, Geneva 2016.

Mandal A.Study of prevalence of type 2 diabetes mellitus and hypertension in overweight and obese people.J Family Med Prim Care 2014;3:25-28. doi: https://doi.org/10.4103/2249-4863.130265 PMid:24791232 PMCid:PMC4005195 DOI: https://doi.org/10.4103/2249-4863.130265

Rathod HK, Darade SS, Chitnis UB, Bhawalkar JS, Jadhav SL, Banerjee.A . Rural prevalence of type 2 diabetes mellitus: A cross-sectional study. J Soc Health Diabetes 2014;2:82-6. doi: https://doi.org/10.4103/2321-0656.130792 DOI: https://doi.org/10.4103/2321-0656.130792

Vijaya Nirmala P, Gudivada M., Vijaya Lashmi.C. Comparative Study of the Prevalence of Type-2 Diabetes Mellitus in Various Demographic Regions of Andhra Pradesh, India: a Population based Study.International Journal of MCH and AIDS 2016;5:103-11. doi: https://doi.org/10.21106/ijma.91 PMCid:PMC6305017 DOI: https://doi.org/10.21106/ijma.91

Manjubhashini S and Srinivas PJ.Screening for Diabetes mellitus and its risk factors in a rural village of Visakhapatnam district, Andhra Pradesh. International Journal of Medical Sciences and Public Health 2014; 3:1551-5. doi: https://doi.org/10.5455/ijmsph.2014.240820141 DOI: https://doi.org/10.5455/ijmsph.2014.240820141

Indira S. A study to assess the prevalence of diabetes mellitus among people attending OPD in Narayana Medical College and Hospital, Chinthareddypalem, Nellore. Narayana Nursing Journal 2013;1:3-4.

Govindu S, Gopi Krishna B, Ravi Prabhu G.Prevalence of diabetes mellitus and its association with life style factors among adults in Tirupati, Andhra Pradesh.International Archives of Integrated Medicine 2015;2:10-7.

Melba Sheila D' Souza, Ramesh venkatesa Perumal, Susan D. Ruppert, SubrahmanyaNairyKarkada and Deva kirubai Jacob. Health Related Quality of Life among Omani Men and Women with Type-2 Diabetes. Journal of Diabetes Research. 2016:1-10. doi: https://doi.org/10.1155/2016/8293579 PMid:26682234 PMCid:PMC4670671 DOI: https://doi.org/10.1155/2016/8293579

Lee Goldman, Dennis Ausiella. Cecil. Textbook of medicine.2004;2:1425.

Gemeay EM, Moawed MA, Mansou E A, Ebrahiem N E, Moussa I M, Nadrah WO. The association between diabetes and depression. Saudhi Med J 2015; 36: 1210-5. doi: https://doi.org/10.15537/smj.2015.10.11944 PMid:26446333 PMCid:PMC4621728 DOI: https://doi.org/10.15537/smj.2015.10.11944

WHO fact sheet on global burden of Depression N°369,2021. Available at: https://www.who.int/news-room/fact-sheets/detail/depression

Mendenhall E, Norris SA, Shidhaye R, Prabhakaran D.Depression and Type 2 Diabetes in Low and Middle Income countries: A Systematic review.Diabetes Res Clin Pract 2014;103:276-85. doi: https://doi.org/10.1016/j.diabres.2014.01.001 PMid:24485858 PMCid:PMC3982306 DOI: https://doi.org/10.1016/j.diabres.2014.01.001

Madhu M, Abish A, Kuriakose A,Jophin RI, Kiran AM,Vijayakumar K. Predictors of depression among patients with diabetes mellitus in Southern India.Asian J Psychiatry 2013;6:313-7. doi: https://doi.org/10.1016/j.ajp.2013.01.012 PMid:23810139 DOI: https://doi.org/10.1016/j.ajp.2013.01.012

Girish Banwari. Comorbid depression and diabetes mellitus; A double whammy. NHL Journal of Medical Sciences. 2013; 2(2): 9-13.

Akhtar B, Uzma M, Sana D, Samia B. relationship between quality of life and depression among DM patients of Rawalpindi, Pakistan. International journal of rehabilitation. 2013: 2: 10-16.

Somappa HK, Venkatesha M, Prasad R. Quality of life assessment among type 2 diabetic patients in rural tertiary centre. International Journal of Medical Science and Public Health 2014;3:415-7. doi: https://doi.org/10.5455/ijmsph.2014.260120143 DOI: https://doi.org/10.5455/ijmsph.2014.260120143

Gavric Z and Vujmilovic DG. Perceptions of Psychological Domain of Quality of Life in Patients with Diabetes Mellitus. Open Journal of Preventive Medicine 2014;4:489-498. doi: https://doi.org/10.4236/ojpm.2014.46057 DOI: https://doi.org/10.4236/ojpm.2014.46057

Bayani M A, Shakiba N, Bijani A, Moudi S. Depression and quality of life in patients with type 2 diabetes mellitus. Caspian J Intern Med. 2022; 13 (2) :3-0.

Mosaku, Kolawole & Kolawole, Babatope & Mume, Celestine. (2008). Depression, Anxiety and Quality of Life among Diabetic Patients: A Comparative Study. Journal of the National Medical Association. 100. 73-8. 10.1016/S0027-9684(15)31178-0. doi: https://doi.org/10.1016/S0027-9684(15)31178-0 DOI: https://doi.org/10.1016/S0027-9684(15)31178-0

Mezuk B, Eaton WW, Albrecht S, Golden SH. Depression and Type 2 Diabetes Over the Lifespan. Diabetes care. 2008;31(12):2383-90. pmid:19033418 doi: https://doi.org/10.2337/dc08-0985 PMid:19033418 PMCid:PMC2584200 DOI: https://doi.org/10.2337/dc08-0985

Ali S, Stone MA, Peters JL, Davies MJ, Khunti K. The prevalence of co-morbid depression in adults with Type 2 diabetes: a systematic review and meta-analysis. Diabet Med. 2006;23:1165-73.Available from: http://www.ncbi.nlm.nih.gov/pubmed/17054590 pmid:17054590 doi: https://doi.org/10.1111/j.1464-5491.2006.01943.x PMid:17054590 DOI: https://doi.org/10.1111/j.1464-5491.2006.01943.x

Sotiropoulos A, Papazafiropoulou A, Apostolou O, Kokolaki A, Gikas A, Pappas S. Prevalence of depressive symptoms among non insulin treated Greek type 2 diabetic subjects. BMC research notes. 2008;1:101. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2590605&tool=pmcentrez&rendertype=abstract pmid:18957113 doi: https://doi.org/10.1186/1756-0500-1-101 PMid:18957113 PMCid:PMC2590605 DOI: https://doi.org/10.1186/1756-0500-1-101

Asghar S, Hussain A, Ali SMK, Khan AKA, Magnusson A. Prevalence of depression and diabetes: A population-based study from rural Bangladesh. Diabetic Medicine. 2007;24(8):872-7. pmid:17403122 doi: https://doi.org/10.1111/j.1464-5491.2007.02136.x PMid:17403122 DOI: https://doi.org/10.1111/j.1464-5491.2007.02136.x

.Zahid N, Asghar S, Claussen B, Hussain A. Depression and diabetes in a rural community in Pakistan. Diabetes Research and Clinical Practice. 2008;79(1):124-7. pmid:17692423 doi: https://doi.org/10.1016/j.diabres.2007.07.006 PMid:17692423 DOI: https://doi.org/10.1016/j.diabres.2007.07.006

haudhry R, Mishra P, Mishra J, Parminder S, Mishra BP. Psychiatric morbidity among diabetic patients: A hospital-based study. Industrial psychiatry journal. 2010;19(1):47-9. pmid:21694791 doi: https://doi.org/10.4103/0972-6748.77637 PMid:21694791 PMCid:PMC3105558 DOI: https://doi.org/10.4103/0972-6748.77637

Niraula K, Kohrt B a, Flora MS, Thapa N, Mumu SJ, Pathak R, et al. Prevalence of depression and associated risk factors among persons with type-2 diabetes mellitus without a prior psychiatric history: a cross-sectional study in clinical settings in urban Nepal. BMC psychiatry .2013;13:309. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3833646&tool=pmcentrez&rendertype=abstract pmid:24238561 doi: https://doi.org/10.1186/1471-244X-13-309 PMid:24238561 PMCid:PMC3833646 DOI: https://doi.org/10.1186/1471-244X-13-309

Joshi S, Dhungana RR, Subba UK. Illness Perception and Depressive Symptoms among Persons with Type 2 Diabetes Mellitus: An Analytical Cross-Sectional Study in Clinical Settings in Nepal. Journal of diabetes research. 2015;2015:908374. Available from: http://www.mendeley.com/research/illness-perception-depressive-symptoms-among-persons-type-2-diabetes-mellitus-analytical-crosssectio/ pmid:26236749 doi: https://doi.org/10.1155/2015/908374 PMid:26236749 PMCid:PMC4508465 DOI: https://doi.org/10.1155/2015/908374

Raghavendra N, Viveki RG, Gadgade A. An observational study to assess the health-related quality of life of type 2 diabetes mellitus patients attending a tertiary care hospital, Belagavi. Int J Community Med Public Health. 2017;4:3347-53. doi: https://doi.org/10.18203/2394-6040.ijcmph20173843 DOI: https://doi.org/10.18203/2394-6040.ijcmph20173843

Mahammad SS, Indira A, Bhaumik A, Smitha PM, Thirunavukarasu UK, Navya Keerthana P, Poddar R, Abdullah BF, Disco R III. Quality of Life Among Type Two Diabetes Mellitus Clients in an Urban Area of Tirupati Malaysian Journal of Medicine and Health Sciences, 2022, 18, pp. 250-255.

Alshayban D, Joseph R. Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: a cross-sectional study. PLoS One. 2020 Jan 10;15(1):e0227573.. https://doi.org/10.1371/journal. pone.0227573 doi: https://doi.org/10.1371/journal.pone.0227573 PMid:31923232 PMCid:PMC6953887 DOI: https://doi.org/10.1371/journal.pone.0227573

Enang et al. A case-control study of pattern and determinants of quality of life of patients with diabetes in a developing country. Journal of the Egyptian Public Health Association (2021) 96:2:1-11. doi: https://doi.org/10.1186/s42506-020-00061-y PMid:33507391 PMCid:PMC7843869 DOI: https://doi.org/10.1186/s42506-020-00061-y

Altinok A, Marakoğlu K, Kargın NÇ. Evaluation of quality of life and depression levels in individuals with Type 2 diabetes. J Family Med Prim Care 2016;5:302-8. doi: https://doi.org/10.4103/2249-4863.192358 PMid:27843832 PMCid:PMC5084552 DOI: https://doi.org/10.4103/2249-4863.192358

Preeti Sharma, Santosh Kumar, C.S. Sharma, Vidhata Dixit, Harsh Rathi, Viddur Arya. Assessment of depression in patients of type-2 diabetes mellitus attending a tertiary care centre. International Journal of Contemporary Medical Research 2019;6(6):F9-F14 doi: https://doi.org/10.21276/ijcmr.2019.6.6.10 DOI: https://doi.org/10.21276/ijcmr.2019.6.6.10

Cakmak S, Gen E. Relationship between quality of life, depression and anxiety in type 1 and type 2 diabetes. Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2020;33:155-169. doi: https://doi.org/10.14744/DAJPNS.2020.00075 DOI: https://doi.org/10.14744/DAJPNS.2020.00075

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Published

2022-05-31

How to Cite

1.
Suleman Shareef Mahammad, A Indira, Guthi VR, Alex Viji, G Aruna, Katari Kantha, J Jasmine. Depression And Quality of Life Among Type-2 Diabetes Mellitus Patients: A Case Control Study. Natl J Community Med [Internet]. 2022 May 31 [cited 2022 Jul. 5];13(05):319-26. Available from: https://njcmindia.com/index.php/file/article/view/423

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Original Research Articles