Prevalence of depression and anxiety among diabetic patients in Egypt: A cross-sectional study
Author:
Abd-Elgawad Mohamed1, Abdelsattar Nada K.1, Genedy Gehad T.1, Madeeh Alyaa K.1, Khamis Moaz1, Ryaad Mahmoud1, Hassaan Wessam H.1, Abdullah Eman A.1, Mustafa Marwa G.2, Assar Ahmed3, Farhat Abdullah M.1, Soliman Youssef4, Shrestha Abhigan Babu5ORCID, Taha Amira Mohamed1
Affiliation:
1. Faculty of Medicine, Fayoum University, Fayoum, Egypt 2. Faculty of Pharmacy, Fayoum University, Fayoum, Egypt 3. Faculty of Medicine, Menofia University, Menofia, Egypt 4. Faculty of Medicine, Assiut University, Assiut, Egypt 5. M Abdur Rahim Medical College, Dinajpur, Bangladesh.
Abstract
Depression and anxiety are highly prevalent among diabetics and may reduce their quality of life. However, data is limited on the prevalence of depression and anxiety among Egyptian diabetics. Therefore, we aimed to assess the prevalence of anxiety and depression and their association with different demographics and comorbidities among Egyptian diabetics. This multicentric cross-sectional study included 679 patients with diabetes in Fayoum, Egypt. We assessed the prevalence of depression and anxiety using the Hospital Anxiety and Depression Scale and collected socio-demographic characteristics with other relevant clinical variables. We used descriptive statistics to describe demographic characteristics and frequency of depression and anxiety. We applied logistic regression to measure the association between the different covariates and depression/anxiety. Of 679 diabetic patients, 65.4% were females, and 54.1% were above 50 years old. The median (IQR) age was 52 [43, 60]. Overall, 34.2% had depression, and 38% had anxiety. The results of multiple logistic regression suggested that age (odds ratio [OR] = 2.28, 95% confidence interval [CI] [1.54, 3.41]), neuropathy (OR = 2.25, 95% CI [1.38, 3.70]), sexual dysfunction (OR = 2.24, 95% CI [1.02, 4.96]), the presence of coma or spasm (OR = 2.82, 95% CI [1.44, 5.72]), and anxiety (OR = 3.15, 95% CI [2.21, 4.52]) were associated with increased risk of depression among diabetics. For anxiety, only the presence of depression was strongly associated with an increased risk of anxiety (OR = 2.99, 95% CI [2.12, 4.24]). Over one-third of Egyptian diabetics had depression and anxiety. Depression and anxiety may be associated with poor clinical outcomes in diabetics.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Reference18 articles.
1. “IDF Diabetes Atlas, tenth,”.;Federation;Int Diabetes,2021 2. “The psychological impact of living with diabetes women’s day-to-day experiences,”.;Penckofer;Diabetes Educ,2007 3. “Anxiety and depression: physiological and pharmacological considerations,”.;Grisel;J Individual Psychol,2006 4. “Depression in diabetic patients: The relationship between mood and glycemic control,”.;Lustman;J Diabetes Complications,2005 5. “Correlates of anxiety and depression among patients with type 2 diabetes mellitus,”.;Balhara;Ind J Endocrinol Metabol,2011
|
|