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Depression and diabetes in Iranian patients: a comparative study
Mohammad E Khamseh1, Hamid R Baradaran, Hassan Rajabali
1Iran University of Medical Sciences, Tehran.
Depression is highly prevalent in Iranian individuals with diabetes, affecting over 71% of patients. Early detection and psychological support are crucial for managing depression and improving diabetes outcomes.
Area of Science:
- Endocrinology
- Psychiatry
- Public Health
Background:
- Diabetes mellitus is a chronic condition associated with numerous complications.
- Mental health disorders, particularly depression, are increasingly recognized as comorbidities in patients with diabetes.
- Understanding the prevalence and risk factors for depression in diabetic populations is essential for effective management.
Purpose of the Study:
- To determine the rate of depression among individuals with diabetes in an Iranian population.
- To investigate the relationship between diabetes and depression.
- To identify potential risk factors for depression in this cohort.
Main Methods:
- A hospital-based prospective study was conducted with 375 participants (206 with diabetes, 169 without) at Firozgar Teaching Hospital, Tehran, Iran.
- Depression was assessed using standardized measures, including the Beck Depression Inventory (BDI).
- Data on diabetes type, demographics, and depression severity were collected and analyzed.
Main Results:
- Major depression was diagnosed in 71.8% of individuals with diabetes (Type 1 and Type 2).
- Depression was significantly more prevalent in women with diabetes compared to men (Adjusted Odds Ratio = 2.1).
- A substantial proportion of participants (64%) exhibited moderate to severe depression scores.
Conclusions:
- Diabetes is associated with an increased risk of developing depression.
- Early detection and intervention for depression are vital for mitigating its impact on diabetes outcomes.
- There is a need for integrated psychological services for individuals managing diabetes.
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