Depression and diabetes: An experience from Kashmir
Arshad Hussain1, Zaid Ahmad Wani1, Hamidullah Shah1
1Department of Psychiatry, Government Medical College, Srinagar, Jammu and Kashmir, India.
Indian Journal of Psychiatry
|May 9, 2020
Summary
Major depressive disorder (MDD) affects nearly 40% of adult diabetic patients in Kashmir, with higher rates in Type 1 diabetes. Most cases are of moderate intensity, highlighting a significant mental health burden.
Area of Science:
- Endocrinology and Psychiatry
- Public Health
Background:
- Diabetes mellitus is a prevalent chronic metabolic disorder marked by hyperglycemia.
- The link between diabetes and depression receives limited attention in developing nations like India.
- This study addresses the prevalence and severity of depression in diabetic patients in Kashmir.
Purpose of the Study:
- To determine the prevalence of major depressive disorder (MDD) in adult diabetic patients.
- To assess the severity of depression among these patients.
- To investigate demographic and clinical factors associated with depression in diabetes.
Main Methods:
- Screened 527 diabetic patients (age 18-60) for MDD using DSM-IV criteria.
- Assessed depression severity with the Montgomery-Asberg Depression Rating Scale.
- Included patients with diabetes for at least six months.
Main Results:
- Nearly 40% (39.65%) of diabetic patients exhibited depression.
- Depression was more common in the 29-38 age group, females, literates, and government employees.
- Prevalence was 60% for Type 1 and 37.75% for Type 2 diabetes; depressed patients had higher fasting blood glucose.
Conclusions:
- Major depressive disorder is significantly prevalent in adult diabetic patients in this region.
- The majority of depressed diabetic patients experience moderate-intensity depression.
- This underscores the need for integrated care for diabetes and mental health.
Related Concept Videos
01:18Depression: Overview
663
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
663
01:19Psychoneuroimmunology: Diabetes and Cancer
358
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
358
01:03Long-term Depression
2.9K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over...
Calcium Ion Concentration Mechanism
If over...
2.9K
01:05Long-term Depression
32.8K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
32.8K
01:22Diabetes Mellitus: Type 2 and Gestational
4.2K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
4.2K
01:15Diabetes: Symptoms, Diagnosis, and Complications
1.9K
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
1.9K