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Psychiatric Comorbidity among Type 2 Diabetes Mellitus Patients
M Acharya1, R H Ghimire2, D Karki3
1Department of Psychiatry, Nobel Medical College Teaching Hospital, Biratnagar, Nepal.
Kathmandu University Medical Journal (KUMJ)
|September 27, 2024
Summary
Psychiatric conditions frequently co-occur with type 2 diabetes, impacting quality of life. Depression is the most common comorbidity, particularly in older women and those with longer diabetes duration.
Area of Science:
- Endocrinology
- Psychiatry
- Public Health
Background:
- Co-occurrence of psychiatric conditions and diabetes mellitus is common.
- This coexistence negatively impacts quality of life, healthcare costs, and treatment adherence.
- Understanding psychiatric comorbidity in diabetes is crucial for comprehensive patient care.
Purpose of the Study:
- To evaluate the prevalence of psychiatric comorbidity in patients with type 2 diabetes.
- To identify specific psychiatric conditions co-occurring with type 2 diabetes.
- To analyze demographic and clinical factors associated with psychiatric comorbidity in type 2 diabetes patients.
Main Methods:
- Cross-sectional study design.
- Inclusion of 200 type 2 diabetes patients from outpatient services.
- Utilized Mini International Neuropsychiatric Interview and ICD-10 guidelines for psychiatric assessment.
Main Results:
- Depression was the most prevalent psychiatric comorbidity, found in 30.5% of patients.
- Higher depression rates observed in female patients and those over 50 years.
- Increased prevalence of depression and other psychiatric illnesses correlated with longer diabetes duration.
Conclusions:
- A significant proportion of type 2 diabetes patients experience comorbid psychiatric conditions.
- Depression is the leading psychiatric comorbidity in this population.
- Neuropsychiatric conditions are more common in older diabetic patients, particularly after the sixth decade.
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