PREVALENCE OF DEPRESSIVE DISORDERS USING ICD 10 CLINICAL CRITERIA AND ASSOCIATION WITH HEALTH BEHAVIOR, TREATMENT ADHERENCE AND COMORBIDITIES AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS

2020 ◽  
pp. 57-64
Author(s):  
Hang Tran Nhu Minh ◽  
Linh Nguyen Quang Ngoc ◽  
Han Vo Thi ◽  
Anh Le Tran Tuan
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Behavior ◽  
Depressive Disorder ◽  
Treatment Adherence ◽  
Clinical Criteria ◽  
Prevalence Of Depression ◽  
Icd 10

Background: The prevalence of depression is high in patients with type 2 diabetes mellitus (T2DM). Several studies showed that suitable health behavior and treatment adherance could be factors asociated with low prevalence of depression among patients with type 2 diabetes mellitus. Objectives: 1. To investigate the prevalence of depressive disorder using ICD10 clinical criteria among patients with T2DM. 2. To analyze the association between depressive disorder with health behavior, treatment adherence and commorbidities in the participants. Subjects and methods: This is a descriptive cross - sectional study on 210 inpatients with T2DM at the Department of General Internal Medicine, Hue University of Medicine and Pharmacy Hospital and at the Department of Endocrinology - Neurology, Hue Central Hospital. PHQ - 9 with the cutoff of 10 was used to screen depressed patients among participants, then psychiatrists used clinical criteria of ICD 10 to diagnose depression definitively. Patients who were diagnosed with depression according to clinical criteria were analyzed the association between depression with health behavior, treatment adherence and comorbidities by using univariable and multivariable logistic regression. Results: The prevalence of depressive disorder among patients with T2DM assessed by clinical criteria of ICD 10 was 31.4% in which severe (7.6%), moderate (19.5%) and mild depression (4.3%). Health behavior associated with depression in patients with T2DM are light or moderate activities such as practising yoga, walking, riding bicycle ... that help reduce the rate of depression, while working hard or playing heavy sports increases the rate of depression. In addition, patients with 2 or more complications, hypertension and kidney diseases increased the risk of depression in univariate analysis. The multivariate analysis of risk factors for depression were infectious diseases. Conclusion: Depression is found at a high rate among patients with T2DM. Light or moderate physical activity reduces the prevalence of depression. The complications and associated infectious disease are risk factors for depression. . Key words: Depression, type 2 diabetes mellitus, health behavior, comorbidities, treatment adherence

scholarly journals ADHERENCE LEVEL AND BLOOD SUGAR CONTROL OF TYPE 2 DIABETES MELLITUS PATIENTS WHO GETS COUNSELING AND SHORT MESSAGES SERVICE AS REMINDER AND MOTIVATION

2018 ◽  
Vol 11 (2) ◽  
pp. 219 ◽  
Author(s):  
Wirawan Adikusuma ◽  
Nurul Qiyaam
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Treatment Adherence ◽  
Data Retrieval ◽  
Control Group ◽  
Hba1c Levels ◽  
Short Messages

  Objective: Examines the effects of counseling and short messages service (SMS) as a reminder and motivation toward medication adherence improvement and controlled HbA1c levels of type 2 diabetes mellitus (T2DM) patients.Methods: This study used a quasi-experimental method with prospective data retrieval. The subjects of this study were 40 patients with outpatient T2DM in internal disease polyclinic in West Nusa Tenggara Hospital, Indonesia. Patients who fulfilled the inclusion criteria were divided into two groups: The control group (n=20) receiving only the drug care service and the treatment group (n=20) receiving counseling and SMS reminder and motivation from the pharmacist. Data collecting was conducted using the pill count method, and HbA1c levels were taken from the medical record.Results: The results showed that counseling and SMS as reminder and motivation by a pharmacist can improve treatment adherence significantly (p<0.05) by 11.33 ± 8.47 and can decrease HbA1c level significantly (p<0.05) of 1.32 ± 0.72 in the intervention group. There was a positive correlation between T2DM patient treatment adherence to HbA1c levels (r=0.254, p=0.023).Conclusion: The provision of counseling and SMS as a reminder and motivation by the pharmacist can have a positive effect toward medication adherence and control of HbA1c in T2DM patients. 

scholarly journals Prevalence and Risk Factors of Depression in Chinese Patients With Type 2 Diabetes Mellitus: a Protocol of Systematic Review and Meta-analysis

2020 ◽  
Author(s):  
Xiaobo LIU ◽  
Chao Dong ◽  
Hong Jiang ◽  
Dongling Zhong ◽  
Yuxi Li ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Systematic Review ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Early Detection ◽  
Meta Analysis ◽  
Prevalence Of Depression ◽  
Associated Risk Factors

Abstract Background: The prevalence of type 2 diabetes mellitus (T2DM) is growing in China. Both physical and psychological complications occur along with the development of T2DM. The patients with depression account for a significant proportion of T2DM. Depressive symptoms interfere with blood glucose management, leading to poorer treatment outcome and even relate to the occurrence of other serious complications of T2DM population. Among these T2DM patients with depression, early detection and treatment is essential and effective. Knowledge of the current prevalence of depression in T2DM patients as well as associated risk factors may be meaningful for healthcare planning. Therefore, we plan to conduct a systematic review and meta-analysis to evaluate the Chinese prevalence of depression in T2DM and explore associated risk factors.Methods: We will search literatures recorded in MEDLINE/PubMed, EMBASE, the Cochrane Library, Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical Database (VIP), and Wanfang database (Wanfang Data). The grey literatures and reference list will be manually searched. We will include population-based, cross-sectional surveys that investigated the Chinese prevalence of depression in T2DM or/and researched the possible risk factors. Two reviewers will screen studies, extract data and evaluate quality independently. We will assess inter-rater agreement between reviewers for study inclusion, data extraction, and study quality assessment using Kappa statistics. The primary outcome will be the pooled Chinese prevalence of depression in T2DM patients. The secondary outcome will contain the potential risk factors for depression in patients with T2DM. R software (version 3.6.1) and STATA software (version 12) will be used for data analysis.Discussion: This systematic review will provide comprehensive evidence of the Chinese prevalence and risk factors of depression in patients with T2DM. we expect to provide evidence basis for healthcare practitioners and policy makers to pay attention to the mental health of T2DM. Our data will highlight the need and importance of early detection and intervention for depression in patients with T2DM. Systematic review registration: PROSPERO CRD42020182979.

scholarly journals Patterns of Treatment adherence in Patients with type 2 Diabetes Mellitus (T2dm) Initiating Linagliptin and other non-Insulin Diabetes Medications (Nidms)

2015 ◽  
Vol 18 (3) ◽  
pp. A57
Author(s):  
E. Patorno ◽  
C. Gopalakrishnan ◽  
O. Zorina ◽  
S. Schneeweiss ◽  
D. Bartels ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Treatment Adherence

Depression, Anxiety, and Stress Burdens Among Jordanian Patients With Type 2 Diabetes Mellitus

2015 ◽  
Vol 17 (3) ◽  
pp. 166-175 ◽  
Author(s):  
Zainab Fatehi Albikawi ◽  
Mohammad Abuadas ◽  
Ahmad Al-Jabery
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Sampling Technique ◽  
Psychological Status ◽  
Short Version ◽  
Health Providers ◽  
Care Plans ◽  
Prevalence Of Depression

Purpose: To assess the levels and prevalence of depression, anxiety, and stress and to identify factors associated with these emotions among Jordanian patients with type 2 diabetes mellitus. Methods: This descriptive study recruited 149 participants through a convenience sampling technique. Depression, anxiety, and stress burdens were measured through Arabic short version of Depression, Anxiety, and Stress Scale (DASS-21; Lovibond & Lovibond, 1995). Results: There were 28.8%, 49.5%, and 33.5% of participants who had moderate-to-extremely severe levels of depression, anxiety, and stress, respectively. The depression, anxiety, and stress burdens were associated with patients’ gender and educational level, and the highest level of depression, anxiety, and stress burdens levels were associated with the presence of diabetes complications and other chronic illness. Conclusion: The findings from this study can guide the health providers to address psychological status for patients with type 2 diabetes mellitus in their care plans.

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