Depressive symptoms among older adults with diabetes mellitus: a cross-sectional study
ABSTRACT BACKGROUND: Diabetes mellitus is a chronic disease with long-term consequences that is often associated with depressive symptoms. This relationship predicts increased morbidity and mortality rates, leading to serious health consequences. OBJECTIVE: To identify the prevalence and health fa...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
2022-10-01
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005025201&lng=en&tlng=en |
| _version_ | 1811181597485957120 |
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| author | Diego Micael Barreto Andrade Roseanne Montargil Rocha Ícaro José Santos Ribeiro |
| author_facet | Diego Micael Barreto Andrade Roseanne Montargil Rocha Ícaro José Santos Ribeiro |
| author_sort | Diego Micael Barreto Andrade |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND: Diabetes mellitus is a chronic disease with long-term consequences that is often associated with depressive symptoms. This relationship predicts increased morbidity and mortality rates, leading to serious health consequences. OBJECTIVE: To identify the prevalence and health factors associated with depressive symptoms among older adults with diabetes mellitus. DESIGN AND SETTING: An observational cross-sectional study was conducted among 236 older adults in the Basic Healthcare Units of Jequié, Brazil. METHODS: A survey containing sociodemographic, behavioral, and health conditions was used as a data collection instrument, in addition to the Geriatric Depression Scale. The main inclusion criterion was older adults diagnosed with diabetes mellitus. To identify the risk factors associated with depressive symptoms among older adults with diabetes mellitus, logistic regression analysis was conducted for calculating the odds ratio (OR), and a 95% confidence interval (CI) was considered statistically significant. RESULTS: The prevalence of depressive symptoms was 24.2% among older adults with diabetes, corroborating the Brazilian average of 30%. The final multivariate analysis model for the risk of depressive symptoms showed a significant association with diabetes complications [OR = 2.50, 95% CI 1.318–4.74)] and osteoporosis [OR = 2.75, 95% CI 1.285–5.891)]. CONCLUSION: A high prevalence of depressive symptoms was observed among older adults with diabetes. Critically examining older adults with diabetes mellitus is necessary, and screening for depressive symptoms is highly recommended, especially for those with complications resulting from diabetes mellitus and musculoskeletal comorbidities, such as osteoporosis, as it seems to be associated with depressive symptoms. |
| first_indexed | 2024-04-11T09:20:08Z |
| format | Article |
| id | doaj.art-3395d82f6c854f84a974140cfc02014c |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-04-11T09:20:08Z |
| publishDate | 2022-10-01 |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-3395d82f6c854f84a974140cfc02014c2022-12-22T04:32:13ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602022-10-0110.1590/1516-3180.2021.0771.r5.09082022Depressive symptoms among older adults with diabetes mellitus: a cross-sectional studyDiego Micael Barreto Andradehttps://orcid.org/0000-0002-5323-1211Roseanne Montargil Rochahttps://orcid.org/0000-0001-5766-413XÍcaro José Santos Ribeirohttps://orcid.org/0000-0002-4389-7810ABSTRACT BACKGROUND: Diabetes mellitus is a chronic disease with long-term consequences that is often associated with depressive symptoms. This relationship predicts increased morbidity and mortality rates, leading to serious health consequences. OBJECTIVE: To identify the prevalence and health factors associated with depressive symptoms among older adults with diabetes mellitus. DESIGN AND SETTING: An observational cross-sectional study was conducted among 236 older adults in the Basic Healthcare Units of Jequié, Brazil. METHODS: A survey containing sociodemographic, behavioral, and health conditions was used as a data collection instrument, in addition to the Geriatric Depression Scale. The main inclusion criterion was older adults diagnosed with diabetes mellitus. To identify the risk factors associated with depressive symptoms among older adults with diabetes mellitus, logistic regression analysis was conducted for calculating the odds ratio (OR), and a 95% confidence interval (CI) was considered statistically significant. RESULTS: The prevalence of depressive symptoms was 24.2% among older adults with diabetes, corroborating the Brazilian average of 30%. The final multivariate analysis model for the risk of depressive symptoms showed a significant association with diabetes complications [OR = 2.50, 95% CI 1.318–4.74)] and osteoporosis [OR = 2.75, 95% CI 1.285–5.891)]. CONCLUSION: A high prevalence of depressive symptoms was observed among older adults with diabetes. Critically examining older adults with diabetes mellitus is necessary, and screening for depressive symptoms is highly recommended, especially for those with complications resulting from diabetes mellitus and musculoskeletal comorbidities, such as osteoporosis, as it seems to be associated with depressive symptoms.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005025201&lng=en&tlng=enDepressionPrimary health careOsteoporosisDiabetes mellitusDiabetes complicationsDepressive symptomsDiabetic complicationsGeriatric depression |
| spellingShingle | Diego Micael Barreto Andrade Roseanne Montargil Rocha Ícaro José Santos Ribeiro Depressive symptoms among older adults with diabetes mellitus: a cross-sectional study São Paulo Medical Journal Depression Primary health care Osteoporosis Diabetes mellitus Diabetes complications Depressive symptoms Diabetic complications Geriatric depression |
| title | Depressive symptoms among older adults with diabetes mellitus: a cross-sectional study |
| title_full | Depressive symptoms among older adults with diabetes mellitus: a cross-sectional study |
| title_fullStr | Depressive symptoms among older adults with diabetes mellitus: a cross-sectional study |
| title_full_unstemmed | Depressive symptoms among older adults with diabetes mellitus: a cross-sectional study |
| title_short | Depressive symptoms among older adults with diabetes mellitus: a cross-sectional study |
| title_sort | depressive symptoms among older adults with diabetes mellitus a cross sectional study |
| topic | Depression Primary health care Osteoporosis Diabetes mellitus Diabetes complications Depressive symptoms Diabetic complications Geriatric depression |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005025201&lng=en&tlng=en |
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