The prevalence of depression and its associated factors among patients with diabetes mellitus attending a tertiary clinic in Gaborone, Botswana
Background: Depression is one of the commonest co-existing medical conditions among patients with diabetes mellitus (DM). A bidirectional relationship between depression and DM exists, complicating glycaemic control leading to an increase in diabetic complications. There is a dearth of information r...
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| Format: | Article |
| Language: | English |
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AOSIS
2022-02-01
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| Series: | South African Journal of Psychiatry |
| Subjects: | |
| Online Access: | https://sajp.org.za/index.php/sajp/article/view/1647 |
| _version_ | 1811291109840650240 |
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| author | Thato Moshomo Yordanka Pina Rivera Judith Boshe Godfrey M. Rwegerera |
| author_facet | Thato Moshomo Yordanka Pina Rivera Judith Boshe Godfrey M. Rwegerera |
| author_sort | Thato Moshomo |
| collection | DOAJ |
| description | Background: Depression is one of the commonest co-existing medical conditions among patients with diabetes mellitus (DM). A bidirectional relationship between depression and DM exists, complicating glycaemic control leading to an increase in diabetic complications. There is a dearth of information regarding the prevalence of depression and associated factors among patients with DM in Botswana.
Aim: This study aimed to determine the prevalence of depression and associated factors among patients with DM. The study also assessed the association between depression and glycaemic control.
Setting: A tertiary diabetic referral clinic in Gaborone, Botswana.
Method: A sample of 260 randomly selected patients with DM was recruited in this cross-sectional study. Socio-demographic and clinical characteristics of the patients were collected using a case report form. Depression was evaluated using the Patient Health Questionnaire (PHQ)-9 scale. Multivariate regression analysis was used to determine factors significantly associated with depression.
Results: The mean age (standard deviation [s.d.]) of study participants was 58.4 (11.8) years, and the majority, 160/260 (61.5%), were females. The prevalence of depression was 30.4% and significantly associated with female sex (adjusted odds ratio [AOR] = 5.529, p-value = 0.004), three or more diabetes-related hospitalisations (AOR = 3.886, p-value = 0.049) and inversely associated with systolic blood pressure (SBP) ≥ 140 mmHg (AOR = 0.11, p-value = 0.001).
Conclusion: Depression is a common problem among patients with DM in our setting. Routine screening of depression in diabetic patients to enable early detection and treatment is recommended. |
| first_indexed | 2024-04-13T04:24:28Z |
| format | Article |
| id | doaj.art-e40207259eea4259ba240acf4b53263b |
| institution | Directory Open Access Journal |
| issn | 1608-9685 2078-6786 |
| language | English |
| last_indexed | 2024-04-13T04:24:28Z |
| publishDate | 2022-02-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Journal of Psychiatry |
| spelling | doaj.art-e40207259eea4259ba240acf4b53263b2022-12-22T03:02:37ZengAOSISSouth African Journal of Psychiatry1608-96852078-67862022-02-01280e1e1010.4102/sajpsychiatry.v28i0.1647594The prevalence of depression and its associated factors among patients with diabetes mellitus attending a tertiary clinic in Gaborone, BotswanaThato Moshomo0Yordanka Pina Rivera1Judith Boshe2Godfrey M. Rwegerera3Department of Internal Medicine, Faculty of Medicine, University of Botswana, GaboroneDepartment of Medicine, Sidilega Private Hospital, GaboroneDepartment of Psychiatry, Kilimanjaro Christian Medical Centre, MoshiDepartment of Internal Medicine, Faculty of Medicine, University of Botswana, Gaborone; Department of Medicine, Princess Marina Hospital, GaboroneBackground: Depression is one of the commonest co-existing medical conditions among patients with diabetes mellitus (DM). A bidirectional relationship between depression and DM exists, complicating glycaemic control leading to an increase in diabetic complications. There is a dearth of information regarding the prevalence of depression and associated factors among patients with DM in Botswana. Aim: This study aimed to determine the prevalence of depression and associated factors among patients with DM. The study also assessed the association between depression and glycaemic control. Setting: A tertiary diabetic referral clinic in Gaborone, Botswana. Method: A sample of 260 randomly selected patients with DM was recruited in this cross-sectional study. Socio-demographic and clinical characteristics of the patients were collected using a case report form. Depression was evaluated using the Patient Health Questionnaire (PHQ)-9 scale. Multivariate regression analysis was used to determine factors significantly associated with depression. Results: The mean age (standard deviation [s.d.]) of study participants was 58.4 (11.8) years, and the majority, 160/260 (61.5%), were females. The prevalence of depression was 30.4% and significantly associated with female sex (adjusted odds ratio [AOR] = 5.529, p-value = 0.004), three or more diabetes-related hospitalisations (AOR = 3.886, p-value = 0.049) and inversely associated with systolic blood pressure (SBP) ≥ 140 mmHg (AOR = 0.11, p-value = 0.001). Conclusion: Depression is a common problem among patients with DM in our setting. Routine screening of depression in diabetic patients to enable early detection and treatment is recommended.https://sajp.org.za/index.php/sajp/article/view/1647depressiondiabetes mellitusprevalenceglycaemic controlbotswana |
| spellingShingle | Thato Moshomo Yordanka Pina Rivera Judith Boshe Godfrey M. Rwegerera The prevalence of depression and its associated factors among patients with diabetes mellitus attending a tertiary clinic in Gaborone, Botswana South African Journal of Psychiatry depression diabetes mellitus prevalence glycaemic control botswana |
| title | The prevalence of depression and its associated factors among patients with diabetes mellitus attending a tertiary clinic in Gaborone, Botswana |
| title_full | The prevalence of depression and its associated factors among patients with diabetes mellitus attending a tertiary clinic in Gaborone, Botswana |
| title_fullStr | The prevalence of depression and its associated factors among patients with diabetes mellitus attending a tertiary clinic in Gaborone, Botswana |
| title_full_unstemmed | The prevalence of depression and its associated factors among patients with diabetes mellitus attending a tertiary clinic in Gaborone, Botswana |
| title_short | The prevalence of depression and its associated factors among patients with diabetes mellitus attending a tertiary clinic in Gaborone, Botswana |
| title_sort | prevalence of depression and its associated factors among patients with diabetes mellitus attending a tertiary clinic in gaborone botswana |
| topic | depression diabetes mellitus prevalence glycaemic control botswana |
| url | https://sajp.org.za/index.php/sajp/article/view/1647 |
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