Prevalence of co-morbid depression in out-patients with type 2 diabetes mellitus in Bangladesh

BMC Psychiatry

Mosiur Rahman³  Khondker Galib B Mohiuddin¹  Masuma Parvin²  Cathy E Lloyd⁴  Tapash Roy³ 

[1]School of Business, North South University, Dhaka, Bangladesh

[2]Medical Education & Research Unit, Ministry of Health, Government of Bangladesh, Dhaka, Bangladesh

[3]BRAC Health Programme, BRAC Centre (16th Floor), 75 Mohakhali, Dhaka, 1212, Bangladesh

[4]Faculty of Health & Social Care, The Open University, Milton Keynes, UK

关键词: Bangladesh;    Risk factors;    Prevalence;    Depression;    Diabetes;   

Others  :  1124308
DOI  :  10.1186/1471-244X-12-123

 received in 2012-01-19, accepted in 2012-08-16,  发布年份 2012

【 摘 要 】

Background

Little is known about the prevalence of depression in people with diabetes in Bangladesh. This study examined the prevalence and factors associated with depression in out-patients with Type 2 diabetes in Bangladesh.

Methods

In this cross-sectional study a random sample of 483 diabetes out-patients from three diabetes clinics in Bangladesh was invited to participate. Of them 417 patients took part. Depressive symptoms were measured using previously developed and culturally standardized Bengali and Sylheti versions of the World HealthOrganization-5 Well Being Index (WHO-5) and the Patient Health Questionairre-9 (PHQ-9) with predefined cut-off scores. Data was collected using two different modes; e.g. standard assisted collection and audio questionnaire methods. Associations between depression and patient characteristics were explored using regression analysis.

Results

The prevalence of depressive symptoms was 34% (PHQ-9 score ≥ 5) and 36% (WHO-5 score < 52) with audio questionnaire delivery method. The prevalence rates were similar regardless of the type (PHQ-9 vs. WHO-5) and language (Sylheti vs. Bengali) of the questionnaires, and methods of delivery (standard assisted vs. audio methods). The significant predictors of depressive symptoms using either the PHQ-9 or WHO-5 questionnaires were; age, income, gender, treatment intensity, and co-morbid cardiovascular disease. Further, depression was strongly associated with poor glycaemic control and number of co-morbid conditions.

Conclusions

This study demonstrated that depression prevalence is common in out-patients with type 2 diabetes in Bangladesh. In a setting where recognition, screening and treatment levels remain low, health care providers need to focus their efforts on diagnosing, referring and effectively treating this important disease in order to improve service delivery.

【 授权许可】

   
2012 Roy et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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