Diyabetik ve Non-diyabetik Kişilerde Sosyo-Demografik ve Klinik Faktörlerin Depresyon ve Anksiyete Düzeyleri ile İlişkisi

Year 2017, Volume: 9 Issue: 2, 96 - 105, 06.07.2017

Fatma Yeşim Adakan , Ramazan Vural , Şerife Mehtap Boylubay Üstün Yılmaz Burak Kulaksızoğlu Bayram Yeşil Yasin Şahintürk Aysun Ünal

https://doi.org/10.18521/ktd.289610

Cited By: 1

Abstract

Amaç: Diyabetik ve non-diyabetik kişilerde anksiyete ve
depresyon prevalansının sosyo-demografik ve klinik risk faktörleri ile ilişkili
olarak belirlenmesi

Yöntemler: Bu kesitsel ankete dayalı çalışmaya toplam 217 tip 2
diabet hastası (ortalama (SS) yaş: 53.7(8.1) yıl, %56.7’si kadın) ve non-diyabetik
100 sağlıklı kontrol (ortalama (SS) yaş: 36.9(10.6) yıl, %67.0’si kadın) dahil
edildi. Hastane Anksiyete ve Depresyon Ölçeği (HADS) için anksiyete (HADS-A) ve
depresyon (HADS-D) alt ölçek skorları sosyo-demografik ve diyabete ilişkin
özellikler bağlamında diyabetik ve non-diyabetik hastalarda, değerlendirildi.

Bulgular: Sınırda veya anormal anksiyete ve depresyon
prevalansları açısından diyabetik (sırasıyla %42.4 ve %35.5) ve non-diyabetik
(sırasıyla %49.0 ve %39.0) gruplar arasında anlamlı bir farklılık saptanmadı. Diyabetik
grupta, kadın cinsiyeti (sırasıyla, p<0.001 ve p=0.009) ve düşük gelir
düzeyi (sırasıyla, p=0.035 ve p=0.025) daha yüksek HADS-A ve HADS-D skorları
ile ilişkili bulundu. Kontrol grubunda HADS-A ve HADS-D skorları gençlerde daha
yüksekti (<45 yaş, her biri için p=0.008). Diyabetik hastalarda ≥1 diyabetik
komplikasyon varlığında anlamlı şekilde daha yüksek bulunan HADS-A skorları
(p=0.009) dışında, HADS skorlarında hastalık özelliklerine göre anlamlı bir farklılık
saptanmadı.

Sonuç: Sonuç olarak, bulgularımız diyabet hastalarında diyabete
ilişkin faktörlerden ziyade sosyo-demografik faktörlerin anksiyete ve depresyon
üzerine etkin değişkenler olduğunu ve bu bağlamda diyabet hastaları ve kontrol
olguları arasında depresyon ve anksiyete düzeyleri açısından bir farklılık
olmadığını göstermektedir. 

Keywords

Anksiyete, depresyon, diyabetik komplikasyonlar, Hastane Anksiyete ve Depresyon Ölçeği, sosyo-demografik

The Relation of Socio-Demographic and Clinical Factors to Depression and Anxiety Levels in Diabetic Patients

Abstract

Objective: To determine the
prevalence of anxiety and depression in diabetic versus non-diabetic persons in
relation to socio-demographic and clinical risk factors

Methods: A total of 217 patients
with type 2 diabetes mellitus (mean(SD) age: 53.7(8.1) years, 56.7% were
females) and 100 age-matched non-diabetic control subjects (mean(SD) age:
36.9(10.6) years, 67.0% were females) were included in this cross-sectional
questionnaire based survey. Hospital Anxiety and Depression Scale (HADS)
subscale scores for anxiety (HADS-A) and depression (HADS-D) were evaluated in
diabetic patients in comparison to non-diabetics as well as in relation to
socio-demographic and diabetes related characteristics.

Results: Similar prevalence of  anxiety and depression was noted in diabetic
(42.4% and 35.5%, respectively) and non-diabetic (49.0% and 39%, respectively)
groups. In the diabetic group, female gender (p<0.001 and p=0.009,
respectively) and low income status (p=0.035 and p=0.025, respectively) were
associated with higher scores for both HADS-A and HADS-D, while in the control
group, both HADS-A and HADS-D scores were significantly higher in the younger
age (<45 years, p=0.008 for each). Apart from significantly higher scores
for HADS-A in diabetic patients in case of ≥1 diabetic complications (p=0.009),
no significant difference in HADS scores was noted with respect to disease
characteristics.

Conclusion:  Our findings revealed socio-demographic
rather than diabetes related factors to be important correlates of anxiety and
depression among patients with diabetes and thereby no difference between
diabetics and controls in terms of depression and anxiety levels. 

Keywords

Anxiety, depression, diabetic complications, Hospital Anxiety and Depression Scale, socio-demographic

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