eISSN:2278-5299

International Journal of Latest Research in Science and Technology

DOI:10.29111/ijlrst   ISRA Impact Factor:3.35,  Peer-reviewed, Open-access Journal

A News Letter Sign UP!
DEPRESSION AMONG ELDERLY TYPE-2 DIABETICS IN A RURAL COMMUNITY

Research Paper Open Access

International Journal of Latest Research in Science and Technology Vol.4 Issue 3, pp 23-27,Year 2015

DEPRESSION AMONG ELDERLY TYPE-2 DIABETICS IN A RURAL COMMUNITY

F Ariff, Suthahar A, Saw JA

Correspondence should be addressed to :

Received : 03 June 2015; Accepted : 16 June 2015 ; Published : 30 June 2015

Share
Download 125
View 180
Article No. 10520
Abstract

Background: Depression and elderly type 2 diabetes mellitus often coexist but poorly studied. This study evaluates depressive symptoms and the associated risk factors among elderly type 2 diabetes mellitus patients at selected primary care clinics in rural Perak, Malaysia.Method:Face-to-face interview was conducted to collate socio-demographic data and medical history among participants. The validated Malay version of the Hospital Anxiety and Depression scale (HADS) questionnaire was used to assess anxiety and depression symptoms. The cognitive impairment was assessed using the Elderly Cognitive Assessment Questionnaire (ECAQ) to screen for cognitive impairment among elderly. Result: 510 eligible elderly diabetic patients were screened and 464 consented to participate. Majority of participants were females (58.4%), Malays (64.2%), married (82.3%), had primary education (42.5%) and non-smokers (70%). Their mean age was 59.7 ± 10.2 years. Medical history revealed that hypertension, being either obese or overweight, hypercholesterolemia and having stroke accounted for 76%, 65.9%, 42.7% and 6.3% respectively. The prevalence of depressive symptoms was 15.7% (95% CI 12.4, 19.1). Majority of participants (81.1%) had HbA1c level of 6.5% and above. Using chi-square test, significant associations were found between depression and age 60 years and above (p<0.05), unemployment (p=0.033), smokers (p=0.018), cognitive impairment (p=0.04), anxiety symptoms (p<0.001) and underweight (p< 0.038). Conclusion: Depression continues to be a public mental health issue. Its early recognition and prompt treatment are crucial particularly in minority group, unemployed individuals, smokers, cognitive impaired subjects, anxious as well as underweight individuals

Key Words   
Depression, Type 2 diabetes, elderly, rural
Copyright
References
  1. Bloom, DE, Cafiero ET, Jané-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S, et al. The Global Economic Burden of Non-communicable Diseases. Geneva. World Economic Forum 2011.
  2. World Health Organization (WHO). Preventing chronic diseases: a vital investment. WHO Global Report. Geneva: World Health Organization 2005.
  3. World Health Organization (WHO). The global burden of disease: 2004 update. Geneva, Switzerland: World Health Organization 2005.
  4. Marcus M, Yasamy MT, Ommeren MV, Chisholm D, Saxena S. Depression: A global public health concern. http://www.who.int/mental_health/management/depression/who_paper_depression_wfmh_2012.pdf. Accessed on 15 January 2014.
  5. Division of Burden of Disease, Institute for Public Health. Malaysian burden of disease and injury study. Health prioritization: Burden of disease approach. Kuala Lumpur: Institute for Public Health (IPH) 2006. Ministry of Health Malaysia.
  6. Institute for Public Health (IPH):National health and morbidity survey 2011 volume II:Non communicable diseases. Kuala Lumpur 2011.
  7. Cassano P, Fava M. Depression and public health: an overview. J Psychosom Res 2002; 53:849-57.
  8. Sidi H, Fadzil MA, Isa MR, Yasin SM. Depression and the associated factors among elderly hypertensives. Exp Clin Cardiol 2014; 20 (5): 3065-72.
  9. Ludman EJ, Katon W, Russo J, Von Korff M, Simon G, Ciechanowski P, et al. Depression and diabetes symptom burden. Gen Hosp Psychiat 2004; 26:430-36.
  10. Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes Care 2001; 24(6): 1069-78.
  11. de Groot M, Anderson R, Freedland KE, Clouse RE, Lustman, PJ. Association of depression and diabetes complications: a meta-analysis. Psychosom Med 2001; 63: 619-30.
  12. Lustmann PJ, Anderson RJ, Freedland KE, de Groot M, Carney RM, Clouse, RE. Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care 2000; 23:934-42.
  13. Ciechanowski PS, Katon WJ, Russo JE. Depression and diabetes: impact of depressive symptoms on adherence, function and costs. Arch Intern Med 2000; 160:3278-85.
  14. Brown GC, Brown MM, Sharma S, Brown H, Gozum M, Denton P. Quality of life associated with diabetes mellitus in an adult population. J Diabetes Complications 2000; 14:18 – 24.
  15. Schram MT, Baan CA, Pouwer F. Depression and quality of life in patients with diabetes: a systematic review from the European depression in diabetes (EDID) research consortium. Curr Diabetes Rev 2009; 5:112-9.
  16. Kaur G, Tee GH, Ariaratnam S, Krishnapillai AS, China S. Depression, anxiety and stress symptoms among diabetics in Malaysia: a cross sectional study in an urban primary care setting. BMC Fam Pract 2013; 14:69.doi:10.1186/1471-2296-14-69
  17. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361-70.
  18. Hatta SM, Hamid AR, Jaafar R, Hamed N, Jalil, NF, Mustafa N. 1997. Depressivesymptoms among women after abortion. Malaysian Journal of Psychiatry1997; 5:27-33.
  19. Bell RA., Smith SL, Arcury TA, Snively BM, Stafford JM, Quandt SA. Prevalence and correlates of depressive symptoms among rural older African Americans, native Americans, and whites with diabetes. Diabetes Care 2005; 2:823–29.
  20. Turvey CL, Wallace RB, Herzog R. A revised CES-D measure of depressive symptoms and a DSM-based measure of major depressive episodes in the elderly. Int Psychogeriatr 1999; 11:139–48. 
  21. Dunlop DD, Song J, Lyons JS, Manheim LM, Chang RW. Racial/ethnic differences in rates of depression among preretirement adults. Am J Public Health 2003; 93(11):1945–52.
  22. Fisher L, Laurencin G, Chesla CA, Skaff MM, Mullan JT, Gardiner PS, et al. Depressive affect among four ethnic groups of male patients with type 2 diabetes. Diabetes Spectr 2004; 17(4):215–19.
  23. Taylor WD, Macfall JR. Greater MRI lesion volumes in elderly depressed subjects than in control subjects. Psychiatry Res 2005; 139:1-7.
  24. Glassman AH, Covey LS, Stetner F, Rivelli S.Smoking cessation and the course of major depression; a follow-up study. Lancet 2001; 357:1929-32.
  25. Johnson EO, Rhee SH, Chase GA. Comorbidity of depression with levels of smoking: an exploration of the shared familial risk hypothesis. Nicotine Tob Res 2004; 6:1029-38.
  26. Khaled SM, Bulloch AG, Williams JV, Hill JC, Lavorato DH, Patten SB. 2012. Persistent heavy smoking as a risk factor for major depression (MD) incidence – evidence from a longitudinal Canadian cohort of the National Population Health Survey. J Psychiatr Res 2012; 46:436–43.
  27. Jorm AF. History of depression as a risk factor for dementia: an updated review. Aust N Z J Psychiatry 2001; 35: 776–81.
  28. Schweitzer I, Tuckwell V, O'Brien J, Ames D. Is late onset depression a prodrome to dementia? Int J Geriatr Psychiatry 2002; 17: 997–1005.
  29. Vinkers DJ, Gussekloo J, Stek ML, Westendorp RGJ, van der Mast Temporal relation between depression and cognitive impairment in old age: Prospective population based study.Brit Med J 2004;329(7471):881-3.
  30. Batterham PJ, Christensen H, Calear AL. Anxiety symptoms as precursors of major depression and suicidal ideation. Depress Anxiety 2013; 30(10):908-16. doi: 10.1002/da.22066
  31. 2009. Late life depression: A literature review of late-life depression and contributing factors. An Psicol 2009; 25:21-6
  32. de Wit LM, van Straten A, van Herten M, Penninx BWJH, Cuijpers P. 2009. Depression and body mass index, a u-shaped association. BMC Public Health 2009; 9:14. doi:10.1186/1471-2458-9-14
To cite this article

F Ariff, Suthahar A, Saw JA , " Depression Among Elderly Type-2 Diabetics In A Rural Community ", International Journal of Latest Research in Science and Technology . Vol. 4, Issue 3, pp 23-27 , 2015


Responsive image

MNK Publication was founded in 2012 to upholder revolutionary ideas that would advance the research and practice of business and management. Today, we comply with to advance fresh thinking in latest scientific fields where we think we can make a real difference and growth now also including medical and social care, education,management and engineering.

Responsive image

We offers several opportunities for partnership and tie-up with individual, corporate and organizational level. We are working on the open access platform. Editors, authors, readers, librarians and conference organizer can work together. We are giving open opportunities to all. Our team is always willing to work and collaborate to promote open access publication.

Responsive image

Our Journals provide one of the strongest International open access platform for research communities. Our conference proceeding services provide conference organizers a privileged platform for publishing extended conference papers as journal publications. It is deliberated to disseminate scientific research and to establish long term International collaborations and partnerships with academic communities and conference organizers.