Depression in Type 2 Diabetes

LIU Yan-jun, SONG Xiao-fei, WANG Ai-hong ,et al. Diabetes Center’ 306 Hospital of PLA , Bejing 100101, China  

Objective To investigate depression and its risk factors, and improve the prevention and management of depression in type 2 diabetes(T2DM). Methods SDS(Self-rating Depression Scale) were used to evaluate the depression in 162 T2DM patients (male 88,female 74). The relationship of depression with diabetic complications, blood glucose control and the treatment compliance were analyzed. Results 61.7% patients had no depression, 38.3% patients had depression, including 20.4% with mild, 13.6% with moderate, and 4.3% with severe depression. The risk factors for depression were the possibility of diabetes complications, the fare of treatment, no method to cure the disease, worry about insulin injection and the transmissibility. The duration of diabetes with depression were significantly longer(8.5±6.8 y vs 4.8±6.3 y,P0.001),both postprandial serum glucose levels (16.3±9.1 mmol/L vs 13.0±94.7 mmol/L,P0.01) and 24 hour’s urine albumin (17.7±20.7 mg vs 11.2±10.2 mg,P0.05) was significantly higher,whereas the time of shaking feeling in the ankles by turning fork was significantly shorter (8.5±4.8 s vs 10.7±3.6 s, P0.05.) The depression was positively correlated with the worry on diabetic complications (r=0.267, P0.01) , exercise (r=0.261,P0.01), no special method to cure diabetes (r=0.182,P0.05), economic burden of the diabetes treatment (r=0.178, P0.05), and the complicated diet therapy (r=157, P0.05), also with the duration of diabetes(r=0.225,P0.01), urine albumin excretion rate(0.163,P0.05),HbA 1c (r=0.157,P0.05) and negatively correlated with the time of shaking feeling in the ankles by turning fork (r=-0.164,P0.05). Conclusion As high as 38.3% diabetic patients of this group have depression , which is related with worry on complicated diabetic therapy , with blood glucose control, diabetic complications and duration of diabetes. Proposing the healthy life style, prevention of the diabetic complication, and finding the simple ways of treatment for diabetes are very important for the prevention and management of depression in type 2 diabetes.

【Key Words】： Type 2 diabetes millitus Depression
【CateGory Index】： R587.1;R749.4
【DOI】： CNKI:SUN:ZGTL.0.2004-02-011

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