Type 2 diabetes and depression in Guadalajara , Mexico , 2005
Type 2 diabetes and depression in Guadalajara , Mexico , 2005
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DOI：
10.1590/s0124-00642008000100013
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发表时间：
2008-01-01
期刊：
影响因子：
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通讯作者：
Ángel-González, Mario
中科院分区：
文献类型：
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作者：
Colunga-Rodríguez, Cecilia;García de Alba, Javier E.;Ángel-González, Mario
目的：确定患有 2 型糖尿病的抑郁症患者和非抑郁症患者的抑郁症患病率，并比较社会人口统计学、代谢和临床指标。方法：对 450 名 30 岁以上患有 2 型糖尿病的患者进行比较横断面研究。他们一年多前就被诊断出来，但尚未确定他们的精神病理学情况。采用了修改后的宗氏量表并进行了社会人口调查。糖化血红蛋白、体重指数（BMI）、空腹血压和血糖均被评估。记录糖尿病的诊断史和临床状态。 结果：抑郁症患病率为 63%，比例为 3:1，女性高于男性 (2.08-4.82 95% CI，p=0.00)。抑郁症和非抑郁症患者在受教育程度、公民状态和职业方面存在差异（p0.05）；然而，诊断病史和临床状态与性别相关，前者仅与男性相关，后者与两性相关。 结论：糖尿病患者抑郁症患病率较高，女性患病风险更大。与学校教育、公民状态和职业不同，年龄和患有抑郁症的糖尿病患者之间没有发现任何关联；糖尿病诊断史较长且体重指数较高的人更容易出现抑郁症。
OBJECTIVE: Determining the prevalence of depression and comparing sociodemographic, metabolic and clinical indicators in depressed and non-depressed people suffering from type 2 diabetes.METHODS: A comparative cross-sectional study was carried out on a sample of 450 people aged over 30 suffering from type 2 diabetes; they had been diagnosed more than one year before and psychopathology had not been determined for them. A modified Zung's scale was applied and a sociodemographic survey carried out. Glucosylated haemoglobin, body mass index (BMI), blood pressure and glycemia in fasting were all evaluated. Diagnostic history and clinical state regarding diabetes were recorded.RESULTS: There was 63 % depression prevalence in a 3 to 1 ratio, this being greater in women than in men (2,08-4,82 95 %CI, p=0.00). Differences between depressed and non-depressed people were found in schooling, civil state and occupation (p0.05); however, diagnostic history and clinical state were associated with gender, the former being associated just with men and the latter with both sexes.CONCLUSIONS: The prevalence of depression was high in people suffering from diabetes and women were at greater risk. No association was revealed between age and people suffering from diabetes who were depressed, unlike schooling, civil state and occupation; depression was presented more amongst people having a longer diagnostic history of diabetes and greater BMI.