Depression and type 2 diabetes in low- and middle-income countries: a systematic review.
Depression and type 2 diabetes in low- and middle-income countries: a systematic review.
复制标题
DOI：
10.1016/j.diabres.2014.01.001
复制
发表时间：
2014-02
影响因子：
5.1
通讯作者：
Prabhakaran, Dorairaj
中科院分区：
文献类型：
--
作者：
Mendenhall, Emily;Norris, Shane A.;Shidhaye, Rahul;Prabhakaran, Dorairaj
80%的2型糖尿病患者居住在低收入和中等收入国家（LMIC）。然而，大部分关于糖尿病患者抑郁症的研究都是在高收入国家（HIC）进行的。在这篇系统性综述中，我们检索了奥维德Medline、PubMed和PsychINFO中评估LMIC中2型糖尿病患者抑郁的研究。我们对定量研究的关注提供了糖尿病患者中共病抑郁症的患病率。我们回顾了1,091篇参考文献中的48篇研究。我们发现，这项研究主要在中等收入国家进行，包括印度（n=8），墨西哥（n=8），巴西（n=5）和中国（n=5）。在不同的研究中，共病抑郁症的患病率存在差异，但这些差异并没有显示出地区差异，似乎是由研究样本引起的（例如，城市与农村以及临床与基于人口的样本）。在这些研究中，共管理了15份抑郁量表。我们的结论是，尽管在低收入国家的糖尿病负担很大，很少有研究审查共病抑郁症和糖尿病。我们的综述表明，低收入国家糖尿病患者的抑郁程度可能高于高收入国家。来自这48项研究的证据强调了全面的精神卫生保健的必要性，这些保健可以纳入LMIC卫生系统内的糖尿病护理。
Eighty percent of people with type 2 diabetes reside in low and middle-income countries (LMICs). Yet much of the research around depression among people with diabetes has been conducted in high-income countries (HICs). In this systematic review we searched Ovid Medline, PubMed, and PsychINFO for studies that assessed depression among people with type 2 diabetes in LMICs. Our focus on quantitative studies provided a prevalence of co-morbid depression among those with diabetes. We reviewed 48 studies from 1,091 references. We found that this research has been conducted primarily in middle-income countries, including India (n=8), Mexico (n=8), Brazil (n=5), and China (n=5). There was variation in prevalence of co-morbid depression across studies, but these differences did not reveal regional differences and seemed to result from study sample (e.g., urban vs rural and clinical vs population-based samples). Fifteen depression inventories were administered across the studies. We concluded that despite substantial diabetes burden in LMICs, few studies have reviewed co-morbid depression and diabetes. Our review suggests depression among people with diabetes in LMICs may be higher than in HICs. Evidence from these 48 studies underscores the need for comprehensive mental health care that can be integrated into diabetes care within LMIC health systems.
登录
查看更多内容
影响因子：
--
作者：
Chaudhry, Rupesh;Mishra, Preeti;Mishra, B P
通讯作者：
Mishra, B P
影响因子：
1.3
作者：
Garcia De Alba Garcia, Javier E.;Dallo, Florence J.;Weller, Susan C.
通讯作者：
Weller, Susan C.
影响因子：
16.2
作者：
de Groot, M;Pinkerman, B;Hockman, E
通讯作者：
Hockman, E
影响因子：
16.2
作者：
Egede, LE;Zheng, D;Simpson, K
通讯作者：
Simpson, K
影响因子：
120.7
作者：
Golden, Sherita Hill;Lazo, Mariana;Lyketsos, Constantine
通讯作者：
Lyketsos, Constantine