Prevalence of depression and diabetes: a population-based study from rural Bangladesh
Prevalence of depression and diabetes: a population-based study from rural Bangladesh
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DOI：
10.1111/j.1464-5491.2007.02136.x
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发表时间：
2007-08-01
影响因子：
3.5
通讯作者：
Magnusson, A.
中科院分区：
文献类型：
--
作者：
Asghar, S.;Hussain, A.;Magnusson, A.
目的确定孟加拉国农村社区抑郁症状的程度及其与新发现的糖尿病的相关性。方法对184名新诊断的糖尿病患者和768名随机选择的非糖尿病人进行抑郁症状评估。采用Montogomery and Aasberg抑郁量表(MADRS)评定抑郁症状。进行了有组织的访谈，以获得社会人口和经济信息，并收集了人体测量数据。结果29%的男性和30.5%的女性糖尿病患者和6.0%的男性和14.6%的非糖尿病受试者在MADRS上有抑郁症状。抑郁症状和糖尿病之间存在关联(P<；0.01)。在控制了年龄、性别、空腹血糖和腰臀比等潜在的混杂因素后，抑郁症与糖尿病的关联性仍然显著。结论在孟加拉国农村人群中发现了高水平的未被识别的抑郁症状。这些都是第一批表明抑郁症状在这种文化中很常见的数据，特别是在女性中。抑郁症在糖尿病患者中尤其常见。除了改变生活方式之外，精神干预可能是必要的，以防止2型糖尿病发病率的指数增长。此外，在糖尿病护理中包括精神治疗在内的通用方法可能是实现改善这一人群的血糖控制所必需的。
Aims To determine the extent of depressive symptoms in a rural community of Bangladesh and its association with newly recognized diabetes.Methods Depressive symptoms were assessed in 184 newly diagnosed diabetic subjects and 768 randomly selected individuals without diabetes. The Montogomery and Aasberg Depression Rating Scale (MADRS) was used to assess depressive symptoms. A structured interview was performed to obtain socio-demographic and economic information and anthropometric measures were collected. Fasting plasma glucose was measured by the HemoCue glucose analyser.Results Twenty-nine percent of male and 30.5% of female participants with diabetes and 6.0% of male and 14.6% of female subjects without diabetes had depressive symptoms rating >= 20 on the MADRS. An association between depressive symptoms and diabetes was found (P < 0.01). After controlling for potential confounding factors including age, gender, fasting plasma glucose > 7.0 mmol/l and waist-hip ratio, the association of depression with diabetes remained significant.Conclusions An unexpectedly high level of unrecognized depressive symptoms was found in the general rural population of Bangladesh. These are among the first data to suggest that depressive symptoms in this culture are common, especially in women. Depression is particularly common in those with diabetes. Psychiatric intervention may be necessary in addition to lifestyle changes to prevent the exponential increase in the occurrence of Type 2 diabetes. In addition, a common approach including psychiatric treatment in diabetes care may be necessary to achieve improved glycaemic control in this population.