Depression prevalence, its psychosocial and clinical predictors, in diabetes mellitus patients attending two health institutions of north India catering rural population

Abstract

Background: Diabetes mellitus (DM) poses a greater risk of depression and a poor quality of life (QoL). There is a limited data regarding relationship of depression to QoL in patients from rural health care settings of North India. Aim: To know the prevalence and predictors of depression in patients of DM among various sociodemographic, clinical and QoL variables. Settings and Design: This cross-sectional study was conducted in two hospitals of North India mostly catering rural population from 2014 to 2018. Materials and Methods: Sociodemographic and clinical data of DM patients was collected. They were applied Hindi translation of QoL Instrument for Indian Diabetes Patients and Patient Health Questionnaire-9. Analyses were done by Statistical Package for Social Sciences (Version 17.0, USA). Results: Among 300 patients, 25.6% had clinical depression. Illiteracy, the affect on general, emotional/mental health and role limitation by diabetes predicted risk of depression. Conclusion: Education of patients regarding self-management in DM to assure good health should be emphasised.