Prevalence and determinants of depression, anxiety and stress among the Iranian older people with type 2 diabetes

IF 0.2 Q4 UROLOGY & NEPHROLOGY Journal of Renal Injury Prevention Pub Date : 2022-01-30 DOI:10.34172/jrip.2022.10

Shamsedin Namjoo, M. Mirzaei, M. Foroughan, Gholamreza Ghaedamini Harouni, Omid Aboubakri

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Abstract

Introduction: Mental disorders (depression, anxiety and stress) cause disability and aggravate various diseases, including diabetes mellitus and its common complication such as diabetic nephropathy. Objectives: The current study aimed to investigate the prevalence of mental health disorders (depression, anxiety and stress) and their associated factors among the Iranian older people with type 2 diabetes mellitus (T2DM). Patients and Methods: In this cross-sectional study, 501 subjects with T2DM and 551 subjects without T2DM were selected by a multistage stratified sampling method from Yazd Greater Area, Iran. Delphi method and experts panel were used for selection of priorities of effective factors. The obtained data were analyzed using the chi-square test and Stata software version 14. A P value of ≤0.05 was considered statistically significant. Results: The prevalence of moderate to severe depression and anxiety was 51.9% and 61.9%, among diabetic, 22% and 33.4% among non-diabetic groups, respectively. According to multiple logistic regression analysis results in diabetics group specified female gender (OR=1.97, 95% CI=1.03-3.75), poor sleep quality (OR=1.08, 95% CI=1.02-1.15), decreased social support (OR=0.89, 95% CI=0.54-1.68), and body mass index (BMI) ≥30 kg/m² (OR=1.6, 95% CI=1.2-5.63) for depression, as well as female gender (OR=2.97, 95% CI=1.5- 5.87), BMI ≥30 kg/m² (OR=2.69, 95% CI=1.22-5.96), and decreased social support (OR=0.87, 95% CI=0.78-0.98) for anxiety as the predicting characteristics. Conclusion: The present research findings revealed a significantly higher prevalence of depression and anxiety in older people with T2DM rather than older people without T2DM. Therefore, appropriate interventions such as screenings and psychiatric evaluations are necessary to diagnose and treat depression and anxiety in this population, especially the females to avoid diabetic complications like diabetic kidney disease.

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伊朗老年2型糖尿病患者抑郁、焦虑和压力的患病率及决定因素

精神障碍(抑郁、焦虑和压力)导致残疾并加重各种疾病，包括糖尿病及其常见并发症，如糖尿病肾病。目的:本研究旨在调查伊朗老年2型糖尿病(T2DM)患者的精神健康障碍(抑郁、焦虑和压力)患病率及其相关因素。患者和方法:在这项横断面研究中，采用多阶段分层抽样方法从伊朗亚兹德大地区选择了501名T2DM患者和551名非T2DM患者。采用德尔菲法和专家小组法对有效因素的优先级进行选择。所得数据采用卡方检验和Stata软件版本14进行分析。P值≤0.05认为有统计学意义。结果:糖尿病组中重度抑郁和焦虑患病率分别为51.9%和61.9%，非糖尿病组为22%和33.4%。多元logistic回归分析结果显示，女性(OR=1.97, 95% CI=1.03-3.75)、睡眠质量差(OR=1.08, 95% CI=1.02-1.15)、社会支持减少(OR=0.89, 95% CI=0.54-1.68)、体重指数(BMI)≥30 kg/m²(OR=1.6, 95% CI=1.2-5.63)、女性(OR=2.97, 95% CI=1.5- 5.87)、BMI≥30 kg/m²(OR=2.69, 95% CI=1.22-5.96)、社会支持减少(OR=0.87，95% CI=0.78-0.98)将焦虑作为预测特征。结论:目前的研究结果显示，老年T2DM患者抑郁和焦虑的患病率明显高于非T2DM老年人。因此，有必要采取适当的干预措施，如筛查和精神病学评估，以诊断和治疗这一人群的抑郁和焦虑，特别是女性，以避免糖尿病并发症，如糖尿病肾病。

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来源期刊

Journal of Renal Injury Prevention UROLOGY & NEPHROLOGY-

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The Journal of Renal Injury Prevention (JRIP) is a quarterly peer-reviewed international journal devoted to the promotion of early diagnosis and prevention of renal diseases. It publishes in March, June, September and December of each year. It has pursued this aim through publishing editorials, original research articles, reviews, mini-reviews, commentaries, letters to the editor, hypothesis, case reports, epidemiology and prevention, news and views and renal biopsy teaching point. In this journal, particular emphasis is given to research, both experimental and clinical, aimed at protection/prevention of renal failure and modalities in the treatment of diabetic nephropathy. A further aim of this journal is to emphasize and strengthen the link between renal pathologists/nephropathologists and nephrologists. In addition, JRIP welcomes basic biomedical as well as pharmaceutical scientific research applied to clinical nephrology. Futuristic conceptual hypothesis that integrate various fields of acute kidney injury and renal tubular cell protection are encouraged to be submitted.