Depression in Tunisian type 2 diabetic patients: prevalence and association to glycemic control and to treatment compliance

• Published in: Tunisie Medicale Vol. 95; no. 3; p. 210
• Main Authors: Ellouze, Faten, Damak, Rahma, El Karoui, Mehdi, Mami, Haifa, M'rad, Mohamed Fadhel, Hamdi, Ghada, Abid, Abdelmajid
• Format: Journal Article
• Language: English
• Published: Tunisia 01.03.2017
• Subjects: Adult; Aged; Blood Glucose - drug effects; Blood Glucose - metabolism; Cross-Sectional Studies; Depression - epidemiology; Depression - etiology; Diabetes Mellitus, Type 2 - blood; Diabetes Mellitus, Type 2 - drug therapy; Diabetes Mellitus, Type 2 - epidemiology; Diabetes Mellitus, Type 2 - psychology; Female; Glycated Hemoglobin A - drug effects; Glycated Hemoglobin A - metabolism; Humans; Hypoglycemic Agents - therapeutic use; Male; Middle Aged; Patient Compliance - statistics & numerical data; Prevalence; Surveys and Questionnaires; Tunisia - epidemiology; Tunisia
• ISSN: 0041-4131

to study the prevalence of depression in type 2 diabetes and to seek for a relationship between glycemic control and treatment adherence. This cross-sectional study was carried out at the outpatient department of the Tunis nutrition institute. A total of 100 diabetic patients followed for Type 2 diabetes were randomly recruited. We used a structured questionnaire to collect patients' socio-demographic, clinical and therapeutic data. The treatment adherence was assessed by using MAS, Glycemic control according to blood glucose and glycated hemoglobin (HbA1c) levels and depression and anxiety by administering a dialectal Arabic validated version of Hospital Anxiety and Depression Scale (HAD). Finaly we also used the modules on mood disorders of the mini international neuropsychiatric interview (MINI). The prevalence of depression in T2DP was 38% according to the HAD scale with severe forms in 18%. The anxiety prevalence was 31%. However, 18% of T2DP had anxious-depressive co morbidity. According to the MINI, 31% of T2DP had a mood disorder. Dysthymia was noted in 14% of cases, an isolated depressive episode in 6%. Depressed T2DP have a poor glycemic control than those no depressed. Macro-angiopathy, irregular followed-up, poor treatment adherence and unbalanced diet were associated with depression. The detection of depression related to somatic pathology in particular diabetes, seems essential. As a result, depression treatment may improve the overall prognosis of the associated somatic diseases.