RELATIONSHIP BETWEEN DEPRESSION & DIABETIC DISTRESS IN ELDERLY TYPE 2 DIABETIC PATIENTS: A STUDY CONDUCTED AT COMMUNITY LEVEL

Abstract

Background: Depression is common psychiatric illness found in chronic diseases. Diabetes is chronic multi system involvement diseases with associated diabetic distress and depressive symptoms. Patient with diabetes and Depressive disorder has worse health outcome and higher morbidity as well as mortality. Diabetic patients experience some emotional feelings like guilt, denial, stress due to being diabetic and burden of self-care and management in diabetic patients. Depression affecting the treatment modality in diabetics and which led to aggravation of diabetic symptom and so the depression. Objective: To estimate relationship between depression and diabetic distress in elderly type 2 diabetic patients in Angarpathra hospital, Dhanbad district, Jharkhand, India. Material and Method: Study is conducted in 150 diabetic patients in rural areas. Demographic, clinical and diabetes related information collected by structured questionnaire. Depression is assessed using PHQ-9(patient health questionnaire).This is standardized questionnaire developed in United States and validated in Indian population. Results: Depression prevalence in diabetics patients in community is found to be 66 % (mild in 29.3, moderate in 18%, moderately severe 11.3%, severe  in 7.3%).