机构：[1]School of Social Development and Public Policy, China Institute of Health,Beijing Normal University, 19, Xinjiekou Wai Street, Beijing 100875, China[2]Department of Public Health Sciences, University of Rochester School ofMedicine & Dentistry, Rochester, NY 14642, USA[3]School of PublicAdministration, Yunnan University of Finance and Economics, Kunming 650221,China[4]Department of Endocrinology, First Affiliated Hospital of the GeneralHospital of the People’s Liberation Army (PLA), Beijing 100853, China[5]Department of Sociology, Huazhong University of Science and Technology,1037 Luoyu Road, Wuhan 430074, China[6]School of Government, BeijingNormal University, 19, Xinjiekou Wai Street, Beijing 100875, China
Depression and diabetes have been recognized as major public health issues in China, however, no studies to date examined the factors associated with the development of depression in patients with diabetes in China. This study aimed to estimate the prevalence of co-morbid depression among adults with type 2 diabetes mellitus (DM) and to examine the influence factors of co-morbid depression in a group of patients with type 2 DM.The study was conducted from March l to May 31, 2012, in the Department of Endocrinology of the First Affiliated Hospital of the General Hospital of the People's Liberation Army (PLA). A systematic random sample of 412 type 2 DM patients aged over 18 years was selected. A structured questionnaire was used for collecting the information about socio-demographic data, lifestyle factors and clinical characteristics. Depression and social support was evaluated by using the Chinese version of Beck Depression Inventory (BDI) and Social Support Rate Scale (SSRS), respectively. Weights and heights were measured. Hemoglobin A1c (HbA1c) was abstracted from each patient directly after the interview.Of the total sample, 142 patients had depression according to the BDI scores (BDI scores ≥14), the prevalence of co-morbid depression in this study population was 5.7 % (142/2500). Of which, 56 had major depression (BDI ≥ 21), and 86 had moderate depression (BDI ≥ 14&BDI < 21). Logistic regression analysis indicated that a high HbA1c level, a high BMI, low quality health insurance, and being single, were significantly associated with the development of depression. However, a family history of diabetes and a high social support level are likely protective factors.The prevalence of co-morbid depression was 5.7 % among Chinese subjects with type 2 DM in this study. High HbA1c level, high BMI score, being single, low social support level, and low quality health insurance were associated with the presence of depression. These findings support a recommendation for routine screening and management in China for depression in patients with diabetes, especially for those in primary care, to reduce the number of the depressed or the misrecognized depressed diabetic patients.
基金：
Fundamental Research Funds for the
Central Universities (No: SKZZX2013053 in Beijing Normal University).
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2015]版：
大类|3 区医学
小类|4 区内分泌学与代谢
最新[2023]版：
大类|3 区医学
小类|3 区内分泌学与代谢
第一作者：
第一作者机构：[1]School of Social Development and Public Policy, China Institute of Health,Beijing Normal University, 19, Xinjiekou Wai Street, Beijing 100875, China
共同第一作者：
通讯作者：
推荐引用方式(GB/T 7714)：
Zhang Weijun,Xu Huiwen,Zhao Shuliang,et al.Prevalence and influencing factors of co-morbid depression in patients with type 2 diabetes mellitus: a General Hospital based study[J].Diabetology & metabolic syndrome.2015,7:60.doi:10.1186/s13098-015-0053-0.
APA：
Zhang Weijun,Xu Huiwen,Zhao Shuliang,Yin Shinan,Wang Xiaohua...&Tian Donghua.(2015).Prevalence and influencing factors of co-morbid depression in patients with type 2 diabetes mellitus: a General Hospital based study.Diabetology & metabolic syndrome,7,
MLA：
Zhang Weijun,et al."Prevalence and influencing factors of co-morbid depression in patients with type 2 diabetes mellitus: a General Hospital based study".Diabetology & metabolic syndrome 7.(2015):60
