Prevalence and Predictors of Depression among Adult Male Patients with Type 2 Diabetes Mellitus Attending General Outpatient Clinic in a Tertiary Hospital in Northern Nigeria

Bede C Azudialu *

Department of Family Medicine, Federal University Teaching Hospital Owerri, Imo State, Nigeria.

Njoka Timothy

Department of Family Medicine, Federal Medical Centre Keffi, Nigeria.

Ogwuche Emmanuel

Department of Family Medicine, Federal Medical Centre Keffi, Nigeria.

Ogunnaya Frances

Department of Internal Medicine, Newark Beth Israel Medical Center, Newark NJ, USA.

Amaka Obi-nwosu

Department of Family Medicine, Nnamdi Azikiwe University Teaching Hospital Nnewi, Anambra State, Nigeria.

Benjamin I Nkem

Research Unit, Federal University Teaching Hospital Owerri, Nigeria.

*Author to whom correspondence should be addressed.


Abstract

Background: Diabetes is a chronic disease that occurs when the pancreas does not produce enough insulin, no insulin or when the body cannot effectively use the insulin it produces. The majority of people with diabetes have type 2 diabetes (T2DM). According to the International Diabetes Federation “diabetes is one of the largest global health emergencies of the 21st century”.  The World Health Organization (WHO) ranked depression as the fourth most common disease in 2019. The connection between depression and type 2 diabetes was recognized as early as in the 17th century. Today, depression and type 2 diabetes have become a great global challenge.

Objective: To determine the prevalence of depression among adult males with type 2 DM attending General Outpatient Clinic of Federal Medical Center, Keffi Nigeria.

Methodology: The study design was hospital- based cross-sectional descriptive study on adult male diabetic patients on follow up at the GOPC of FMC Keffi.

Systematic random sampling method was used to select participants into the study. A total of 209 participants were recruited into this study, after obtaining informed consent from them. Data collected from the study participants included socio-demographic data, depression was assessed using the Hamilton Depression Rating Scale (HDRS, Biochemical Measurement (fasting blood sugar) was taken using the glucometer kits- (ACCU-CHEK Active).

Results: The age range of the study population is between 40 and 75 years with majority within 50-59 years (35.5%). A total of 101 (48.3%) of the study participants were identified by the Hamilton’s depression rating scale to be depressed, while 108 (51.7%) had no depression. Among the participants, the risk of developing depression was significantly(p=0.001) found with being divorced or unmarried and unemployment, poor glycaemic control, ingestion of alcohol, cigarette smoking, increase duration of diabetes and presence of erectile dysfunction.

Conclusion: In this study, the prevalence of depression was 48.3%. Depression is a highly prevalent health problem that is both under-diagnosed and under treated and affects the quality of life of a large number of men with type 2 diabetes mellitus.  There is need to screen all diabetics for depression at any clinic visit in view of the observed high prevalence.

Keywords: Depression, diabetes, predictors, prevalence, adults, Nigeria, outpaient clinic


How to Cite

Azudialu, Bede C, Njoka Timothy, Ogwuche Emmanuel, Ogunnaya Frances, Amaka Obi-nwosu, and Benjamin I Nkem. 2024. “Prevalence and Predictors of Depression Among Adult Male Patients With Type 2 Diabetes Mellitus Attending General Outpatient Clinic in a Tertiary Hospital in Northern Nigeria”. Journal of Advances in Medicine and Medical Research 36 (7):132-41. https://doi.org/10.9734/jammr/2024/v36i75491.

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References

Kim NH. Diabetes mellitus, still major threat to mortality from variour causes. DMJ 1. 2019;43(3):273.

Vas A, Devi ES. Quality of life of people with type 2 diabetes. IJPHRD. 2019;10(11).

Salinero-Fort MA, Gómez-Campelo P, el al. Prevalence of depression in patients with type 2 diabetes mellitus in Spain (the DIADEMA Study): results from the MADIABETES cohort. BMJ open. 2021;8(9):e020768.

Lopez-Hernandez D, Castillo-Cruz T, Brito-Aranda L, Beltran-Lagunes L, Orozco-Campos N, Melgarejo-Estefan E. Association between Type-2 Diabetes Mellitus and Infection by Human Papillomavirus Genotype-18 in Women Aged 40-44 Years Old. Curr. J. Appl. Sci. Technol. [Internet]. 2022 May 7 [cited 2024 Jun. 4];41(11):36-49. Available:https://journalcjast.com/index.php/CJAST/article/view/3809.

Yassir L, Leila B, Merieme B, Khadija E, Mina M, ElKabli H. Diabetic Ketoacidosis Revealing Adult Cystic Fibrosis Associated with Graves’ Disease: About One Case. Asian J. Case Rep. Med. Health. [Internet]. 2024 Apr. 15 [cited 2024 Jun. 4];7(1):51-7. Available:https://journalajcrmh.com/index.php/AJCRMH/article/view/186.

Majumdar S, Sinha B, Dastidar BG, Gangopadhyay KK, Ghoshal S, Mukherjee JJ, Mazumdar A, Ray S, Dasgupta S, Bhattacharjee K. Assessing prevalence and predictors of depression in Type 2 Diabetes Mellitus (DM) patients–The DEPDIAB study. Diabetes Research and Clinical Practice. 2021;178:108980.

Shaw JE, Sicree RA, et al. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87:4–14. ed studies with 4·4 million participants. The Lancet 2021;387:1513–3.

Choukem SP, Dimala CA, Mbanya JC et al. Diabetes Management in Africa 18. The diabetes textbook: clinical principles, patient management and public health issues. 2021;273.

Petrak F, Röhrig B. Treatment of depression in type 2 diabetes. Depression and Type 2 Diabetes. 2018;22.

Owens-Gary MD, Zhang X, Jawanda S, Bullard KM, Allweiss P, Smith BD. The importance of addressing depression and diabetes distress in adults with type 2 diabetes. J. Gen. Int. Med. 2019;34(2):320-4.

Lee HJ, Jang J, Lee SA, Oh SS, Park EC. Association between the type of diabetes treatment and depressive symptoms among patients with diabetes: a cross-sectional study of korea community health surveys data, 2011–2016. Int. J.Environ. Res. Public Health 2019;16(22):4441.

Compayo A. ZARADEMP Project. Depressive disorder and incident diabetes mellitus. The effect of characteristics of derepssion. Am J Pyschiatry. 2010; 167:580-8.

Engidaw NA, Wubetu AD, Basha EA. Prevalence of depression and its associated factors among patients with diabetes mellitus at Tirunesh- Beijing general hospital, Addis Ababa, Ethiopia. BMC Public Health. 2020;20(1):1-7.

Morrissey-Ross M. Living with Diabetes: Experiences from Jamaican Diabetes Clinics in Kingston and Morant Bay (Doctoral dissertation, Walden University).

Sutherland ME. Palliative Care: Theory, Research, and Treatment in the English-speaking Caribbean Region. West Indian Med J. 2017;66(6):715.

James B, Morakinyo O, Eze G, et al. Depression and subjective quality of life among outpatients with diabetes mellitus at a teaching hospital in NIgeria. Ment Heal Fam Med 2019; 7:179–83.

Šabanović A, Maksimović N, Stojanović-Tasić M, Bakić M, Grgurević A. Factors associated with depression in the patients with diabetes mellitus type 2. Vojnosanitetski pregled. 2019;76(11):1178-83.

Petersen I, Rathod S, Kathree T, Selohilwe O, Bhana A. Risk correlates for physical-mental multimorbidities in South Africa: a cross-sectional study. Epid. psychiatric sci. 2019;28(4):418-26.

Wu CS, Hsu LY, Wang SH. Association of depression and diabetes complications and mortality: a population-based cohort study. Epid. Psychiatric Sci. 2020;29.

Wang H, Chen H, Gao Y, Wang S, Wang X, Tang X, Fang W, Shi X, Yao J, Chen Q. The effect of wuling capsule on depression in Type 2 diabetic patients. Bioscience Reports. 2020;40(2).

Bettegowda S, Kalegowda MB, Mallam SG, Ramalingaiah VH. Depression in type 2 diabetes mellitus patients: a cross sectional study from rural tertiary care hospital of South Karnataka, Ind. Intn J. Res, in Med. Sci. 2019 l;7(7):2599.

Jombo HE, Onung SI, Idung AU, Iyanam VE. Erectile Dysfunction and Depression in Males with Type 2 Diabetes Mellitus in a Tertiary Healthcare Facility in Uyo, South-South Nigeria. Asian J. Med. Princ. Clic. Prac. 2020;1:9-17.

Daniel WW, Cross CL. Biostatistics: a foundation for analysis in the health sciences. Wiley; 2018.

Kiernan MC. Jewels in the crown: a century of achievement for the Journal of Neurology, Neurosurgery & Psychiatry. Journal of Neurology, Neurosurgery & Psychiatry. 2020;91(1):1-2.

Ezema CI, Akusoba PC, Nweke MC, Uchewoke CU, Agono J, Usoro G. Influence of Post-Stroke Depression on Functional Independence in Activities of Daily Living. Ethp. J. health sciences. 2019;29(1).

Tungchama FP, Obindo JT, Armiya'u AY, Maigari YT, Davou FJ, Goar SG, Piwuna CG, Umar MU, Sadiq SA, Agbir MT, Uwakwe R. Prevalence and sociodemographic correlates of postpartum depression among women attending Postnatal and/or Children's Welfare Clinics in a Tertiary Hospital, Jos, Nigeria. Sahel Med. J. 2018;21(1):23.

Ebrahim M, Tamiru D, Hawulte B, Misgana T. Prevalence and associated factors of depression among diabetic outpatients attending diabetic clinic at public hospitals in Eastern Ethiopia: A cross-sectional study. SAGE open medicine. 2021;9: 20503121211066244.

Ochigbo EE, Puepet FH et al. Undiagnosed depression among adults with diabetes mellitus in Jos. Nigerian Journal of Clinical Practice. 2020;23(10):1431.