COMPARISON OF QUALITY OF LIFE OF TYPE TWO DIABETIC PATIENTS WITH AND WITHOUT DEPRESSION- STUDY IN A TERTIARY CARE CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 11
Abstract
BACKGROUND Depressive disorders are one of the most common mental and behavioural disorders in patients with diabetes mellitus. This is an effort to compare the quality of life of type 2 diabetic patients with and without depression. MATERIALS AND METHODS This study was conducted in the diabetic clinic of a tertiary care hospital in Thiruvananthapuram district of Kerala as a hospital-based case control study. The case group consisted of 80 patients aged ≥18 years, with type 2 diabetes mellitus, attending the diabetic clinic and with Hospital Anxiety and Depression Scale (HADS)- depression subscale score ≥ 8 and the control group consisted of 80 patients of the same age group, with type 2 diabetes mellitus, attending the clinic during the same period, with HADS depression subscale score less than 8. Data was collected after taking informed consent. Quality of life was assessed using RAND (Research and Development) 36 item Health Survey (Version 1.0). Mann Whitney test was applied. p value of <0.05 was considered statistically significant. RESULTS Statistical analysis showed that the mean scores obtained for patients with depression were lower compared to patients without depression in all the 8 scales of RAND 36 Item Health Survey assessing quality of life. CONCLUSION Evaluation of quality of life revealed that depressed individuals with type two diabetes mellitus have a self-reported reduction in quality of life than non-depressed individuals with type two diabetes mellitus. So, screening diabetic patients for depression, and managing depression adequately, will improve the quality of life of diabetic patients.
Authors and Affiliations
Lekshmy Gupthan, Subha Nanoo, Zinia Thottathil Nujum
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