Original Research Article
Year: 2019 | Month: November | Volume: 9 | Issue: 11 | Pages: 10-17
Depression among People Living with Type II Diabetes in Kathmandu Valley of Nepal: A Cross-Sectional Study
Sailendra Thapa, Nischal Lamichhane, Durga Khadka Mishra
Department of Public Health, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal
Corresponding Author: Sailendra Thapa
ABSTRACT
Objectives: Depression among people living with type II diabetes is a complicated issue in low resource setting like Nepal. The objective of this study is to assess the prevalence and factors associated with depression among patients with type II diabetes.
Methods: A cross sectional study based on clinical setting was conducted among 309 type II diabetic patients visiting a diabetic center located in Lalitpur metropolitan city, Nepal. Pre-tested semi-structured questionnaire was used to assess the socio-demographic characteristics and depression was measured by using validated Nepali version of Beck Depression Inventory (BDI). Collected data was entered in Micro-soft Excel 2010 and analysis was done by using SPSS IBM v. 16.
Results: Prevalence of undiagnosed depression among patients with type II diabetes was 35.6%, in which 4.5% had severe depression according to BDI. Age (p< 0.001), marital status (p= 0.004), educational status (p< 0.001), presence of co-morbidity (p= 0.007) and types of physical activity (p= 0.003) were associated with depressive condition among people living with type II diabetes. Hypertension was mostly reported co-morbidity.
Conclusion: More than a quarter of people with type II diabetes are suffering from depression. Biological, behavioural and social factors are the contributing factors for developing depression among people with type II diabetes. Hence, these factors need to be focused for addressing depression and better health outcome among people living with type II diabetes.
Key words: Depression, Type II diabetes, Beck Depression Inventory, Nepal