The Impact of Depressive Symptoms on the Quality of Life of Patients with Type 2 Diabetes in Jazan Region, KSA

Author(s): Osama B. Albasheer*.

Journal Name: Current Diabetes Reviews

Volume 15 , Issue 4 , 2019

Become EABM
Become Reviewer

Abstract:

Background: The purpose of this study is to determine the impact of depressive symptoms on the quality of life of type 2 diabetic patients (T2DM).

Methods: A cross-sectional study of 332 T2DM patients aged ≥18 years living in Jazan region of Saudi Arabia was conducted. Validated questionnaire was used for demographic and disease characteristics. Depressive symptoms of the participants were assessed using the Patient Health Questionnaire (PHQ-9). The Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF) was utilized to assess the degree of life enjoyment and satisfaction.

Results: Depressive symptoms were observed in 34.7% (112) of the total participants. The overall sense of wellbeing (mean 3.23, P. value 0.000), physical (mean 3.37, P. value 0.003), psychosocial (mean 2.99 P. value 0.000) and social domains (mean 3.53, P. value 0.000) of quality of life were significantly reduced in T2DM patients with depressive symptoms.

Conclusion: The impact of depressive symptoms on quality of life of T2DM patients was more significant than the impact of diabetes alone. Symptoms of depression reduce the individual coping and hence reduce functioning. This study emphasizes the vital importance of an integrated holistic approach that addresses both the practical and emotional issues in diabetes care.

Keywords: Type 2 diabetes, quality of life, prevalence of depression, depressive symptoms, enjoyment, satisfaction.

[1]
Shaw JE, Sicree RAZP. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 2010; 37(1): 4-14.
[2]
William WE. Epidemiologic evidence on the comorbidity of depression and diabetes. J Psychosom Res 2002; 53(4): 903-6.
[3]
Dodson PM. Hypertension and diabetes. Curr Med Res Opin 2002; 18: 48-57.
[4]
Maggio CAP-SF. Obesity and type 2 diabetes. Endocrinol Metab Clin North Am 2003; 32(4): 805-22.
[5]
Lloyd A, Sawyer WHP. Impact of long-term complications on quality of life in patients with type 2 diabetes not using insulin. Value Health 2001; 4(5): 392-400.
[6]
de Visser CL, Bibo HJ, Groenier KH, de Visser W. JMB. The influence of cardiovascular disease on quality of life in type 2 diabetics. Qual Life Res 2002; 11: 249-61.
[7]
Gregg E, Beckles G, Williamson D, Leveille S, Langlois J, Engelgau MNK. Diabetes and physical disability among older U.S. adults. Diabetes Care 2000; 23: 1272-7.
[8]
Kleefstra N, Landman GW, Houweling ST, et al. Prediction of mortality in Type 2 diabetes from health related quality of life (ZODIAC-4). Diabetes Care 2008; 31: 932-3.
[9]
Lustman PJ, Anderson RJ, Freedland KE, de Groot M, Carney RM, Clouse RE. Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care 2000; 23(7): 934-42.
[10]
Egede LE, Zheng D, Simpson K. Comorbid depression is associated with increased health care use and expenditures in individuals with diabetes. Diabetes Care 2002; 25(3): 464-70.
[11]
Katon W, Russo J, Lin EH, et al. Diabetes and poor disease control: Is comorbid depression associated with poor medication adherence or lack of treatment intensification? Psychosom Med 2009; 71(9): 965.
[12]
Evan A, Paul F, Jann F. Collaborative care for comorbid depression and diabetes: A systematic review and meta-analysis. BMJ Open 2014; 4(4): e004706.
[13]
Gemeay EM, Moawed SA, Mansour EA, Ebrahiem NE, Moussa IM, Nadrah WO. The association between diabetes and depression. Saudi Med J 2015; 36(10): 1210-5.
[14]
El Mahalli AA. Prevalence and predictors of depression among type 2 diabetes mellitus outpatients in Eastern Province, Saudi Arabia. Int J Health Sci 2015; 9(2): 119.
[15]
Albasheer OB, Mahfouz MS, Solan Y, et al. Depression and related risk factors among patients with type 2 diabetes mellitus, Jazan area, KSA: A cross-sectional study. Diabetes Metab Syndr 2017. S1871- 4021(17): 30325-9
[16]
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 2001; 16(9): 606-13.
[17]
Cameron IM, Crawford JR, Lawton K, et al. Psychometric comparison of PHQ-9 and HADS for measuring depression severity in primary care. Br J Gen Pract 2008; 58(546): 32-6.
[18]
Endicott J, Nee J, Harrison WBR. Quality of life enjoyment and satisfaction questionnaire: A new measure. Psychopharmacol Bull 1993; 29: 321-6.
[19]
Snoek FJAI. Quality of life: A closer look at measuring patients’ well-being. Diabetes Spectr 2000; 13(1): 24-8.
[20]
Clouet F, Excler-Cavailher G, Christophe B, Masson F, Fasquel D. Type 2 diabetes and short form 36-items health survey. Diabetes Metab 2001; 6(27): 711-7.
[21]
Wang J, He M, Zhao X. Depressive symptoms, family functioning and quality of life in chinese patients with type 2 diabetes. Can J Diabetes 2015; 6(39): 507-12.
[22]
Goldney RD, Phillips PJ, Fisher LJ, Wilson DH. Diabetes, depression, and quality of life: A population study. Diabetes Care 2004; 27(5): 1066-70.
[23]
Miranda TS, Caroline AB, François P. Depression and quality of life in patients with diabetes: A systematic review from the european depression in diabetes (EDID) research consortium. Curr Diabetes Rev 2009; 2(5): 112-9.
[24]
Nerenz DR, Repasky DP, Whitehouse FW, Kahkonen DM. Ongoing assessment of health status in patients with diabetes mellitus. Med Care 1992; MS112-24.
[25]
Weinberger M, Kirkman MS, Samsa GP, et al. The relationship between glycemic control and health-related quality of life in patients with non-insulin-dependent diabetes mellitus. Med Care 1994; 1173-81.
[26]
Kiadaliri AA, Najafi B, Mirmalek-Sani M. Quality of life in people with diabetes: A systematic review of studies in Iran. J Diabetes Metab Disord 2013; 1(12): 54.
[27]
Shim YT, Lee J, Toh MPHS, Tang WE, Ko Y. Health‐related quality of life and glycaemic control in patients with Type 2 diabetes mellitus in Singapore. Diabet Med 2012; 8(29): e241-8.
[28]
Shim YT, Lee J, Toh MP, Tang WEKY. Health-related quality of life and glycaemic control in patients with Type 2 diabetes mellitus in Singapore. Diabet Med 2012; 8(29): e241-8.
[29]
Solli O, Stavem K, Kristiansen IS. Health-related quality of life in diabetes: The associations of complications with EQ-5D scores. Heal Qual Life Outcomes 2010; p. 18.
[30]
Thommasen HV, Zhang W. Health-related quality of life and type 2 diabetes: A study of people living in the Bella Coola Valley. BCMJ 2006; 48(6): 272-8.
[31]
Coffey JT, Brandle M, Zhou H, et al. Valuing health-related quality of life in diabetes. Diabetes Care 2002; 12(25): 2238-43.
[32]
Hermanns N, Kulzer B, Krichbaum M, Kubiak T, Haak T. How to screen for depression and emotional problems in patients with diabetes: Comparison of screening characteristics of depression questionnaires, measurement of diabetes-specific emotional problems and standard clinical assessment. Diabetologia 2006; 3(49): 469-77.
[33]
Pouwer F, Skinner TC, Pibernik-Okanovic M, et al. Serious diabetes-specific emotional problems and depression in a Croatian-Dutch-English Survey from the European Depression in Diabetes [EDID] Research Consortium. Diabetes Res Clin Pract 2005; 2: 166-73.
[34]
Elizabeth HB. Lin, Carolyn M. Depression and Advanced Complications of Diabetes A prospective cohort study. Diabetes Care 2010; 2(33): 264-9.
[35]
Takenaka H, Sato J, Suzuki T, Ban N. Family issues and family functioning of Japanese outpatients with type 2 diabetes: A cross-sectional study. Biopsychosoc Med 2013; 1(7): 13.
[36]
McCollum M, Ellis SL, Regensteiner JG, Zhang W, Sullivan PW. Minor depression and health status among US adults with diabetes mellitus. Am J Manag Care 2007; 13(1): 65-72.
[37]
Pawaskar MD, Anderson RT, Balkrishnan R. Self-reported predictors of depressive symptomatology in an elderly population with type 2 diabetes mellitus: A prospective cohort study . Heal & Qual Life Outcomes 2007 . 2007; 5: 50-6.
[38]
Brenes GA. Anxiety, depression, and quality of life in primary care patients. Prim Care Companion J Clin Psychiatry 2007; 9(6): 437-43.


Rights & PermissionsPrintExport Cite as

Article Details

VOLUME: 15
ISSUE: 4
Year: 2019
Page: [288 - 293]
Pages: 6
DOI: 10.2174/1573399814666181002100223
Price: $65

Article Metrics

PDF: 30
HTML: 2
EPUB: 1
PRC: 1

Special-new-year-discount