Original Research

Depression among patients with diabetes mellitus in a Nigerian teaching hospital

Bawo Onesirosan James, Joyce Ohiole Omoaregba, George Eze, Olufemi Morakinyo
South African Journal of Psychiatry | Vol 16, No 2 | a232 | DOI: https://doi.org/10.4102/sajpsychiatry.v16i2.232 | © 2010 Bawo Onesirosan James, Joyce Ohiole Omoaregba, George Eze, Olufemi Morakinyo | This work is licensed under CC Attribution 4.0
Submitted: 19 November 2009 | Published: 01 April 2010

About the author(s)

Bawo Onesirosan James, PSYCHIATRIC HOSPITAL BENIN CITY, Nigeria
Joyce Ohiole Omoaregba,
George Eze, Federal Psychiatric Hospital, Benin City, Edo State, Nigeria
Olufemi Morakinyo, Department of Mental Health, University of Benin, Benin City, Nigeria, Nigeria

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Abstract

Objectives. Depression is associated with diabetes mellitus and affects treatment goals negatively. We aimed to determine the prevalence of depression and identify its socio-demographic or clinical correlates among patients with diabetes mellitus attending an out-patient clinic in Nigeria.

Methods. Two hundred consecutively recruited diabetes patients (index group) were compared with a similar number of apparently healthy controls in a cross-sectional survey. In both groups, in addition to obtaining socio-demographic details, depression was diagnosed using the Schedule for the Clinical Assessment in Neuropsychiatry (SCAN), while the Beck Depression Inventory (BDI) was used to assess depression symptom severity.

Results. Sixty (30%) diabetes patients met a SCAN diagnosis for clinical depression, compared with 19 (9.5%) in the control group. Having a smaller income and more children were significantly correlated with higher depression symptoms on the BDI.

Conclusion. Depression is highly co-morbid with diabetes mellitus. The care of individuals with diabetes mellitus should include the screening and possible treatment for depression in order to achieve and sustain treatment goals.


Keywords

depression; diabetes mellitus; prevalence; co-morbidity; psychosocial correlates

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