Preprint / Version 1

Depression in High-Risk Type 2 Diabetes Adults

Authors

  • Deepali Mathur Department of Neurology, Apollo Hospitals, Bhubaneswar, Odisha, India
  • Akshay Anand Department of Neurology, Neuroscience Research Lab, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
  • Vinod Srivastava College of Health and Behavioral Sciences, Fort Hays State University, Hays, Kansas, USA
  • Suchitra Patil Department of Yoga and Life Science, Swami Vivekananda Yoga Anusandhana Samsthana (S-VYASA), Kempegowda Nagar, Bengaluru, Karnataka, India
  • Amit Singh Department of Yoga and Life Science, Swami Vivekananda Yoga Anusandhana Samsthana (S-VYASA), Kempegowda Nagar, Bengaluru, Karnataka, India
  • SK Rajesh Department of Yoga and Life Science, Swami Vivekananda Yoga Anusandhana Samsthana (S-VYASA), Kempegowda Nagar, Bengaluru, Karnataka, India
  • HR Nagendra Department of Yoga and Life Science, Swami Vivekananda Yoga Anusandhana Samsthana (S-VYASA), Kempegowda Nagar, Bengaluru, Karnataka, India
  • Raghuram Nagarathna Department of Arogyadhama, Vivekananda Yoga Anusandhana Samsthana (VYASA), Bengaluru, Karnataka, India

Keywords:

Diabetic mellitus, Comorbidities, Depression, IDRS, HbA1c, Yoga, Mindfulness

Abstract

Patients suffering from diabetes mellitus are two to three times more vulnerable to develop depressive symptomatology. Purpose: To report the association between depression and high-risk diabetes in India. Methods: A total of 1,606 adults were recruited for the study. A patient health questionnaire was used to determine the depression on the basis of score. A statistical analysis was done using analysis of covariance (ANCOVA) and binary logistic regression to determine the association between diabetes categories and four degrees of depression. Results: Out of 1,606 participants, 52.6% were males and 47.4% were females, 56.4% belonged to the urban area and 43.6% to the rural area. However, 19.5% (314) had diabetes; 29.1% of diabetes individuals had minimal depression, 38.7% had mild, 17.2% moderate, 12.0% moderately severe, and 3.1% had severe depression. In the self-reported diabetic participant group (N = 142), there was a significantly higher degree of severe depression (3.3%) in the uncontrolled group (HbA1c >7%) as compared to the well-controlled diabetes group (HbA1c <7%). ANCOVA in gender differences in the uncontrolled diabetes group showed that male gender had significantly (P = –.02) higher mean scores of depression. Conclusion: This study found that there is a positive association between depression and uncontrolled diabetes in male gender. Keywords: Diabetic mellitus, Comorbidities, Depression, IDRS, HbA1c, Yoga, Mindfulness

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