Diabetes distress and its association with depression in patients with type 2 diabetes in Iran

Hamid R. Baradaran, Seyedeh Maryam Mirghorbani, Anna Javanbakht, Zahra Yadollahi, Mohammad E. Khamseh

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Patients with diabetes experience some level of emotional distress varying from disease-specific distress to general symptoms of anxiety and depression. Since empirical data about symptom distress in relation to diabetes are sparse in Iran, this study was designed to assess the diabetes-specific distress in Iranian population. Methods: Persian version of Diabetes Distress Scale (DDS) questionnaire was completed by volunteer outpatients on a consecutive basis between February 2009 and July 2010, in Endocrine Research Center (Firouzgar Hospital). Then, scheduled appointments were made with a psychiatrist in the same week following completion of the questionnaire. The psychiatrist was not aware about the results of this questionnaire and patients were interviewed based on DSM-IV criteria. Results: One hundred and eighty-five patients completed the questionnaire and were interviewed by a psychiatrist. Fifty-two percent of the patients were females. The mean age was 56.06 (SD=9.5) years and the mean of duration of diabetes was 9.7 (SD=7.3) years. Sixty-five (35%) had distress. Among the patients with distress, 55% were females and 64% had lower grade of education. Eighty patients were diagnosed as having Major Depressive Disorder. There was a relation between Emotional Burden subscale and age (P=0.004), employment status (P=0.03), and also diabetes duration (P=0.02). The physician-related distress subscale was also related to the type of medication (P=0.009) and marital status (P=0.01). It has been shown that the regimen-related distress subscale was also related to age (P=0.003) and duration of diabetes (P=0.005). Conclusions: High prevalence rate of distress in the study highlights the significance of the need for identifying distress and also other mental health conditions in patients with diabetes in order to take collaborative care approaches.

Original languageEnglish
Pages (from-to)580-584
Number of pages5
JournalInternational Journal of Preventive Medicine
Volume4
Issue number5
Publication statusPublished - 1 May 2013

Fingerprint

Iran
Type 2 Diabetes Mellitus
Depression
Psychiatry
Major Depressive Disorder
Marital Status
Diagnostic and Statistical Manual of Mental Disorders
Volunteers
Appointments and Schedules
Mental Health
Outpatients
Anxiety
Physicians
Education
Surveys and Questionnaires
Research
Population

Keywords

  • Anxiety
  • Depression
  • Distress
  • Type 2 diabetes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Diabetes distress and its association with depression in patients with type 2 diabetes in Iran. / Baradaran, Hamid R.; Mirghorbani, Seyedeh Maryam; Javanbakht, Anna; Yadollahi, Zahra; Khamseh, Mohammad E.

In: International Journal of Preventive Medicine, Vol. 4, No. 5, 01.05.2013, p. 580-584.

Research output: Contribution to journalArticle

Baradaran, Hamid R. ; Mirghorbani, Seyedeh Maryam ; Javanbakht, Anna ; Yadollahi, Zahra ; Khamseh, Mohammad E. / Diabetes distress and its association with depression in patients with type 2 diabetes in Iran. In: International Journal of Preventive Medicine. 2013 ; Vol. 4, No. 5. pp. 580-584.
@article{f1a0ebc6dedd493a8e62b8d2433d7096,
title = "Diabetes distress and its association with depression in patients with type 2 diabetes in Iran",
abstract = "Background: Patients with diabetes experience some level of emotional distress varying from disease-specific distress to general symptoms of anxiety and depression. Since empirical data about symptom distress in relation to diabetes are sparse in Iran, this study was designed to assess the diabetes-specific distress in Iranian population. Methods: Persian version of Diabetes Distress Scale (DDS) questionnaire was completed by volunteer outpatients on a consecutive basis between February 2009 and July 2010, in Endocrine Research Center (Firouzgar Hospital). Then, scheduled appointments were made with a psychiatrist in the same week following completion of the questionnaire. The psychiatrist was not aware about the results of this questionnaire and patients were interviewed based on DSM-IV criteria. Results: One hundred and eighty-five patients completed the questionnaire and were interviewed by a psychiatrist. Fifty-two percent of the patients were females. The mean age was 56.06 (SD=9.5) years and the mean of duration of diabetes was 9.7 (SD=7.3) years. Sixty-five (35{\%}) had distress. Among the patients with distress, 55{\%} were females and 64{\%} had lower grade of education. Eighty patients were diagnosed as having Major Depressive Disorder. There was a relation between Emotional Burden subscale and age (P=0.004), employment status (P=0.03), and also diabetes duration (P=0.02). The physician-related distress subscale was also related to the type of medication (P=0.009) and marital status (P=0.01). It has been shown that the regimen-related distress subscale was also related to age (P=0.003) and duration of diabetes (P=0.005). Conclusions: High prevalence rate of distress in the study highlights the significance of the need for identifying distress and also other mental health conditions in patients with diabetes in order to take collaborative care approaches.",
keywords = "Anxiety, Depression, Distress, Type 2 diabetes",
author = "Baradaran, {Hamid R.} and Mirghorbani, {Seyedeh Maryam} and Anna Javanbakht and Zahra Yadollahi and Khamseh, {Mohammad E.}",
year = "2013",
month = "5",
day = "1",
language = "English",
volume = "4",
pages = "580--584",
journal = "International Journal of Preventive Medicine",
issn = "2008-7802",
publisher = "Isfahan University of Medical Sciences(IUMS)",
number = "5",

}

TY - JOUR

T1 - Diabetes distress and its association with depression in patients with type 2 diabetes in Iran

AU - Baradaran, Hamid R.

AU - Mirghorbani, Seyedeh Maryam

AU - Javanbakht, Anna

AU - Yadollahi, Zahra

AU - Khamseh, Mohammad E.

PY - 2013/5/1

Y1 - 2013/5/1

N2 - Background: Patients with diabetes experience some level of emotional distress varying from disease-specific distress to general symptoms of anxiety and depression. Since empirical data about symptom distress in relation to diabetes are sparse in Iran, this study was designed to assess the diabetes-specific distress in Iranian population. Methods: Persian version of Diabetes Distress Scale (DDS) questionnaire was completed by volunteer outpatients on a consecutive basis between February 2009 and July 2010, in Endocrine Research Center (Firouzgar Hospital). Then, scheduled appointments were made with a psychiatrist in the same week following completion of the questionnaire. The psychiatrist was not aware about the results of this questionnaire and patients were interviewed based on DSM-IV criteria. Results: One hundred and eighty-five patients completed the questionnaire and were interviewed by a psychiatrist. Fifty-two percent of the patients were females. The mean age was 56.06 (SD=9.5) years and the mean of duration of diabetes was 9.7 (SD=7.3) years. Sixty-five (35%) had distress. Among the patients with distress, 55% were females and 64% had lower grade of education. Eighty patients were diagnosed as having Major Depressive Disorder. There was a relation between Emotional Burden subscale and age (P=0.004), employment status (P=0.03), and also diabetes duration (P=0.02). The physician-related distress subscale was also related to the type of medication (P=0.009) and marital status (P=0.01). It has been shown that the regimen-related distress subscale was also related to age (P=0.003) and duration of diabetes (P=0.005). Conclusions: High prevalence rate of distress in the study highlights the significance of the need for identifying distress and also other mental health conditions in patients with diabetes in order to take collaborative care approaches.

AB - Background: Patients with diabetes experience some level of emotional distress varying from disease-specific distress to general symptoms of anxiety and depression. Since empirical data about symptom distress in relation to diabetes are sparse in Iran, this study was designed to assess the diabetes-specific distress in Iranian population. Methods: Persian version of Diabetes Distress Scale (DDS) questionnaire was completed by volunteer outpatients on a consecutive basis between February 2009 and July 2010, in Endocrine Research Center (Firouzgar Hospital). Then, scheduled appointments were made with a psychiatrist in the same week following completion of the questionnaire. The psychiatrist was not aware about the results of this questionnaire and patients were interviewed based on DSM-IV criteria. Results: One hundred and eighty-five patients completed the questionnaire and were interviewed by a psychiatrist. Fifty-two percent of the patients were females. The mean age was 56.06 (SD=9.5) years and the mean of duration of diabetes was 9.7 (SD=7.3) years. Sixty-five (35%) had distress. Among the patients with distress, 55% were females and 64% had lower grade of education. Eighty patients were diagnosed as having Major Depressive Disorder. There was a relation between Emotional Burden subscale and age (P=0.004), employment status (P=0.03), and also diabetes duration (P=0.02). The physician-related distress subscale was also related to the type of medication (P=0.009) and marital status (P=0.01). It has been shown that the regimen-related distress subscale was also related to age (P=0.003) and duration of diabetes (P=0.005). Conclusions: High prevalence rate of distress in the study highlights the significance of the need for identifying distress and also other mental health conditions in patients with diabetes in order to take collaborative care approaches.

KW - Anxiety

KW - Depression

KW - Distress

KW - Type 2 diabetes

UR - http://www.scopus.com/inward/record.url?scp=84879575342&partnerID=8YFLogxK

M3 - Article

VL - 4

SP - 580

EP - 584

JO - International Journal of Preventive Medicine

JF - International Journal of Preventive Medicine

SN - 2008-7802

IS - 5

ER -