Publication: Psychiatric Comorbidity among Type 2 Diabetes Mellitus Patients
Date
2024
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
The co-occurrence of psychiatric conditions and diabetes mellitus is frequently
observed. This coexistence manifests in various ways, leading to a diminished quality
of life, heightened healthcare expenses, reduced treatment compliance, suboptimal
blood sugar control, and an upsurge in visits to the emergency room.
Objective
To evaluate the prevalence of psychiatric comorbidity in patients with type 2 diabetes
at a specialized medical center.
Method
We conducted a cross-sectional study, enrolling eligible type 2 diabetes patients who
sought outpatient services. To evaluate the cognitive and emotional aspects of their
illness, we employed the Mini International Neuropsychiatric Interview and ICD-10
guidelines. Convenience sampling method was used and 200 patients were included
in the study. Their socio-demographic profile, presence of depression, and other
psychiatric illnesses were studied.
Result
Among the total screened type 2 diabetes patients, 200 eligible individuals were
included in the study. Depression emerged as the most prevalent psychiatric comorbid
condition, affecting 30.5% of the patients. Notably, depression rates were slightly
higher in female patients and those over 50 years of age. Furthermore, individuals
with longer diabetes durations displayed a greater prevalence of depressive episodes,
followed by other psychiatric illnesses.
Conclusion
A noteworthy proportion of diabetic patients exhibited comorbid psychiatric
conditions. Depression was the most common among diabetics followed by other
psychiatric illnesses. The presence of neuropsychiatric illness was commonly seen in
diabetics at a later age of life, peaking after 6th decade.
KEY WORDS
Comorbidity, Diabetes mellitus type II, Psychiatry
Description
Acharya M,1 Ghimire RH,2 Karki D,3 Poudel S4
1Department of Psychiatry
2Department of Medicine
3Department of Pharmacy
4Intern, Department of Psychiatry
Nobel Medical College Teaching Hospital
Biratnagar, Nepal
Keywords
Comorbidity, Diabetes mellitus type II, Psychiatry