کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5902005 | 1156841 | 2016 | 6 صفحه PDF | دانلود رایگان |
AimsTo investigate the association between likelihood or severity of depression and symptoms associated with diabetic complications in elderly Japanese patients with diabetes.MethodsThis single-center cross-sectional study included 4283 patients with diabetes, 65 years and older (mean age was 73 ± 6 years, 38.7% were women, 3.9% had type 1 diabetes). Participants completed a self-administered questionnaire including items on subjective symptoms associated with diabetic microangiopathy, frequency of clinical visits due to vascular diseases (heart diseases, stroke, or gangrene), hospitalization, and the Patient Health Questionnaire-9 (PHQ-9), a simple but reliable measure of depression. The associations between severity of depression and diabetic complications were examined using logistic regression analysis.ResultsAccording to the PHQ-9 scores, patients were classified into the following 3 categories: 0-4 points (n = 2975); 5-9 points (n = 842); and 10 or more points (n = 466). Higher PHQ-9 scores were associated with increased odds ratios for retinopathy, symptoms related to peripheral polyneuropathy and autonomic neuropathy, and end-stage renal disease requiring dialysis after adjustment for age, gender, smoking status, and HbA1c (all p < 0.05).ConclusionsSignificant relationships were found between depression severity and chronic diabetic complications among elderly Japanese patients with diabetes.
Journal: Journal of Diabetes and its Complications - Volume 30, Issue 4, MayâJune 2016, Pages 597-602