Tzu Chi Medical Journal
Volume 20, Issue 1 , Pages 44-48, March 2008

Undiagnosed Depression in Patients with Type 2 Diabetes and Its Associated Factors

  • Kun-Wei Tsai

      Affiliations

    • Department of Internal Medicine, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan
    • Graduate Institute of Biopharmaceutics, National Chiayi University, Chiayi, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Internal Medicine, Buddhist Dalin Tzu Chi General Hospital, 2, Min-Sheng Road, Dalin, Chiayi, Taiwan
    • ,
  • Jui-Kun Chiang

      Affiliations

    • Department of Family Medicine, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan
    • Graduate Institute of Clinical Medicine, National Taiwan University, Taipei, Taiwan
    • ,
  • Chia-Shun Lee

      Affiliations

    • Department of Psychiatry, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan

Received 23 May 2007; received in revised form 28 June 2007; accepted 17 September 2007.

Abstract 

Objective

To estimate the prevalence of undiagnosed depression in the diabetic clinic and factors that may indicate the presence of depression.

Materials and Methods

The Chinese version of the Beck Depression Inventory II (BDI-2) was used to assess the depressive symptoms of subjects who attended the diabetes education program of a regional teaching hospital in Chiayi County, Taiwan. Correlation with patient characteristics, symptoms and laboratory data were compared.

Results

A total of 167 cases were analyzed. Twenty-two cases (13.17%) scored above or equal to 17, indicating at least mild depression. Multivariate logistic regression analysis showed that using injection to control blood glucose and total cholesterol levels were associated with higher BDI scores. Those who were told that they had heart disease and those who worked as manual laborers had less association with depression.

Conclusion

The prevalence of undetected depression is high among type 2 diabetics. Routine screening for depression during outpatient visits is recommended. [Tzu Chi Med J 2008;20(1):44–48]

Keywords:  Beck depression inventory , Depression , Type 2 diabetes

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PII: S1016-3190(08)60007-5

doi:10.1016/S1016-3190(08)60007-5

Tzu Chi Medical Journal
Volume 20, Issue 1 , Pages 44-48, March 2008

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