prevalence of co-morbid depression in out-patients with type 2 diabetes mellitus in bangladesh附带产生抑郁症的患病率与2型糖尿病门诊病人在孟加拉国.pdfVIP

Roy et al. BMC Psychiatry 2012, 12:123 /1471-244X/12/123 RESEARCH ARTICLE Open Access Prevalence of co-morbid depression in out-patients with type 2 diabetes mellitus in Bangladesh 1,5* 2 3 4 5 Tapash Roy , Cathy E Lloyd , Masuma Parvin , Khondker Galib B Mohiuddin and Mosiur Rahman Abstract Background: Little is known about the prevalence of depression in people with diabetes in Bangladesh. This study examined the prevalence and factors associated with depression in out-patients with Type 2 diabetes in Bangladesh. Methods: In this cross-sectional study a random sample of 483 diabetes out-patients from three diabetes clinics in Bangladesh was invited to participate. Of them 417 patients took part. Depressive symptoms were measured using previously developed and culturally standardized Bengali and Sylheti versions of the World HealthOrganization-5 Well Being Index (WHO-5) and the Patient Health Questionairre-9 (PHQ-9) with predefined cut-off scores. Data was collected using two different modes; e.g. standard assisted collection and audio questionnaire methods. Associations between depression and patient characteristics were explored using regression analysis. Results: The prevalence of depressive symptoms was 34% (PHQ-9 score ≥ 5) and 36% (WHO-5 score 52) with audio questionnaire delivery method. The prevalence rates were similar regardless of the type (PHQ-9 vs. WHO-5) and language (Sylheti vs. Bengali) of the questionnaires, and methods of delivery (standard assisted vs. audio methods). The significant predictors of depressive symptoms using either the PHQ-9 or WHO-5 questionnaires were; age, income, gender, treatment intensity, and co-morbid cardiovascular disease. Furth