Association between diabetes mellitus and depressive symptoms in the Brazilian population

Bibliographic Data

ID16779863
AuthorsCauê Pontes Briganti (Universidade de Sorocaba), Marcus Tolentino Silva (0000-0002-7186-9075, Universidade de Sorocaba), José Vanilton De Almeida (0000-0001-9095-8113, Universidade de Sorocaba), Cristiane De Cássia Bergamaschi (0000-0002-6608-1806, Universidade de Sorocaba)
Year2019
Volume53
Pages5
Publication date2019-01-29
Open AccessYes
TypeARTICLE
VenueRevista de Saúde Pública (JOURNAL)
Journal identifiersISSN: 0034-8910 • E-ISSN: 0034-8910
PublisherUniversidade de Sao Paulo, Agencia USP de Gestao da Informacao Academica (AGUIA) (PUBLISHER)
DOI10.11606/s1518-8787.2019053000608
PMID30652778
OpenAlexW2905349454
LanguageEN
Citations received4
References cited8

OBJECTIVE: To determine the prevalence of current depressive symptoms in people with diabetes mellitus and their association with the disease. METHODS: Data were collected from the Brazilian National Health Survey (Pesquisa Nacional de Saúde – PNS), a cross-sectional, population-based study conducted in 2013. Study participants were selected by simple random cluster sampling in three stages: census tracts, households, and residents aged ≥ 18 years. The presence of diabetes was self-reported, whereas the presence of current depressive symptoms was determined by the Patient Health Questionnaire–9 (PHQ-9) and mean scores of this questionnaire were calculated for the variables assessed. Tobit regression was used to evaluate variation in these individuals. RESULTS: Of the 60,202 interviewees, 6.03% (n = 3,636) reported diabetes mellitus. The disease was more frequent in female, older, widowed, obese and with incomplete elementary education. Depression symptoms were mild-to-moderately severe in 22% of the diabetics. The severity of current depressive symptoms was higher in individuals that were female (PHQ-9 mean = 3.35), older adults (PHQ-9 mean = 3.01), indigenous (PHQ-9 mean = 3.46), separated/divorced (PHQ-9 mean = 3.13), widowed (PHQ-9 mean = 3.39), obese (PHQ-9 mean = 3.13) and with incomplete primary education (PHQ-9 mean = 3.21). Higher severity of depressive symptoms was associated with the use of insulin and with coma (PHQ-9 mean = 8.32), limb amputation (PHQ-9 mean = 7.55), circulatory problems (PHQ-9 mean = 6.94), infarction (PHQ-9 mean = 6.83), diabetic foot (PHQ-9 mean = 6.62), and kidney problems (PHQ-9 mean = 6.68). The severity of current depressive symptoms was associated with diabetes severity and degree of limitation in activities of daily living (PHQ-9 mean = 10.62)

Association (psychology) · Depressive symptoms · Diabetes mellitus · Environmental health · Population · Psychiatry · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Diabetic Foot Ulcer Assessment and Management · Endocrinology · Internal Medicine · Medicine · Psychology

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