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Depression, anxiety, and associated factors in patients with diabetes: evidence from the anxiety, depression, and personality traits in diabetes mellitus (ADAPT-DM) study.


ABSTRACT: BACKGROUND:Depression and anxiety are common psychiatric complications affecting patients with diabetes mellitus. However, data on the prevalence of depression, anxiety, and associated factors among Malaysian diabetic patients is scarce. The Anxiety, Depression, and Personality Traits in Diabetes Mellitus (ADAPT-DM) study aimed to determine the prevalence of depression and anxiety, and their associated factors in the Malaysian diabetic population. METHODS:This cross-sectional study recruited 300 diabetic patients via convenience sampling from the Endocrine outpatient clinic of Universiti Kebangsaan Malaysia Medical Centre, a tertiary referral healthcare facility in Kuala Lumpur. Socio-demographic characteristics and clinical history were obtained from each participant. The Generalised Anxiety Disorder-7 (GAD-7) was administered to assess anxiety symptoms, the Beck Depression Inventory (BDI) to assess depressive symptoms, the Big Five Inventory (BFI) to evaluate personality traits, and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) to measure quality of life (QOL). Stepwise multiple logistic regression analyses were performed to determine the association between various factors, and depression and anxiety. RESULTS:The prevalence of depression was 20% (n?=?60) while anxiety was 9% (n?=?27). Co-morbid depression (adjusted odds ratio [OR]?=?9.89, 95% confidence interval [CI]?=?2.63-37.14, p =?0.001) and neuroticism (adjusted OR?=?11.66, 95% CI?=?2.69-50.47, p =?0.001) increased the odds of developing anxiety, while conscientiousness (adjusted OR?=?0.45, 95% CI?=?0.23-0.80, p =?0.004) and greater psychological-related QOL (adjusted OR?=?0.47, 95% CI?=?0.29-0.75, p =?0.002) were protective. Co-morbid anxiety (adjusted OR?=?19.83, 95% CI?=?5.63-69.92, p 

SUBMITTER: Woon LS 

PROVIDER: S-EPMC7218550 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Depression, anxiety, and associated factors in patients with diabetes: evidence from the anxiety, depression, and personality traits in diabetes mellitus (ADAPT-DM) study.

Woon Luke Sy-Cherng LS   Sidi Hatta Bin HB   Ravindran Arun A   Gosse Paula Junggar PJ   Mainland Roslyn Laurie RL   Kaunismaa Emily Samantha ES   Hatta Nurul Hazwani NH   Arnawati Puteri P   Zulkifli Amelia Yasmin AY   Mustafa Norlaila N   Leong Bin Abdullah Mohammad Farris Iman MFI  

BMC psychiatry 20200512 1


<h4>Background</h4>Depression and anxiety are common psychiatric complications affecting patients with diabetes mellitus. However, data on the prevalence of depression, anxiety, and associated factors among Malaysian diabetic patients is scarce. The Anxiety, Depression, and Personality Traits in Diabetes Mellitus (ADAPT-DM) study aimed to determine the prevalence of depression and anxiety, and their associated factors in the Malaysian diabetic population.<h4>Methods</h4>This cross-sectional stud  ...[more]

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