Depression among Type 2 Diabetics Attending the National Diabetes Center Nooralhuda Faik*, Dheyaa J Kadhim**, Tawfeeq Fakher Al-Auqbi

Keywords: Type 2 diabetes mellitus, Depression, Patient Health Questionnaire-9 (PHQ-9).



Background: Diabetes mellitus is a common health, medical and economic problem. There were 1.2 million cases of diabetes in Iraq in 2015. Depression is known as a concurrent condition associated with diabetes.

Objectives: To find the prevalence of depression in type 2 diabetes patients; and, observe the socio-demographic and disease-related factors. Methods: A case-control study was conducted in the National Diabetes Center, Al-Mustansiriya University, Al-Yarmook Teaching Hospital Campus, Baghdad/Iraq; on 100 type 2 diabetes patients and 100 apparently healthy participants as the control group. The Arabic version of the Patient Health Questionnaire-9 (PHQ-9) was used to assess depression in patients and controls.

Results: The overall depression (mild, moderate, moderately-severe and severe) among patients in the current study was 91%. Absences of depression and mild depressions were more prevalent among control group compared to diabetic patients. In contrast, moderate, moderately severe, and severe depression were more among diabetic patients compared to control group. The mean PHQ-9-score of diabetic patients (12.89 ± 5.82) was significantly higher than that of the control group (8.47 ± 5.27).

Conclusions: The study shows high prevalence of depression in type 2 diabetes mellitus patients attending the National Diabetes. Very high significant association between depression and personal charecteristics. The overall prevalence of depression much higher than what reported by other similar studies.