engleski

Depression in Croatian Type 2 diabetic patients:prevalence and risk factors: A Croatian survey from the European Depression in Diabetes(EDID) Research Consortium

Aims: To determine the prevalence rate of and risk factors for depression in Croatian Type 2 diabetic patients. Methods: Depressive mood was examined in 384 randomly selected outpatients with Type 2 diabetes. Center for Epidemiological Studies Depression Scale (CES-D) and Structured Clinical Interview for DSM-IV axis I disorders (SCID) were used to identify depressive disturbances. The groups with CES-D&#8805; 16 and<16 were compared with respect to demographic, psychological and clinical characteristics. Regression analysis was used to determine risk factors for depression. Results: Of the examined patients 22% had CES-D scores&#8805; 16, and in 33 % of them clinical depression was confirmed by the psychiatric interview. Depressed patients compared with the non-depressed ones reported more diabetes-related problems and poorer well-being (t=6.71, p<0.001 and t=11.98, p<0.001, respectively). Multiple regression analysis indicated female gender, experienced support and the level of emotional well-being to predict depression (R=0.74, F=15.3, p<0.001). Conclusions: The obtained data indicate that the prevalence rate in Croatian Type 2 diabetic patients is comparable to findings from other cultural settings. Depressive symptoms can be predicted by psychological rather than disease-related variables. Psychological care for diabetic patients might be recommended in order to prevent depressive symptomatology

Type 2 diabetes; depression; cross-cultural comparisons

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