Diabetes mellitus and comorbid depression in Zambia

G. Hapunda, A.A. Ali, F. Pouwer, F.J.R. van de Vijver

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Aims
To replicate, in Zambia, a recent global study by the WHO, which reported that the odds of depression were not increased in African people with diabetes, and to explore the sociodemographic and clinical factors associated with depression.
Methods
A total of 773 control subjects and 157 Zambian patients with diabetes completed the Major Depression Inventory and a list of demographic indicators.
Results
Compared with control subjects (mean ± sd Major Depression Inventory score 15.10 ± 9.19), depressive symptoms were significantly more common in patients with diabetes (mean ± sd Major Depression Inventory score 19.12 ± 8.95; P < 0.001). ancova showed that having diabetes [F(1,698) = 16.50, P < 0.001], being female [F(1,698) = 7.35, P < 0.01] and having low socio-economic status (F(1,698) = 13.35, P < 0.001) were positive predictors of depression.
Conclusions
Contrary to the WHO study, we found that depression was a common comorbid health problem among Zambian people with diabetes. Clinicians should consider patients' health status, sex and socio-economic status as potential factors predicting depression.
Original languageEnglish
Pages (from-to)814–818
JournalDiabetic Medicine: Journal of the British Diabetic Association
Volume32
Issue number6
DOIs
Publication statusPublished - 2015

Fingerprint

Zambia
Diabetes Mellitus
Depression
Equipment and Supplies

Cite this

@article{40ff48e209f4484389b2bef0f026bdb6,
title = "Diabetes mellitus and comorbid depression in Zambia",
abstract = "AimsTo replicate, in Zambia, a recent global study by the WHO, which reported that the odds of depression were not increased in African people with diabetes, and to explore the sociodemographic and clinical factors associated with depression.MethodsA total of 773 control subjects and 157 Zambian patients with diabetes completed the Major Depression Inventory and a list of demographic indicators.ResultsCompared with control subjects (mean ± sd Major Depression Inventory score 15.10 ± 9.19), depressive symptoms were significantly more common in patients with diabetes (mean ± sd Major Depression Inventory score 19.12 ± 8.95; P < 0.001). ancova showed that having diabetes [F(1,698) = 16.50, P < 0.001], being female [F(1,698) = 7.35, P < 0.01] and having low socio-economic status (F(1,698) = 13.35, P < 0.001) were positive predictors of depression.ConclusionsContrary to the WHO study, we found that depression was a common comorbid health problem among Zambian people with diabetes. Clinicians should consider patients' health status, sex and socio-economic status as potential factors predicting depression.",
author = "G. Hapunda and A.A. Ali and F. Pouwer and {van de Vijver}, F.J.R.",
year = "2015",
doi = "10.1111/dme.12645",
language = "English",
volume = "32",
pages = "814–818",
journal = "Diabetic Medicine: Journal of the British Diabetic Association",
issn = "0742-3071",
publisher = "Wiley-Blackwell",
number = "6",

}

Diabetes mellitus and comorbid depression in Zambia. / Hapunda, G.; Ali, A.A.; Pouwer, F.; van de Vijver, F.J.R.

In: Diabetic Medicine: Journal of the British Diabetic Association, Vol. 32, No. 6, 2015, p. 814–818.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Diabetes mellitus and comorbid depression in Zambia

AU - Hapunda, G.

AU - Ali, A.A.

AU - Pouwer, F.

AU - van de Vijver, F.J.R.

PY - 2015

Y1 - 2015

N2 - AimsTo replicate, in Zambia, a recent global study by the WHO, which reported that the odds of depression were not increased in African people with diabetes, and to explore the sociodemographic and clinical factors associated with depression.MethodsA total of 773 control subjects and 157 Zambian patients with diabetes completed the Major Depression Inventory and a list of demographic indicators.ResultsCompared with control subjects (mean ± sd Major Depression Inventory score 15.10 ± 9.19), depressive symptoms were significantly more common in patients with diabetes (mean ± sd Major Depression Inventory score 19.12 ± 8.95; P < 0.001). ancova showed that having diabetes [F(1,698) = 16.50, P < 0.001], being female [F(1,698) = 7.35, P < 0.01] and having low socio-economic status (F(1,698) = 13.35, P < 0.001) were positive predictors of depression.ConclusionsContrary to the WHO study, we found that depression was a common comorbid health problem among Zambian people with diabetes. Clinicians should consider patients' health status, sex and socio-economic status as potential factors predicting depression.

AB - AimsTo replicate, in Zambia, a recent global study by the WHO, which reported that the odds of depression were not increased in African people with diabetes, and to explore the sociodemographic and clinical factors associated with depression.MethodsA total of 773 control subjects and 157 Zambian patients with diabetes completed the Major Depression Inventory and a list of demographic indicators.ResultsCompared with control subjects (mean ± sd Major Depression Inventory score 15.10 ± 9.19), depressive symptoms were significantly more common in patients with diabetes (mean ± sd Major Depression Inventory score 19.12 ± 8.95; P < 0.001). ancova showed that having diabetes [F(1,698) = 16.50, P < 0.001], being female [F(1,698) = 7.35, P < 0.01] and having low socio-economic status (F(1,698) = 13.35, P < 0.001) were positive predictors of depression.ConclusionsContrary to the WHO study, we found that depression was a common comorbid health problem among Zambian people with diabetes. Clinicians should consider patients' health status, sex and socio-economic status as potential factors predicting depression.

U2 - 10.1111/dme.12645

DO - 10.1111/dme.12645

M3 - Article

VL - 32

SP - 814

EP - 818

JO - Diabetic Medicine: Journal of the British Diabetic Association

JF - Diabetic Medicine: Journal of the British Diabetic Association

SN - 0742-3071

IS - 6

ER -