Magnitude of depression and its associated factors among people diagnosed with type ii diabetes

Introduction: Studies show that depression and diabetes may be linked. In addition, possibly increasing the risk for depression, diabetes may make symptoms of depression worse. Depressed individuals are likely to comply with diabetes self-care recommendations. It is evident that active case finding and management of depression can assist in alleviating patient suffering, and contribute to improved metabolic control, clinical outcomes and reducing the costs of patient management. Then, it is important to estimate the magnitude of depression and its associated factors amongst people with diabetes, thereby to initiate early treatment. Objective: To assess magnitude of depression and its associated factors among people diagnosed with type II diabetes mellitus attending at Mekelle and Ayder referral hospitals, Mekellecity. Methods: Cross-sectional study design and systematic random sampling technique were used. Data were collected using questionnaire, entered and analyzed using SPSS Version 20.0. Descriptive statistics was used to characterize the data. The multivariable analysis was carried out to evaluate the combined effect of factors associated. Result: A total of 414study subjects wereincludedinthestudybut14study participants were excluded due to gross incompleteness of questionnaires. Hence, then 400 participants were included in the analysis. Accordingly, 253 (63.25 %) respondents showed depressive symptoms. Marital status [AOR = 3.079 (0.744-12.740)], education [AOR = 1.757 (0.803-3.843)]and monthly income [AOR = 0.556 (0.277-1.115)] were found to have statistically significant association. Regarding treatment parameters, insulin was associated with development of depression symptom [AOR = 0.659 (0.398-1.092)]. Patients with retinopathy [AOR = 1.694(1.077-2.666)], sexualdys function [AOR=5.026(2.291-11.026)], comorbidity [AOR=0.219(0.119-0.402)], physical disability [AOR= 0.490 (0.268-0.893)], negative life event [AOR = 4.916 (1.610-15.015)], care of DM complication [AOR= 2.892 (1.758-4.756)] and high health cost [AOR = 0.511(0.310-0.843)] showed statistical association with development of depression. Conclusion: Magnitude of depression among Type 2 diabetes mellitus patients was more than sixty percent. Marital, Education, monthly, insulin. Patients with retinopathy, sexualdys function, comorbidity, physical disability, negative life event, Care of DM complication and high health cost showed statistical association with development of depression.