Prevalence of Anxiety and Depression in Patients with Type 2 Diabetes Mellitus

Background: This study investigates the prevalence of depression and anxiety among type 2 diabetes mellitus (T2DM) patients in Pakistan, focusing on socio-demographic factors and co-morbidities. Understanding these mental health issues is crucial for improving diabetes management and patient outco...

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Bibliographic Details
Main Authors: Nauman Ismat Butt, Muhammad Hasnain, Huzaifa Nadeem, Tashia Malik, Barak Waris, Osama Habib, Muhammad Atif Qureshi
Format: Article
Language:English
Published: Liaquat National Hospital and Medical College 2025-07-01
Series:Liaquat National Journal of Primary Care
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Online Access:https://journals.lnh.edu.pk/lnjpc/pdf/26b52fda-2879-4a27-8971-561b9706d369.pdf
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Summary:Background: This study investigates the prevalence of depression and anxiety among type 2 diabetes mellitus (T2DM) patients in Pakistan, focusing on socio-demographic factors and co-morbidities. Understanding these mental health issues is crucial for improving diabetes management and patient outcomes, particularly in a country with limited mental health resources. Objective: To determine the frequencies of anxiety and depression in patients with T2DM presenting in medicine outpatient clinics. Methods: A cross-sectional study was conducted at Chaudhary Muhammad Akram Teaching and Research Hospital, Azra Naheed Medical College, Superior University Lahore, from February to October 2024. The study was performed in outpatient clinics of the medicine department. A total of 216 T2DM patients were enrolled using non-probability consecutive sampling. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS). Demographic data and diabetes-related variables were also collected. Statistical analysis was performed using SPSS version 23.0, with chi-square tests post-stratification keeping p-value <0.05 as significant. Results: Mean age was 53.7±13.0 years, with a majority being female (61.1%). Poor diabetes control was reported in 176 (81.5%) patients. Anxiety was seen in 44 (20.4%) patients, with higher levels in females than males (p<0.001). Depression was found in 54 (25.0%) patients, with significantly higher rates in females compared to males (p<0.001), and in those with chronic kidney disease (p=0.007). Conclusion: This study highlights the high frequency of anxiety and depression among T2DM patients, especially in females and those with chronic kidney disease. These findings underscore the need for integrated mental health care in diabetes management, including routine screening and targeted interventions for high-risk groups
ISSN:2707-3521
2708-9134