International Journal of Pharma and Bio Sciences
ijpbs.net
editorijpbs@rediffmail.com (or) editorofijpbs@yahoo.com (or) prasmol@rediffmail.com
10.22376/ijpbs.2019.10.1.p1-12
Volume 7 Issue 4
2016 (October - December)
Physical and psychological determinants of diabetes associated depression among patients receiving oral hypoglycemic agents a versus insulin regimen
Study was cocuted to assess the physical and psychological determinants of diabetes associated depression with respect to their medication It was a Observational , Cross sectional survey was done using patient health questionnaire (PHQ-9 ) under ICMR-STS scheme to screen for depression assessment among patients of type diabetes mellitus receiving oral hypoglycaemic agents with or without insulin injection . Self prepared and validated questionnaire was used to know the psychological determinants and misconnects of diabetes among our patients. Our study results showed physical determinants including female sex {( P lessThan 0.05 ) PHQ 9 ( 9.12 ) }, higher glycoslated hemoglobin values {( P lessThan 0.05 ) ( PHQ9- 9.61 }and co morbidity{( P lessThan 0.001) ( PHQ9 – 10.79 )} is significantly associated with depression among diabetic population. Psychological determinants includes initiation of insulin, fear of self injection which is seen among 35.8 % of insulin takers with PHQ-9 score of 9.81 and our study showed only less number diabetes patients uses less painless insulin delivering devices (15.7%) and diabetes education available to very few patients ( 13.6%). Diabetes education, screening for unsaid depression, development of cost effective and painless insulin delivery devices is still under achieved goal of diabetes management.
Dr .V.KRISHNAN AND Dr .R.KANNAN
Diabetes associated depression, insulin acceptance, needle phobia , diabetes education, oral hypoglycaemic agents.
11-14