EXPLORING MENTAL HEALTH PATTERNS IN DIABETES AND HYPERTENSION: A COMPARATIVE STUDY OF PSYCHOLOGICAL DISORDERS

Abstract

Diabetes mellitus (DM) is a prevalent chronic metabolic disorder that can lead to numerous complications as it progresses, potentially resulting in significant disability. It is widely recognized that individuals with diabetes experience higher rates of depression, and managing both diabetes and depression can be particularly challenging. This study focuses on the prevalence of depression in individuals with type II diabetes and its impact on their quality of life. A total of 195 participants with type II diabetes were interviewed at a single location. The assessment utilized the patient version of the Structured Clinical Interview for DSM-IV Axis I Disorders to identify major depressive episodes. To evaluate socio-demographic characteristics, quality of life, and depression levels, the Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES-Q SF) and the Hamilton Depression Rating Scale (HAM-D) were administered. Among the participants, 46.15% (N=90; 41 men and 49 women) met the criteria for major depressive episodes as defined by the DSM-IV, with the majority (36.7%) experiencing moderate depression. Patients with depression had significantly lower scores on both the overall and specific items of the QLESQ-SF compared to those without depression. Additionally, there were notable negative correlations between the total QLESQ-SF scores, HAM-D scores, and HbA1c levels. Our findings indicate that the presence of depression significantly deteriorates the quality of life in patients with type II diabetes, suggesting that addressing depression could enhance overall well-being.