Depressive Symptoms, Perceived Stress, and Associated Socio-Demographic and Diabetes-Related Factors in People With Type 2 Diabetes in Nepal
The aim of this study was to assess the prevalence and associated factors of depressive symptoms and perceived stress among people with Type 2 diabetes mellitus (T2DM) in Nepal. Using a cross-sectional design, we collected data from 481 participants with T2DM in Kavrepalanchok and Nuwakot districts...
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| Veröffentlicht in: | Asia-Pacific journal of public health 2024-11, Vol.36 (8), p.719-729 |
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| creator | Karki, Ashmita Vandelanotte, Corneel Rawal, Lal B. |
| description | The aim of this study was to assess the prevalence and associated factors of depressive symptoms and perceived stress among people with Type 2 diabetes mellitus (T2DM) in Nepal. Using a cross-sectional design, we collected data from 481 participants with T2DM in Kavrepalanchok and Nuwakot districts of Nepal. Depressive symptoms and perceived stress were assessed using Patient Health Questionnaire (PHQ-9) and Perceived Stress Scale, respectively. Associated independent variables were examined using binary logistic regression analyses. Of 481 participants, 123 (25.8%) had depressive symptoms (PHQ-9 score ≥5) and 156 (32.4%) experienced perceived stress. Low monthly income ( |
| doi_str_mv | 10.1177/10105395241277892 |
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Using a cross-sectional design, we collected data from 481 participants with T2DM in Kavrepalanchok and Nuwakot districts of Nepal. Depressive symptoms and perceived stress were assessed using Patient Health Questionnaire (PHQ-9) and Perceived Stress Scale, respectively. Associated independent variables were examined using binary logistic regression analyses. Of 481 participants, 123 (25.8%) had depressive symptoms (PHQ-9 score ≥5) and 156 (32.4%) experienced perceived stress. Low monthly income (<USD 215.52) and low diabetes medication adherence were significantly associated with both depressive symptoms and perceived stress. Mandatory screening and timely treatment for mental health conditions and assessment of medication adherence should be incorporated in the routine primary care of T2DM patients. A person-centred approach to T2DM management, considering the socio-economic determinants of the disease, should be prioritized by the healthcare system. 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Using a cross-sectional design, we collected data from 481 participants with T2DM in Kavrepalanchok and Nuwakot districts of Nepal. Depressive symptoms and perceived stress were assessed using Patient Health Questionnaire (PHQ-9) and Perceived Stress Scale, respectively. Associated independent variables were examined using binary logistic regression analyses. Of 481 participants, 123 (25.8%) had depressive symptoms (PHQ-9 score ≥5) and 156 (32.4%) experienced perceived stress. Low monthly income (<USD 215.52) and low diabetes medication adherence were significantly associated with both depressive symptoms and perceived stress. Mandatory screening and timely treatment for mental health conditions and assessment of medication adherence should be incorporated in the routine primary care of T2DM patients. A person-centred approach to T2DM management, considering the socio-economic determinants of the disease, should be prioritized by the healthcare system. Future studies should identify integrated care for the prevention and management of mental health comorbidities.</description><subject>Adult</subject><subject>Aged</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medication Adherence - psychology</subject><subject>Medication Adherence - statistics & numerical data</subject><subject>Middle Aged</subject><subject>Nepal - epidemiology</subject><subject>Original Manuscripts</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Sociodemographic Factors</subject><subject>Socioeconomic Factors</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - psychology</subject><issn>1010-5395</issn><issn>1941-2479</issn><issn>1941-2479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>EIF</sourceid><recordid>eNp9kdFuFCEUhonR2Fp9AG8Ml150KjDMAFem6Vo1adTYGi8Jwxx2aWaGEdgm-w4-tEy3bjQmXnFy_u98EA5CLyk5o1SIN5RQ0tSqYZwyIaRij9AxVZxWjAv1uNQlrxbgCD1L6ZaQRkminqKjWrFGEE6O0c8VzBFS8neAr3fjnMOYTvEXiBZKq8fXeUlPsZl6fJ5SsN7kpV2KUK1gDOto5o2398DKmw4ypOorDPfYpbE5xIT9VJRhHgB_93mDb3YzYHbAl_gTzGZ4jp44MyR48XCeoG-X724uPlRXn99_vDi_qiwTMldcyLY11DrmuHOsIQx64YSjqlOWm96YlrSd6ZTseq6Mo00r-7aRtYQG6h7qE_R275233Qi9hSlHM-g5-tHEnQ7G67-TyW_0OtxpWlTF3RbD6wdDDD-2kLIefbIwDGaCsE26poRJSWrOC0r3qI0hpQjucA8lelmj_meNZebVnw88TPzeWwHO9kAya9C3YRun8mH_Mf4CxcGnrw</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Karki, Ashmita</creator><creator>Vandelanotte, Corneel</creator><creator>Rawal, Lal B.</creator><general>SAGE Publications</general><scope>AFRWT</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2099-5768</orcidid></search><sort><creationdate>20241101</creationdate><title>Depressive Symptoms, Perceived Stress, and Associated Socio-Demographic and Diabetes-Related Factors in People With Type 2 Diabetes in Nepal</title><author>Karki, Ashmita ; Vandelanotte, Corneel ; Rawal, Lal B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c278t-47866a1cf2f4ff2502ed7f7f19b9c4adaa606bab98bd49af1568d65838e5e3de3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cross-Sectional Studies</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medication Adherence - psychology</topic><topic>Medication Adherence - statistics & numerical data</topic><topic>Middle Aged</topic><topic>Nepal - epidemiology</topic><topic>Original Manuscripts</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Sociodemographic Factors</topic><topic>Socioeconomic Factors</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karki, Ashmita</creatorcontrib><creatorcontrib>Vandelanotte, Corneel</creatorcontrib><creatorcontrib>Rawal, Lal B.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Asia-Pacific journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karki, Ashmita</au><au>Vandelanotte, Corneel</au><au>Rawal, Lal B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depressive Symptoms, Perceived Stress, and Associated Socio-Demographic and Diabetes-Related Factors in People With Type 2 Diabetes in Nepal</atitle><jtitle>Asia-Pacific journal of public health</jtitle><addtitle>Asia Pac J Public Health</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>36</volume><issue>8</issue><spage>719</spage><epage>729</epage><pages>719-729</pages><issn>1010-5395</issn><issn>1941-2479</issn><eissn>1941-2479</eissn><abstract>The aim of this study was to assess the prevalence and associated factors of depressive symptoms and perceived stress among people with Type 2 diabetes mellitus (T2DM) in Nepal. Using a cross-sectional design, we collected data from 481 participants with T2DM in Kavrepalanchok and Nuwakot districts of Nepal. Depressive symptoms and perceived stress were assessed using Patient Health Questionnaire (PHQ-9) and Perceived Stress Scale, respectively. Associated independent variables were examined using binary logistic regression analyses. Of 481 participants, 123 (25.8%) had depressive symptoms (PHQ-9 score ≥5) and 156 (32.4%) experienced perceived stress. Low monthly income (<USD 215.52) and low diabetes medication adherence were significantly associated with both depressive symptoms and perceived stress. Mandatory screening and timely treatment for mental health conditions and assessment of medication adherence should be incorporated in the routine primary care of T2DM patients. A person-centred approach to T2DM management, considering the socio-economic determinants of the disease, should be prioritized by the healthcare system. Future studies should identify integrated care for the prevention and management of mental health comorbidities.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>39257040</pmid><doi>10.1177/10105395241277892</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2099-5768</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Cross-Sectional Studies Depression - epidemiology Depression - psychology Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - psychology Female Humans Male Medication Adherence - psychology Medication Adherence - statistics & numerical data Middle Aged Nepal - epidemiology Original Manuscripts Prevalence Risk Factors Sociodemographic Factors Socioeconomic Factors Stress, Psychological - epidemiology Stress, Psychological - psychology |
| title | Depressive Symptoms, Perceived Stress, and Associated Socio-Demographic and Diabetes-Related Factors in People With Type 2 Diabetes in Nepal |
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