Illness Perception and Depressive Symptoms among Persons with Type 2 Diabetes Mellitus: An Analytical Cross-Sectional Study in Clinical Settings in Nepal

Background. This study aimed to assess the relationship between illness perception and depressive symptoms among persons with diabetes. Method. This was an analytical cross-sectional study conducted among 379 type 2 diabetic patients from three major clinical settings of Kathmandu, Nepal. Results. T...

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Bibliographic Details
Main Authors: Suira Joshi, Raja Ram Dhungana, Usha Kiran Subba
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2015/908374
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Summary:Background. This study aimed to assess the relationship between illness perception and depressive symptoms among persons with diabetes. Method. This was an analytical cross-sectional study conducted among 379 type 2 diabetic patients from three major clinical settings of Kathmandu, Nepal. Results. The prevalence of depressive symptoms was 44.1% (95% CI: 39.1, 49.1). Females (p<0.01), homemakers (p<0.01), 61–70 age group (p=0.01), those without formal education (p<0.01), and people with lower social status (p<0.01) had significantly higher proportion of depressive symptoms than the others. Multivariable analysis identified age (β=0.036, p=0.016), mode of treatment (β=0.9, p=0.047), no formal educational level (β=1.959, p=0.01), emotional representation (β=0.214, p<0.001), identity (β=0.196, p<0.001), illness coherence (β=-0.109, p=0.007), and consequences (β=0.093, p=0.049) as significant predictors of depressive symptoms. Conclusion. Our study demonstrated a strong relationship between illness perception and depressive symptoms among diabetic patients. Study finding indicated that persons living with diabetes in Nepal need comprehensive diabetes education program for changing poor illness perception, which ultimately helps to prevent development of depressive symptoms.
ISSN:2314-6745
2314-6753