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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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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author Suira Joshi
Raja Ram Dhungana
Usha Kiran Subba
author_facet Suira Joshi
Raja Ram Dhungana
Usha Kiran Subba
author_sort Suira Joshi
collection DOAJ
description 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.
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spelling doaj-art-1f4f7c8074c74eb58435a27ad260a5002025-02-03T01:24:20ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/908374908374Illness Perception and Depressive Symptoms among Persons with Type 2 Diabetes Mellitus: An Analytical Cross-Sectional Study in Clinical Settings in NepalSuira Joshi0Raja Ram Dhungana1Usha Kiran Subba2Ministry of Health and Population, NepalNepal Health Research Council, Kathmandu, NepalPsychology Department, Tribhuvan University, Kathmandu, NepalBackground. 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.http://dx.doi.org/10.1155/2015/908374
spellingShingle Suira Joshi
Raja Ram Dhungana
Usha Kiran Subba
Illness Perception and Depressive Symptoms among Persons with Type 2 Diabetes Mellitus: An Analytical Cross-Sectional Study in Clinical Settings in Nepal
Journal of Diabetes Research
title Illness Perception and Depressive Symptoms among Persons with Type 2 Diabetes Mellitus: An Analytical Cross-Sectional Study in Clinical Settings in Nepal
title_full Illness Perception and Depressive Symptoms among Persons with Type 2 Diabetes Mellitus: An Analytical Cross-Sectional Study in Clinical Settings in Nepal
title_fullStr Illness Perception and Depressive Symptoms among Persons with Type 2 Diabetes Mellitus: An Analytical Cross-Sectional Study in Clinical Settings in Nepal
title_full_unstemmed Illness Perception and Depressive Symptoms among Persons with Type 2 Diabetes Mellitus: An Analytical Cross-Sectional Study in Clinical Settings in Nepal
title_short Illness Perception and Depressive Symptoms among Persons with Type 2 Diabetes Mellitus: An Analytical Cross-Sectional Study in Clinical Settings in Nepal
title_sort illness perception and depressive symptoms among persons with type 2 diabetes mellitus an analytical cross sectional study in clinical settings in nepal
url http://dx.doi.org/10.1155/2015/908374
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