Investigating Factors Associated with Depressive Symptoms of Chronic Kidney Diseases in China with Type 2 Diabetes

Aim. To assess the depressive symptoms status of chronic kidney diseases in Nantong, China, with type 2 diabetes and to identify factors associated with depressive symptoms. Methods. In this cross-sectional analytic study, 210 type 2 diabetic patients were recruited from the Second Affiliated Hospit...

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Main Authors: Xu Wang, Biyu Shen, Xun Zhuang, Xueqin Wang, Weiqun Weng
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2017/1769897
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author Xu Wang
Biyu Shen
Xun Zhuang
Xueqin Wang
Weiqun Weng
author_facet Xu Wang
Biyu Shen
Xun Zhuang
Xueqin Wang
Weiqun Weng
author_sort Xu Wang
collection DOAJ
description Aim. To assess the depressive symptoms status of chronic kidney diseases in Nantong, China, with type 2 diabetes and to identify factors associated with depressive symptoms. Methods. In this cross-sectional analytic study, 210 type 2 diabetic patients were recruited from the Second Affiliated Hospital of Nantong University. Depressive symptoms were assessed with the depression subscale of the Hospital Anxiety and Depression Scale (HAD-D). The quality of life was measured with the RAND 36-Item Health Survey (SF-36). And the independent risk factors of depressive symptoms were assessed by using a stepwise forward model of logistic regression analysis. Results. The mean age of the study subjects was 57.66 years (SD: 11.68). Approximately 21.4% of subjects reported depressive symptoms (n=45). Forward stepwise logistic regression analysis showed that female gender (P=0.010), hypertension (P=0.022), Stage IV (P=0.003), and Stage V (P<0.001) were significant risk factors for depressive symptoms. The quality of life of individuals with HAD-D score <11 was significantly better compared with individuals with HAD-D score ≥ 11. Conclusions. These results indicate that clinicians should be aware that female patients with chronic kidney diseases with T2DM in their late stage with hypertension are at a marked increased risk of depressive symptoms. Providing optimal care for the psychological health of this population is vital.
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spelling doaj-art-8a46dc539c2e4713a5afa312227901ce2025-02-03T05:52:18ZengWileyJournal of Diabetes Research2314-67452314-67532017-01-01201710.1155/2017/17698971769897Investigating Factors Associated with Depressive Symptoms of Chronic Kidney Diseases in China with Type 2 DiabetesXu Wang0Biyu Shen1Xun Zhuang2Xueqin Wang3Weiqun Weng4Department of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, ChinaDepartment of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, ChinaDepartment of Epidemiology, School of Public Health, Nantong University, Nantong, Jiangsu Province, ChinaDepartment of Endocrinology, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, ChinaDepartment of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, ChinaAim. To assess the depressive symptoms status of chronic kidney diseases in Nantong, China, with type 2 diabetes and to identify factors associated with depressive symptoms. Methods. In this cross-sectional analytic study, 210 type 2 diabetic patients were recruited from the Second Affiliated Hospital of Nantong University. Depressive symptoms were assessed with the depression subscale of the Hospital Anxiety and Depression Scale (HAD-D). The quality of life was measured with the RAND 36-Item Health Survey (SF-36). And the independent risk factors of depressive symptoms were assessed by using a stepwise forward model of logistic regression analysis. Results. The mean age of the study subjects was 57.66 years (SD: 11.68). Approximately 21.4% of subjects reported depressive symptoms (n=45). Forward stepwise logistic regression analysis showed that female gender (P=0.010), hypertension (P=0.022), Stage IV (P=0.003), and Stage V (P<0.001) were significant risk factors for depressive symptoms. The quality of life of individuals with HAD-D score <11 was significantly better compared with individuals with HAD-D score ≥ 11. Conclusions. These results indicate that clinicians should be aware that female patients with chronic kidney diseases with T2DM in their late stage with hypertension are at a marked increased risk of depressive symptoms. Providing optimal care for the psychological health of this population is vital.http://dx.doi.org/10.1155/2017/1769897
spellingShingle Xu Wang
Biyu Shen
Xun Zhuang
Xueqin Wang
Weiqun Weng
Investigating Factors Associated with Depressive Symptoms of Chronic Kidney Diseases in China with Type 2 Diabetes
Journal of Diabetes Research
title Investigating Factors Associated with Depressive Symptoms of Chronic Kidney Diseases in China with Type 2 Diabetes
title_full Investigating Factors Associated with Depressive Symptoms of Chronic Kidney Diseases in China with Type 2 Diabetes
title_fullStr Investigating Factors Associated with Depressive Symptoms of Chronic Kidney Diseases in China with Type 2 Diabetes
title_full_unstemmed Investigating Factors Associated with Depressive Symptoms of Chronic Kidney Diseases in China with Type 2 Diabetes
title_short Investigating Factors Associated with Depressive Symptoms of Chronic Kidney Diseases in China with Type 2 Diabetes
title_sort investigating factors associated with depressive symptoms of chronic kidney diseases in china with type 2 diabetes
url http://dx.doi.org/10.1155/2017/1769897
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