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Depression among type 2 diabetic insulin-dependent older adults

Published online by Cambridge University Press:  01 September 2022

F. Zaouali ,
N. Lassoued ,
F. Boubaker ,
W. Alaya  and
M.H. Sfar
F. Zaouali*
Affiliation:
University hospital of Mahdia, Endocrinology Department, Mahdia, Tunisia
N. Lassoued
Affiliation:
University hospital of Mahdia, Endocrinology Department, Mahdia, Tunisia
F. Boubaker
Affiliation:
University hospital of Mahdia, Endocrinology Department, Mahdia, Tunisia
W. Alaya
Affiliation:
University hospital of Mahdia, Endocrinology Department, Mahdia, Tunisia
M.H. Sfar
Affiliation:
University hospital of Mahdia, Endocrinology Department, Mahdia, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Although depression is one of the most common diseases among older people, it is still underdiagnosed due to frequent misleading symptoms.

Objectives

The aims of our study were to assess depression in type 2 diabetic insulin-dependent older adults and to identify factors associated with depression among this population.

Methods

A cross-sectional study on 100 type 2 diabetic insulin-dependent elderly recruited from the outpatient endocrinology consultation during June and July 2021. We applied the geriatric assessment scores: the Geriatric Depression Scale 15-item, the KATS score, the Lawton scale. the five-word test, the Mini Nutritional Assessment and the Timed Up and Go test.

Results

The mean age of the population was 70.8±5.8 years with sex ratio of 0.85. Depression was noted among 57% of the patients who were distributed as follow: around one fifth (21%) had mild depression while 36% had moderate to severe depression. Around one quarter of the patients (24%) were dependent in the basic activities of daily living. Depression was significantly associated with dependency (β = 5.27; 95% CI, 1.01 to 27.35), ophthalmologic diseases (β = 8.81; 95% CI, 2.18 to 35.63), high frequency of nocturia (β = 3.71; 95% CI, 1.24 to 11.05) and high frequency of bleeding at insulin injection site (β = 4.21; 95% CI, 1.49 to 11.84).

Conclusions

Our findings suggest that the prevalence of depression is high among type 2 diabetic insulin-dependent older adults. Early assessment of depression’s risk factors is a major pillar of the comprehensive care of our seniors.

Disclosure

No significant relationships.

Keywords

InsulinAgedDepressionDiabetes MellitusType 2
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S658
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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