Year 2017, Volume 1 , Issue 3, Pages 52 - 55 2017-12-28

Relationship of depression to diabetes, prediabetes and nondiabetics according to HbA1c classification: Retrospective study on 72,175 patients
Depresyonun HbA1c sınıflamasına göre diyabet, prediyabet ve nondiyabetiklerle olan ilişkisi: 72.175 hastadaki retrospektif çalışma

Yıldız ATADAĞ [1] , Ahmet ÖKSÜZ [2]


Aim: It is aimed to examine the relationship between HbA1c and the diagnosis of depression in patients who have been HbA1c measured at any time. 

Material and Methods: The retrospective descriptive study was conducted by scanning the files of patients applying for any reason between the dates of January 1, 2016 and January 1, 2017 to hospital. The files of 72175 patients over 18 years of age who had measured HbA1c value during the admission were examined. 

Results: The relationship between gender and depression was compared, depression was found to be significantly higher in women (p<0,001). All HbA1c values were divided into three groups: less than 5.7 (no diabetes), 5.7 to 6.5 (prediabetes), 6.5 and over (diabetes). When HbA1c classification was compared with depression, there was a significant relationship between HbA1c and depression (p<0,001). In patients with prediabetes, depression was significantly higher than non-diabetic and diabetic patients (p<0,001).

Conclusion: This study shows that health care professionals should also pay attention to mental health of the patients with prediabetes, one of the most at risk for the development of DM disease.

Amaç: Herhangi bir zamanda hastalarda ölçülen HbA1c değeri ve depresyon tanısı arasındaki ilişkiyi incelemek hedeflenmiştir. 

Materyal metod: Retrospektif tanımlayıcı çalışma, 01.01.2016-01.01.2017 tarihleri arasında herhangi bir nedenle başvuran hastaların dosyalarını tarayarak gerçekleştirilmiştir. HbA1c değeri ölçülen, 18 yaşından büyük 72175 hastanın dosyaları çalışmaya dahil edilmiştir. 

Bulgular: Cinsiyet ile depresyon arasındaki ilişki karşılaştırıldığında kadınlarda depresyon anlamlı derecede yüksek olarak tespit edildi (p<0,001). Tüm HbA1c değerleri 5,7’nin altı (diyabet yok), 5,7 ile 6,5 arası (prediyabet), 6,5 ve üzeri (diyabet) olmak üzere üç gruba ayrıldı. HbA1c sınıflaması ile depresyon olup olmadığı karşılaştırıldığında HbA1c ile depresyon arasında anlamlı bir ilişki tespit edildi (p<0,001). Prediyabetli hastalarda depresyon, diyabeti olmayan ve diyabetli hastalara göre anlamlı olarak yüksek saptandı (p<0,001). 

Sonuç: Bu çalışma, sağlık profesyonellerinin diyabet gelişme riskinin en yüksek olduğu durumlardan biri olan prediyabetik hastaların ruh sağlığına da özen göstermesi gerektiğini göstermektedir.  

  • 1. Altunoğlu EG, Sarı Z, Erdenen F, Müderrisoğlu C, Ülgen E, Sarı M. The Relationship of Depression, Anxiety and Disability with HbA1c and the Duration of Diabetes in Patients with Type 2 Diabetes Mellitus. Istanbul Med J 2012;13(3):115-119.
  • 2. Diabetes mellitus ve komplikasyonlarının tanı, tedavi ve izlem kılavuzu. Türkiye Endokrinoloji ve Metabolizma Derneği, Ankara, 2017.
  • 3. Harris MI, Eastman RC, Cowie CC, et al. Comparison of diabetes diagnostic categories in the US population according to 1997 American Diabetes Association and 1980-1985 World Health Organization diagnostic criteria. Diabetes Care 1997; 20: 1859-62.
  • 4. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2010;33(Suppl 1): S62–S69.
  • 5. Skinner TC, Hampson SE. Personal Models of Diabetes in Relation to Self-Care, Well-Being, and Glycemic Control. Diabetes Care. 2001; 24: 828-33.
  • 6. Heisler M, Vijan S, Anderson RM, Ubel PA, Bernstein SJ, Hofer TP. Journal of General Internal Medicine. 2003; 18:893-902.
  • 7. Ellis DA, Frey MA, Naar-King S, Templin T, Cunningham P, Cakan N. Use of Multisystemic Therapy to Improve Regimen Adherence Among Adolescents With Type 1 Diabetes in Chronic Poor Metabolic Control. Diabetes Care. 2005; 28:1604-10.
  • 8. Depresyon sağaltım kılavuzu Kaynak Kitabı Ed. Olcay Yazıcı, E. Timuçin Oral, Simavi Vahip. Türk Psikiyatri Derneği yayınları 2017.
  • 9. Leedom L, Meehan WP, Procci W ve ark. (1991) Symptoms of depression in patients with type II diabetes mellitus. Psychosomatics, 32:280-286.
  • 10. Gavard JA, Lustman PJ, Clouse RE. (1993) Prevalence of depression in adults with diabetes. Diabetes Care, 16:1167–1178.
  • 11. Van der Does FE, De Neeling JN, Snoek FJ, Kostense PJ, Grootenhuis PA, Bouter LM, et al.
  • 12. Viinamaki H, Niskanen L, Uusitupa M. Mental well-being in people with non-insulin-dependent diabetes. Acta Psychiatr Scand 1995;92:392–7.
  • 13. Ciechanowski PS, Katon WJ, Russo JE, Hirsch IB. The relationship of depressive symptoms to symptom reporting, self-care and glucose control in diabetes. Gen Hosp Psychiatry 2003;25:246–52.
  • 14. Surwit RS, van Tilburg MA, Parekh PI, Lane JD, Feinglos MN. Treatment regimen determines the relationship between depression and glycemic control. Diabetes Res Clin Pract 2005;69:78–80.
  • 15. Ravona-Springer R, Heymann A, Schmeidler J, Moshier E, Guerrero-Berroa EG, Soleimani L et al. Hemoglobin a1c variability predicts symptoms of depression in elderly ındividuals with type 2 diabetes. Diabetes Care. 2017;40(9):1187-1193.
  • 16. Roy, T., Lloyd, C.E., 2012. Epidemiology of depression and diabetes:a systematic review. J. Affect. Disord. 142 (Suppl.), 8-21.
  • 17. Lawrence, J.M., Standiford, D.A., Loots, B., Klingensmith, G.J.,Williams, D.E., Ruggiero, A., Liese, A.D., Bell, R.A., Waitzfelder, B.E., McKeown, R.E., Prevalence and correlates of depressed mood among youth with diabetes: the search for Diabetes in Youth study. Pediatrics. 2006. 117, 1348—1358.
  • 18. Sacco, W.P., Bykowski, C.A., 2010. Depression and hemoglobin A1c in type 1 and type 2 diabetes: the role of self-efficacy. Diabetes Res. Clin. Pract. 90 (2), 141—146.
  • 19. Corathers, S.D., Kichler, J., Jones, N.-H.Y., Houchen, A., Jolly, M., Morwessel, N., Crawford, P., Dolan, L.M., Hood, K.K., 2013. Improving depression screening for adolescents with type 1 diabetes. Pediatrics 132, e1395—e1402.
  • 20. Bot, M., Pouwer, F., Jonge, P., de Tack, C.J., Geelhoed-Duijvestijn, P.H.L.M., Snoek, F.J., 2013. Differential associations between depressive symptoms and glycaemic control in outpatients with diabetes. Diabet. Med. 30, e115—e122.
  • 21. McGrady, M.E., Laffel, L., Drotar, D., Repaske, D., Hood, K.K., 2009. Depressive symptoms and glycemic control in adolescents with type 1 diabetes: mediational role of blood glucose monitoring. Diabetes Care 32, 804—806.
  • 22. Rezvanfar MR, Salehi B, Rafiee M, Shirian F. Iranian Journal Of Diabetes And Obesity. 2010; 2:16-19.
  • 23. Herzer M, Hood KK. Anxiety symptoms in adolescents with type 1 diabetes; Association with blood glucose monitoring and glycemic control. J Pediatr Psychol. 2010; 35: 415-425.
  • 24. Andreoulakis E, Hyphantis T, Kandylis D, Iacovides A. Depression in diabetes mellitus: a comprehensive review. Hippokratia 2012, 16, 3: 205-214.
  • 25. Breslau N, Schultz L, Peterson E. Sex differences in depression: a role for preexisting anxiety. Psychiatry Res 1995;58:1–12.
  • 26. Sevincok L,Guney E, Uslu A, Baklaci F. Depression in a sample of Turkish type 2 diabetes Patients. Eur Psychiatry 2001 ; 16 : 229-31.
Subjects Medicine, General and Internal Medicine
Journal Section Research article
Authors

Orcid: 0000-0002-8516-6477
Author: Yıldız ATADAĞ (Primary Author)
Country: Turkey


Author: Ahmet ÖKSÜZ
Country: Turkey


Dates

Publication Date : December 28, 2017

Bibtex @research article { josam370527, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2017}, volume = {1}, pages = {52 - 55}, doi = {10.28982/josam.370527}, title = {Relationship of depression to diabetes, prediabetes and nondiabetics according to HbA1c classification: Retrospective study on 72,175 patients}, key = {cite}, author = {Atadağ, Yıldız and Öksüz, Ahmet} }
APA Atadağ, Y , Öksüz, A . (2017). Relationship of depression to diabetes, prediabetes and nondiabetics according to HbA1c classification: Retrospective study on 72,175 patients . Journal of Surgery and Medicine , 1 (3) , 52-55 . DOI: 10.28982/josam.370527
MLA Atadağ, Y , Öksüz, A . "Relationship of depression to diabetes, prediabetes and nondiabetics according to HbA1c classification: Retrospective study on 72,175 patients" . Journal of Surgery and Medicine 1 (2017 ): 52-55 <http://jsurgmed.com/en/pub/issue/31351/370527>
Chicago Atadağ, Y , Öksüz, A . "Relationship of depression to diabetes, prediabetes and nondiabetics according to HbA1c classification: Retrospective study on 72,175 patients". Journal of Surgery and Medicine 1 (2017 ): 52-55
RIS TY - JOUR T1 - Relationship of depression to diabetes, prediabetes and nondiabetics according to HbA1c classification: Retrospective study on 72,175 patients AU - Yıldız Atadağ , Ahmet Öksüz Y1 - 2017 PY - 2017 N1 - doi: 10.28982/josam.370527 DO - 10.28982/josam.370527 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 52 EP - 55 VL - 1 IS - 3 SN - -2602-2079 M3 - doi: 10.28982/josam.370527 UR - https://doi.org/10.28982/josam.370527 Y2 - 2017 ER -
EndNote %0 Journal of Surgery and Medicine Relationship of depression to diabetes, prediabetes and nondiabetics according to HbA1c classification: Retrospective study on 72,175 patients %A Yıldız Atadağ , Ahmet Öksüz %T Relationship of depression to diabetes, prediabetes and nondiabetics according to HbA1c classification: Retrospective study on 72,175 patients %D 2017 %J Journal of Surgery and Medicine %P -2602-2079 %V 1 %N 3 %R doi: 10.28982/josam.370527 %U 10.28982/josam.370527
ISNAD Atadağ, Yıldız , Öksüz, Ahmet . "Relationship of depression to diabetes, prediabetes and nondiabetics according to HbA1c classification: Retrospective study on 72,175 patients". Journal of Surgery and Medicine 1 / 3 (December 2017): 52-55 . https://doi.org/10.28982/josam.370527
AMA Atadağ Y , Öksüz A . Relationship of depression to diabetes, prediabetes and nondiabetics according to HbA1c classification: Retrospective study on 72,175 patients. J Surg Med. 2017; 1(3): 52-55.
Vancouver Atadağ Y , Öksüz A . Relationship of depression to diabetes, prediabetes and nondiabetics according to HbA1c classification: Retrospective study on 72,175 patients. Journal of Surgery and Medicine. 2017; 1(3): 52-55.
IEEE Y. Atadağ and A. Öksüz , "Relationship of depression to diabetes, prediabetes and nondiabetics according to HbA1c classification: Retrospective study on 72,175 patients", Journal of Surgery and Medicine, vol. 1, no. 3, pp. 52-55, Dec. 2017, doi:10.28982/josam.370527