Comorbidité dépressive dans la diabète type 2: Prévalence et facteurs associés
DOI :
https://doi.org/10.62438/tunismed.v104i01.5434Mots-clés :
diabète de type 2, Dépression, Contrôle glycémique, Qualité de vie , estime de soi , Satisfaction du traitementRésumé
Introduction : La comorbidité diabète dépression est fréquente et aurait un effet synergique. La dépression est sous-diagnostiquée dans les consultations de diabétologie.
Méthodes : Etude transversale qui a inclus 102 patients ambulatoires atteints de Diabète de type 2 (DT2) recrutés durant les mois d'avril et mai 2019. La dépression, l'observance thérapeutique, l'estime de soi, le tempérament, la satisfaction du traitement, la qualité de vie et l'activité physique ont été évalués par des questionnaires validés.
Résultats : L'âge moyen des patients était de 53,4 ± 8,5 ans. 76,5 % ont présenté des symptômes dépressifs ; 51% des patients avaient une dépression modérée à sévère. La dépression était associée au sexe féminin (p = 0,04) et aux antécédents familiaux psychiatriques (p = 0,01). Les patients souffrant de dépression avaient des taux d'HbA1c significativement plus élevés (p = 0,05) et des taux de HDL-C significativement plus bas (p = 0,05). La dépression était associée à une faible estime de soi (p = 0,005) et à des scores significativement plus, à une satisfaction au traitement significativement plus faible (p = 0,01) et à une mauvaise qualité de vie. Les facteurs indépendamment associés à la dépression étaient le sexe féminin, un faible taux de HDL-C, un score bas de qualité de vie sans diabète et un faible score d'estime de soi.
Conclusion: La dépression serait plus fréquente chez les patients atteints de DT2 et est associée à plusieurs caractéristiques sociodémographiques, anamnestiques, cliniques et psychologiques.
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Références
https://www.who.int/fr/news-room/fact-sheets/detail/diabetes [Internet]. [cited 2022 Jan 23]. Available from: https://www.who.int/fr/news-room/fact-sheets/detail/diabetes
https://www.who.int/fr/news-room/fact-sheets/detail/depression [Internet]. [cited 2022 Mar 10]. Available from: https://www.who.int/fr/news-room/fact-sheets/detail/depression
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