Depressive symptoms among elderly diabetic patients in Vietnam
Received 4 July 2018
Accepted for publication 31 August 2018
Published 23 October 2018 Volume 2018:11 Pages 659—665
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Ms Justinn Cochran
Peer reviewer comments 3
Editor who approved publication: Professor Ming-Hui Zou
Huyen Thi Thanh Vu,1,2 Thanh Xuan Nguyen,2,3 Huong Thi Thu Nguyen,1,2 Tu Anh Le,4 Tam Ngoc Nguyen,1,2 Anh Trung Nguyen,2 Thu Thi Hoai Nguyen,1,2 Hoang Long Nguyen,5 Cuong Tat Nguyen,6 Bach Xuan Tran,7,8 Carl A Latkin,8 Thang Pham,2 Melvyn WB Zhang,9 Roger CM Ho10
1Department of Gerontology, Hanoi Medical University, Hanoi, Vietnam; 2National Geriatric Hospital, Hanoi, Vietnam; 3Dinh Tien Hoang Institute of Medicine, Hanoi, Vietnam; 4Department of Endocrinology, Nghe An Endocrinology Hospital, Nghe An, Vietnam; 5Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam; 6Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam; 7Department of Health Economics, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam; 8Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; 9Biomedical Global Institute of Healthcare Research & Technology (BIGHEART), National University of Singapore, Singapore; 10Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Background and aims: Depression and diabetes are becoming increasingly prevalent within the Vietnamese elderly population. However, the linkage between these health conditions in the Vietnamese elderly has not yet been fully investigated. This study aimed to assess the level of depressive symptoms and associated factors among elderly diabetic patients.
Methods: A cross-sectional study was conducted at National Geriatric Hospital in the elder patients aged ≥60 years with type 2 diabetes mellitus (T2DM). Depressive symptoms were assessed using the Geriatric Depression Scale, with three categories: normal (0–4 points), mild (5–9 points), and moderate/severe depressive symptoms (≥10 points). We obtained information on the patient’s sociodemographic, medical history, glycemic control (fasting plasma glucose and HbA1c), daily activities (activities of daily living [ADLs] and instruments activities of daily living [IADLs] scale), and fall risks (Time Up and Go test). Logistic regression was used to analyze the factors associated with the presence of depressive symptoms.
Results: Among 412 patients, 236 (57.3%) had HbA1c level at 7.0% or higher. There were 327 (79.4%) patients having depressive symptoms. The level of HbA1c was significantly different between the depressive symptom group and the non-depressive symptom group (7.74% and 6.61%, P<0.05). The increased likelihood of having depressive symptoms was associated with having risk of falls (OR: 5.50; 95% CI: 1.88–16.11), suffering from 5–10 years of diabetes (OR: 2.74, 95% CI: 1.28–5.85), uncontrolled fasting plasma glucose (OR: 4.06, 95% CI: 1.81–9.12), and an impairment of IADLs (OR: 5.74, 95% CI: 2.24–14.7).
Conclusion: This study highlights a high prevalence of depressive symptoms among elderly T2DM patients in Vietnam, suggesting an urgent need for screening depressive symptoms and providing mental health care services to this population promptly, particularly to those suffering from diabetes for a long period of time or co-functional impairments.
Keywords: elder, depressive symptoms, diabetes, Vietnam
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