PREVALENCE OF DEPRESSIVE DISORDERS USING ICD 10 CLINICAL CRITERIA AND ASSOCIATION WITH HEALTH BEHAVIOR, TREATMENT ADHERENCE AND COMORBIDITIES AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS
Background: The prevalence of depression is high in patients with type 2 diabetes mellitus (T2DM). Several studies showed that suitable health behavior and treatment adherance could be factors asociated with low prevalence of depression among patients with type 2 diabetes mellitus. Objectives: 1. To investigate the prevalence of depressive disorder using ICD10 clinical criteria among patients with T2DM. 2. To analyze the association between depressive disorder with health behavior, treatment adherence and commorbidities in the participants. Subjects and methods: This is a descriptive cross - sectional study on 210 inpatients with T2DM at the Department of General Internal Medicine, Hue University of Medicine and Pharmacy Hospital and at the Department of Endocrinology - Neurology, Hue Central Hospital. PHQ - 9 with the cutoff of 10 was used to screen depressed patients among participants, then psychiatrists used clinical criteria of ICD 10 to diagnose depression definitively. Patients who were diagnosed with depression according to clinical criteria were analyzed the association between depression with health behavior, treatment adherence and comorbidities by using univariable and multivariable logistic regression. Results: The prevalence of depressive disorder among patients with T2DM assessed by clinical criteria of ICD 10 was 31.4% in which severe (7.6%), moderate (19.5%) and mild depression (4.3%). Health behavior associated with depression in patients with T2DM are light or moderate activities such as practising yoga, walking, riding bicycle ... that help reduce the rate of depression, while working hard or playing heavy sports increases the rate of depression. In addition, patients with 2 or more complications, hypertension and kidney diseases increased the risk of depression in univariate analysis. The multivariate analysis of risk factors for depression were infectious diseases. Conclusion: Depression is found at a high rate among patients with T2DM. Light or moderate physical activity reduces the prevalence of depression. The complications and associated infectious disease are risk factors for depression. . Key words: Depression, type 2 diabetes mellitus, health behavior, comorbidities, treatment adherence