<- Home <- Arhive <- Vol. 21, Issue 3, September 2013

Rom J Leg Med21(3)197-200(2013)
© Romanian Society of Legal Medicine

Depression screening and risk profile in diabetic patients

M. Culman, C. Guja, A. Mihai, C. Serafinceanu

Abstract: Depression is more common and severe in people with diabetes, decreasing the glycemic control and quality of life and increasing the risk for long-term complications. In the same time, it can lead to acute life threatening medical crises, including suicidal risk. The aim of our study was estimate the prevalence of depression and asses its severity on a group of diabetic patients. In addition we aimed to identify clinical factors associated with the risk for depression. The study group included 198 diabetic patients. Depression screening was performed with the 21-item Beck Depression Inventory (BDI). The mean BDI score was 11.4, indicating mild depression. 58% of patients had significantly elevated levels of depressive symptomatology. Severe depression score was found in 25% of recently diagnosed (< 1 year) patients and 28% of patients with short duration diabetes (1-4 years). Patients not performing self-monitoring of blood glucose (SMBG), those with 2 or 3 chronic complications and those who were overweight showed the highest prevalence of depression. Instead of labeling the patient as “non-compliant”, the diabetologists might develop the ability to easily and accurately diagnose depression.
Keywords: diabetes mellitus, depression, vulnerability, quality of life, BDI.

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