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Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

VALENZUELA, María José et al. Association between depressive symptoms and metabolic control in patients with type 2 diabetes mellitus: a cross-sectional study. Rev. méd. Chile [online]. 2018, vol.146, n.12, pp.1415-1421. ISSN 0034-9887.  http://dx.doi.org/10.4067/s0034-98872018001201415.

Background:

Patients with diabetes mellitus show a higher risk of developing depressive symptoms when compared to healthy people, hampering the management and prognosis of both diseases. However, national studies on the topic are scarce.

Aim:

To study the frequency and severity of depressive symptoms in patients with type 2 diabetes.

Material and Methods:

Beck Depression Inventory-IA and Morisky Green Levine scale were administered to diabetic patients under control at a primary care center. Pharmacological compliance was evaluated using glycosylated hemoglobin levels obtained from their clinical records.

Results:

We included 323 patients aged 64 ± 12 years (49% women). The frequency of depressive symptoms was 34.7%. Compared with their counterparts without depressive symptoms, patients with depression showed higher glycosylated hemoglobin levels (7.2 ± 1.7 and 6.7 ± 1.3% respectively), a higher frequency of non-compliance with treatment (63 and 43% respectively) and a higher frequency of metabolic decompensation (38 and 23% respectively). Depressive symptomatology was more common among women.

Conclusions:

Patients with type 2 diabetes mellitus and depressive symptoms exhibit a poorer treatment compliance and worse metabolic control as compared to their non-depressive counterparts.

Palabras clave : Depression, Patient Compliance; Diabetes Mellitus, Type 2; Primary Health Care; Outpatients.

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