Atiq-ur Rehman, Syeda Farhana Kazmi.
Prevalence and Level of Depression, Anxiety and Stress among Patients with Type-2 Diabetes Mellitus.
Ann Pak Inst Med Sci Jan ;11(2):81-6.

Objectives: The purpose of this study was to evaluate the prevalence and comparison of depression, anxiety and stress in patients with type-2 diabetes. Study design: Cross sectional study. Place and duration: The sample was taken from Allied Hospital Faisalabad in November 2014. Materials and Method: The sample was consisted of patients with type -2 diabetes (N=240), having complications (foot ulcers, nephropathy) n=120 (male=60, female=60) and without complication n= 120 (male=60, female=60). DASS was used to measure the depression, anxiety and stress. Result: It was observed that the 47.9%, 69.6% and 62.9% patients with type-2 diabetes were suffering in depression, anxiety and stress respectively. The depression in diabetes patients with complications was significantly higher (M =13.60, SD =5.80) than the depression in patients without complications (M =9.25, SD = 4.72). The anxiety in patients with complications was significantly higher (M = 13.64, SD = 5.03) than the anxiety in patients without complications (M = 11.29, SD = 4.35). The stress in patients with complications was significantly higher (M = 21.42, SD = 7.13) than the stress in patients without complications (M =14.35, SD = 4.95). The depression in female patients was significantly higher (M =13.90, SD =5.54) than the depression in male patients (M =8.95, SD = 4.73). The anxiety in female patients was significantly higher (M = 14.19, SD = 4.46) than the anxiety in male patients (M = 10.74, SD = 4.59). The stress in female patients was significantly higher (M = 20.88, SD = 7.16) than the stress in male patients (M =14.90, SD = 5.60). Conclusion: The high prevalence of depression, anxiety and stress in patients with type- 2 diabetes was observed. The diabetes patients with complications (foot ulcers, nephropathy) and female patients have higher levels of depression, anxiety and stress compared to diabetes patients without such complication and male patients.

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