Screening and correlates of depression and HbA1 C in United Arab Emirates (UAE) women with diabetes

Perspect Psychiatr Care. 2013 Oct;49(4):262-8. doi: 10.1111/ppc.12013. Epub 2013 Mar 26.

Abstract

Purpose: The aim was to identify the relationship between socio-demographic characteristics of United Arab Emirates (UAE) women with diabetes and depression and to explore any differences between depressed and nondepressed patients in relation to glycemic control.

Design and methods: One hundred eighty-two subjects completed the Beck Depression Inventory-II and a socio-demographic questionnaire (i.e., age, national status, economic status, level of education, and employment status). Glycemic control was assessed by glycosylated hemoglobin (HbA1C ).

Findings: Ninety-two subjects were diagnosed with diabetes mellitus. A statistically significant higher incidence of depression was found in the subject group with diagnosed diabetes mellitus than in the nondiabetic subject group. A statistically significant relationship was found between depression status and type of diabetes (Type 1). A positive relationship between poor glycemic control and higher levels of depression was identified. A positively significant relationship was found between national status and level of depression among the diabetic sample, among whom at least half showed poor glycemic control (HbA1C levels > 7.5).

Practice implications: Early detection of depression among women with diabetes is crucial to enhance treatment regimen adherence and glycemic control. As the UAE diabetic women are at even greater risk than other diabetic women, they need to be very carefully screened and evaluated for depression.

Keywords: Depression; diabetes mellitus; glycemic control; socio-demographic variables.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Glucose / metabolism
  • Cross-Sectional Studies
  • Depressive Disorder / complications
  • Depressive Disorder / diagnosis*
  • Depressive Disorder / epidemiology
  • Diabetes Mellitus, Type 1 / blood
  • Diabetes Mellitus, Type 1 / psychology*
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / psychology*
  • Female
  • Glycated Hemoglobin / metabolism*
  • Humans
  • Insulins
  • Middle Aged
  • Personality Inventory
  • Prevalence
  • Sociological Factors
  • Statistics as Topic
  • Surveys and Questionnaires
  • United Arab Emirates

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Insulins