Prevalence of Depression, stress and anxiety symptoms among type 2 diabetics attending life style modification setting - A descriptive cross-sectional study

Introduction: Coexistence of diabetes and depression, stress and anxiety increase the risk of diabetes complications and reduces the overall quality of life. Objectives: To assess the prevalence of depression, stress and anxiety among patients with type 2 diabetes mellitus attending a community-based and peer-led life style modification setting. Materials and methods: Descriptive study was carried out among 145 purposively selected clinically diagnosed type 2 diabetics attending community-based and peer-led life style modification setting from February 2019 to July 2019. Patients were interviewed regarding depression, stress and anxiety using the Patient Health Questionnaire-9 (PHQ- 9) and Generalized Anxiety Disorders-7 (GAD-7) and Cohen’s perceived stress scale (PSS-10). Data were analysed using coGuide software. The level of statistical significance assumed in all the calculations was p<0.05. Results: The mean age was 52.39± 5.79 years with equal proportion of males 73 (50.34%) and females 72 (49.66%). The mean duration of diabetes was 7.41± 6.39 years. The Cohen perceived stress score was low in 27(18.62%), moderate in 101(69.66%) and high in 17(11.72%) participants. The GAD-7 anxiety score was mild in 55 (37.93%), moderate in 31 (21.38%) and high in 17(11.72%) participants. The PHQ score was mild in 42 (28.97%) and was severe in only 8(5.52%) participants. The association of depression, stress and anxiety was significant only for gender (p -value of 0.006). Conclusion: Prevalence of depression, stress and anxiety was mild to moderate among patients with type 2 diabetes mellitus attending a community-based life style modification settin