Survey of Depression in the Elderly Patients with Diabetes Mellitus

Bum-Sung Choi; Sewoong Kim; Seon-Cheol Park; Se-Hoon Shim; Hoo Rim Song; Sung Hae Chang; Jae-Sung Choi; Ho-Sung Lee; Yeo-Joo Kim; Sang-Ho Park; Young-Jun Kwon; Hwa-Young Lee

doi:10.4306/jknpa.2015.54.4.475

Journal List > J Korean Neuropsychiatr Assoc > v.54(4) > 1017763

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Choi, Kim, Park, Shim, Song, Chang, Choi, Lee, Kim, Park, Kwon, and Lee: Survey of Depression in the Elderly Patients with Diabetes Mellitus

Original Article

Journal of Korean Neuropsychiatric Association 2015; 54(4): 475-481.

Published online: 30 November 2015

DOI: https://doi.org/10.4306/jknpa.2015.54.4.475

Survey of Depression in the Elderly Patients with Diabetes Mellitus

Bum-Sung Choi, MD, PhD¹, Sewoong Kim², Seon-Cheol Park, MD, PhD^3,⁴, Se-Hoon Shim, MD, PhD⁵, Hoo Rim Song, MD, PhD⁵, Sung Hae Chang, MD, PhD⁶, Jae-Sung Choi, MD, PhD⁷, Ho-Sung Lee, MD, PhD⁷, Yeo-Joo Kim, MD, PhD⁸, Sang-Ho Park, MD, PhD⁹, Young-Jun Kwon, MD, PhD⁵, Hwa-Young Lee, MD, PhD⁵

¹Department of Psychiatry, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea.

²Department of Psychiatry, Mindlle Hospital, Paju, Korea.

³Department of Psychiatry, Yong-In Mental Hospital, Yongin, Korea.

⁴Institute of Mental Health, Hanyang University, Seoul, Korea.

⁵Department of Psychiatry, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea.

⁶Department of Rheumatology, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea.

⁷Department of Pulmonology, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea.

⁸Department of Endocrinology, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea.

⁹Department of Cardiology, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea.

Address for correspondence: Hwa-Young Lee, MD, PhD. Department of Psychiatry, Soonchunhyang University College of Medicine, Cheonan Hospital, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan 31151, Korea. Tel +82-41-570-3871, Fax +82-41-592-3804, leehway@gmail.com

Received 29 October 2015 Revised 1 November 2015 Accepted 1 November 2015

Abstract

Objectives

Depression is commonly comorbid in elderly patients with physical illness. This study examined the prevalence of depression in the elderly with Diabetes Mellitus (DM).

Methods

Eighty-nine patients, over 60 years old, with DM were enrolled. The medical and psychiatric history, Hamilton Rating Scale for Depression (HDRS), Patient Health Questionnaire-9 (PHQ-9), Geriatric Depression Scale-Short form Korean (GDS-SF-K), and Mini-Mental Status Examination Korean version were examined.

Results

The prevalence of depression was estimated as 21.3% (male 4.5% ; female 16.9%) in HDRS, 32.6% (male 9.0% ; female 23.6%) in PHQ-9, and 24.7% (male 5.6% ; female 19.1%) in GDS-SF-K.

Conclusion

The self-reporting scale, such as GDS-SF-K, PHQ-9 is an effective screening test for depression. The prevalence of elderly depression with DM ranged from 20% to 30%, the prevalence of depression is almost three times more common in women.

Keywords: Elderly depression, Diabetes Mellitus, Prevalence, Self-reporting scale

Figures and Tables

Table 1

Sociodemographic data of study subjects

Table 2

Distribution of the mean score in HDRS, PHQ-9, GDS-SF-K, and MMSE-KC scores stratified by gender, age, educational level, and living arrangement of the subjects

^* : p<0.05, ^† : p<0.01. HDRS : Hamilton Rating Scale for Depression, PHQ-9 : Patient Health Questionnaire-9, GDS-SF-K : Geriatric Depression Scale-Short Form-Korea, MMSE-KC : Korean version of Mini-Mental State Examination in the Korean version of Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet

Table 3

Prevalence of depression in patients with DM stratified by gender, age, educational and living arrangement of the subjects

HDRS : Hamilton Rating Scale for Depression, PHQ-9 : Patient Health Questionnaire-9, GDS-SF-K : Geriatric Depression Scale-Short Form-Korea, DM : Diabetes mellitus

Table 4

The frequencies of depression in the HDRS, PHQ-9, and GDS-SF-K scores stratified by cognitive function

HDRS : Hamilton Rating Scale for Depression, PHQ-9 : Patient Health Questionnaire-9, GDS-SF-K : Geriatric Depression Scale-Short Form-Korea

ACKNOWLEDGMENTS

This study was also supported by a grant of Seoul National Hospital. This study is also supported by Lee Byoung Yoon Fund.

Notes

^{Conflicts of Interest} The authors have no financial conflicts of interest.

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