Keywords
Prevalence
Risk Factors
Percieved Management Strategies
Buea Regional Hospital
How to Cite
Abstract
Purpose: Depression is the most common psychiatric disorder among Type 2 diabetes mellitus patients with a prevalence of 15% to 24%.The prevalence of depression among T2DM patients in the world is 13%.In Cameroon, A cross-sectional study was carried out in the Douala General Hospital among Type 2 diabetes mellitus patients who were receiving chronic care in the outpatient diabetes unit. Depression was assessed using the 9-item-Patient Health Questionnaire. Out of the 177 participants, 52 had depression. This study was aimed at investigating the prevalence, risk factors and perceived management strategies of depression among T2DM patients in the Buea and Limbe Regional Hospital.
Materials and Methods: This was a cross-sectional hospital-based study conducted from September 2024 to June 2025 in Buea and Limbe Regional Hospital. A Purposive Sampling technique was used to collect data while a convenience sampling technique was used to choose the health facility. Data was collected using a structured questionnaire which included the Patient Health Questionnaire 9 (PHQ-9) filled by the participants with guidance. Data collected was entered into Microsoft Excel 2021 and analyzed using the Statistical Package for Social Science (SPSS) version 28.0.
Findings: A total of 79 participanted in the study, the majority 64(81.0%) were surveyed in Buea, while only 15 (19.0%) were from Limbe. The Prevalence of Depression in Buea and Limbe Regional Hospital among T2DM patients was high. The results revealed that 74(92.4) patients had depression. Among the depressed participants, 36(45.6%) had moderate depression, followed by 34(43.0%) with mild depression, and 3(3.8%) with severe depression. 81.0% of the patients experienced chronic stress. 92.4% of the patients reported taking their medications.
Implications to Theory, Practice and Policy: Nurses should identify the prevalence, risk factors and know perceived management strategies of depression among Type 2 diabetes mellitus patients.
References
1. Ebrahim M, Tamiru D, Hawulte B, Misgana T. Prevalence and associated factors of depression among diabetic outpatients attending diabetic clinic at public hospitals in Eastern Ethiopia: a cross-sectional study. SAGE open medicine. 2021 Dec; 9: 20503121211066244.
2. Victoria GM, Dampil AO. Prevalence of depression among patients with type 2 diabetes mellitus and its associated clinical factors. Journal of the ASEAN Federation of Endocrine Societies. 2019 Nov 10; 34(2): 197.
3. Ismail M, Seif MH, Metwally N, Neshnash M, Joudeh AI, Alsaadi M, Al-Abdulla S, Selim N. Prevalence and determinants of depression among patients with Type 2 diabetes mellitus attending family medicine clinics in Qatar. American Journal of Medicine Open. 2023 Jun 1; 9: 100014.
4. Dukato A, Beyamo A, Habte Hailegebireal A, Teklehaimanot WZ, Ayfokru A, Alemnew M, Birhanu Abate D, Abemie W, Mengistu BT, Ayehu Dessie Y, Mengstie LA. Depression and associated factors among patients with type 2 diabetic mellitus in Ethiopia: a cross sectional study. Frontiers in Psychiatry. 2024 Oct 30; 15: 1454087.
5. Zhang R, Wang MY, Zhang XQ, Gong YW, Guo YF, Shen JH. Self-care activities mediate self-perceived burden and depression in Chinese patients with type 2 diabetes. World Journal of Psychiatry. 2025 May 19; 15(5): 104766.
6. Aljohani W, Algohani L, Alzahrani A, Bazuhair M, Bawakid A, Aljuid L, Al-Ahdal A, Algohani LK, Alzahrani AA. prevalence of depression among patients with type 2 diabetes at king Abdullah Medical City. Cu
7. Salinero-Fort MA, Gómez-Campelo P, San Andrés-Rebollo FJ, Cárdenas-Valladolid J, Abánades-Herranz JC, de Sandra Pau EC, Chico-Moraleja RM, Beamud-Victoria D, de Miguel-Yanes JM, Jimenez-Garcia R, López-de-Andres A. Prevalence of depression in patients with type 2 diabetes mellitus in Spain (the DIADEMA Study): results from the MADIABETES cohort. BMJ open. 2018 Sep 1; 8(9): e020768.
8. Liu Y, Huang SY, Liu DL, Zeng XX, Pan XR, Peng J. Bidirectional relationship between diabetes mellitus and depression: Mechanisms and epidemiology. World Journal of Psychiatry. 2024 Oct 19; 14(10): 1429.
9. Garcia Barroso M. Depression: Clinical definition and case histories. International Journal of Transpersonal Studies. 2003; 22(1): 13
10. Das R, Singh O, Thakurta RG, Khandakar MR, Ali SN, Mallick AK, Roy P, Bhattacharrya AK. Prevalence of depression in patients with type II diabetes mellitus and its impact on quality of life. Indian journal of psychological medicine. 2013 Jul; 35(3): 284-9.
11. Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes care. 2001 Jun 1; 24(6): 1069-78.
12. Klein DN, Black SR. Persistent depressive disorder. Psychopathology: History, Diagnosis, and Empirical Foundations. 2013 Aug 2; 334.
13. Patel RK, Aslam SP, Rose GM. Persistent depressive disorder. InStatPearls [Internet] 2024 Aug 11. StatPearls Publishing.
14. Grande I, Berk M, Birmaher B, Vieta E. Bipolar disorder. The Lancet. 2016 Apr 9; 387(10027): 1561-72.
15. Keck Jr PE, McElroy SL, Arnold LM. Bipolar disorder. Medical Clinics of North America. 2001 May 1; 85(3): 645-61.
16. Smith DJ, Whitham EA, Ghaemi SN. Bipolar disorder. Handbook of Clinical Neurology. 2012 Jan 1; 106: 251-63.
17. Bisson JI, Sakhuja D. Adjustment disorders. Psychiatry. 2006 Jul 1; 5(7): 240-2.
18. Li M, Hales S, Rodin G. Adjustment disorders. Psycho-oncology. 2010; 297: 302.
