Factors Related to Anxiety Scores in Diabetes Mellitus Outpatients at the Universitas Sumatera Utara Hospital

Authors

  • Sri Andriani Department of Psychiatry, Faculty of Medicine, University of North Sumatra, Medan, Indonesia https://orcid.org/0000-0002-3641-7858
  • Elmeida Effendy Department of Psychiatry, Faculty of Medicine, University of North Sumatra, Medan, Indonesia https://orcid.org/0000-0002-9382-3609
  • Nazli Mahdina Sari Nasution Department of Psychiatry, Faculty of Medicine, University of North Sumatra, Medan, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.6349

Keywords:

Diabetes, Anxiety, Hospital Anxiety and Depression Scale

Abstract

Background: Diabetes mellitus (DM) is a serious chronic disease, caused by the inability of the pancreas to produce enough insulin. It is estimated that people with diabetic are at twice the risk of anxiety compared to the general population. Diabetic patients with anxiety has been related to increasing risk of comorbidities, which can interfere with daily living activities, and life quality, increased health costs, and many other complication when compared with the general population.

Method: This study is a predictive type multivariate study, with a cross-sectional approach to 111 subjects in the outpatient clinic of Universitas Sumatera Utara hospital. The tests carried out in this study were the bivariate test, multivariate linear regression test to determine what factors are related to anxiety scores in DM patients, using the Hospital Anxiety and Depression Scale (HADS-A) as measurement tool.

Results: After conducting the multivariate analysis test, it was found that the variables associated with anxiety scores in people with DM were length of education (p <0.001), Body Mass Index (p <0.001), duration of illness (p <0.001), work status (p <0.001), comorbidity (p = 0.021).

Conclusion: By knowing the factors that influence anxiety scores in people with DM, it is hoped that clinicians will pay more attention to the symptoms of anxiety in people with DM, especially in the early days of diagnosis so that intervention can be carried out.

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References

World Health Organization. Global Report on Diabetes. Geneva: World Health Organization; 2019. Available from: https:// www.who.int/publications/i/item/97892415652572016. [Last accessed on 2019 Aug 27].

Khan P, Qayyum N, Malik F, Khan T, Khan M, Tahir A. Incidence of anxiety and depression among patients with Type 2 diabetes and the predicting factor. Cereus. 2019;11(3):e4254. https://doi.org/10.7759/cureus.4254 PMid:31131177

AlBekairy A, Aburuz S, Alsabani B, Alshehri A, Aldebasi T, Alkatheri A, et al. Exploring factors associated with depression and anxiety among hospitalized patients with Type 2 diabetes mellitus. Med Princ Pract. 2017;26(6):547-53. https://doi.org/10.1159/000484929 PMid:29131123

Almohaimeed A. Prevalence and factors associated with anxiety and depression among Type 2 diabetes in Qassim: A descriptive cross-sectional study. J Taibah Univ Med Sci. 2017;12(5):430-6. https://doi.org/10.1016/j.jtumed.2017.04.002 PMid:31435275

Rajpur R, Gehlawat P, Gehlan P, Gupta R, Rajput M. Prevalence and predictors of depression and anxiety in patients of diabetes mellitus in a tertiary care center. Indian J Endocrinol Metab. 2016;20(6):746-51. https://doi.org/10.4103/2230-8210.192924 PMid:27867873

Balizgir M, Bkhtiari M, Esteghamati A. Association of depression and anxiety in diabetes melitus Type 2 concerning some sosiological factors. Iran Red Cresent Med J. 2013;15(8):644-8. https://doi.org/10.5812/ircmj.12107 PMid:24578829

Dahlan MS. Langkah-Langkah Membuat Proposal Penelitian Bidang Kedokteran Dan Kesehatan. Jakarta. Sagung Seto; 2014. p. 53-6.

Dahlan MS. Besar Sampel dan Cara Pengambilan Dalam Penelitian Kedokteran dan Kesehatan. 5th ed. Jakarta: Epidemiologi Indonesia; 2019. p. 32-6.

Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the hospital anxiety and depression scale. An updated literature riview. J Psychosom Res. 2002;52(2):69-77. https://doi.org/10.1016/s0022-3999(01)00296-3 PMid:11832252

Rudy M, Adnyana I, Widyadharma I. Reliability Indonesian Version of the Hospital Anxiety and Depression Scale (HADS) of Stroke Patients in Sanglah General Hospital Denpasar. Research Gate; 2015. p. 1-8.

Dahlan MS. Regresi Linier. Jakarta: Epidemiologi Indonesia; 2012. p. 32-5.

Dahlan MS. Statistik Untuk Kedokteran dan Kesehatan. Jakarta. Epidemiologi Indonesia; 2014. p. 45-7.

Bjelland I, Krokstad S, Mykletun A, Dahl AA, Tell GS, Tambs K. Does a higher educational level protect against anxiety and depression? The HUNT study. Soc Sci Med. 2008;66(6):1334-45. https://doi.org/10.1016/j.socscimed.2007.12.019 PMid:18234406

Ganasegaran K, Renganathan P, Manaf RA, Al-Dubai SA. Factors associated with anxiety and depression among Type 2 diabetes outpatients in Malaysia: A descriptive cross-sectional single-center study. BMJ Open. 2014;4(4):e004794. https://doi.org/10.1136/bmjopen-2014-004794 PMid:24760351

Hermanns N, Kulzer B, Krichbaumt M, kubiak T, Haak T. Affective and anxiety disorders in a German sample of diabetic patients: Prevalence, comorbidity and risk factors. Diabetic Med. 2005;22(3):293-300. https://doi.org/10.1111/j.1464-5491.2005.01414.x PMid:15717877

Bener A, Al-Hamaq A, Dafeeah EE. High prevelance of depression, anxiety, and stress symptom in diabetes mellitus patients. Open Psychiatr J. 2011;5:5-12.

Stevanovic D, Mehta G, Habtewold TD, Popovic L. Anxiety and depressive disorder in diabetes. In: Sadikot International Textbook of Diabetes. 1st ed. India: Jaypee Brothers Medical Publishers; 2019. p. 917.

Weaver LJ, Madhu SV. Type 2 diabetes and anxiety symptoms among women in New Delhi, India. Am J Public Health. 2015;105(11):2335-40. https://doi.org/10.2105/ajph.2015.30283 PMid:26378851

Tuncay T, Musabak I, Gok DE, Kutlu M. The relationship between anxiety, coping strategies and characteristics of patients with diabetes. Health Qual Life Outcomes. 2008;6:79. https://doi.org/10.1186/1477-7525-6-79 PMid:18851745

Dehesh T, Dehesh P, Shojae S. Prevalence and associated factors of anxiety and depression among patients with Type 2 diabetes in Kerman, Southern Iran. Diabetes Metab Syndr Obes. 2020;13:1509-17. https://doi.org/10.2147/dmso.s249385 PMid:32440180

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Published

2021-06-15

How to Cite

1.
Andriani S, Effendy E, Nasution NMS. Factors Related to Anxiety Scores in Diabetes Mellitus Outpatients at the Universitas Sumatera Utara Hospital. Open Access Maced J Med Sci [Internet]. 2021 Jun. 15 [cited 2024 Dec. 4];9(T3):196-200. Available from: https://oamjms.eu/index.php/mjms/article/view/6349