What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Type II diabetes (n=2508). Primary outcome: Depression symptoms (associated with family history of psychiatric illness) (aOR 2.8, 95% CI 1.1-7.0, p=0.030).

May 27, 2013BMC Family PracticeOpen Access

Depression, anxiety and stress symptoms among diabetics in Malaysia: a cross sectional study in an urban primary care setting

View Full Paper

Ask AI

Bookmark

Key result

Among Type II diabetics in Malaysia, the prevalence of depression, anxiety, and stress symptoms was 11.5%, 30.5%, and 12.5%, with a family history of psychiatric illness being the strongest predictor.

Population

2,508 adults with Type II diabetes for at least 6 months, attending 12 government primary care clinics in…

Design

Cross-sectional

Authors

GKGurpreet KaurIndian Institute of Information Technology Una GTGuat Hiong TeeMinistry of Health SASuthahar AriaratnamUniversiti Teknologi MARA

Discussion

Member takes

Implication

May support mental health screening in diabetic primary care; leaves open causal inference and broader generalizability.

Study Design

Type

Cross-Sectional (n=2,508)

Multicenter

Yes

Structured PICO

Population

2,508 adults (age ≥30 years) with Type II diabetes for at least 6 months, attending 12 government primary care clinics in the urban Klang Valley, Malaysia. Mean age 56.6, 61.1% female. Excluded: known medically diagnosed psychiatric illness, cognitive impairment, and post-partum females.

Outcome

Prevalence and predictors of depression, anxiety, and stress symptoms measured by the Depression, Anxiety and Stress Scale (DASS) 21 questionnairepatient reported

Main Result

Effect estimate: aOR 2.8 (95% CI 1.1-7.0)

p-value: p=0.030

There is a high prevalence of anxiety, stress, and depression symptoms among Type II diabetics in urban Malaysia, highlighting the need for routine psychological screening in primary care.

Limitations

Cross-sectional design does not allow for cause and effect relationships to be studied
DASS 21 questionnaire is only a screening tool and not diagnostic of specific psychiatric disorders
Possibility of recall biases from respondents
Possible under-reporting of family history of psychiatric illness due to societal stigma

Cite This Study

Kaur et al. (2013) conducted a cross-sectional in Type II diabetes (n=2,508). Among Type II diabetics in Malaysia, the prevalence of depression, anxiety, and stress symptoms was 11.5%, 30.5%, and 12.5%, with a family history of psychiatric illness being the strongest predictor.

synapsesocial.com/papers/6a10a0c4d91177df95fcee22 https://doi.org/10.1186/1471-2296-14-69

View Full Paper

Ask AI

Bookmark

Depression, anxiety and stress symptoms among diabetics in Malaysia: a cross sectional study in an urban primary care setting

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Depression, anxiety and stress symptoms among diabetics in Malaysia: a cross sectional study in an urban primary care setting

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Also Consider

Also Consider