Depression, anxiety and stress level of type-2 diabetes mellitus patients from a selected primary care clinic in Kuantan, Pahang

Introduction: Modern stressors such as financial worries, deadline pressures at work or school, as well as unnecessary physical stressors such as excessive caloric intake, obesity, and inactivity chronically activate the hypothalamic-pituitary-adrenal axis, leading to adverse health consequences su...

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Main Authors:	Md Aris, Mohd Aznan, Tin, Myo Han
Format:	Conference or Workshop Item
Language:	English
Published:	2014
Subjects:	R Medicine (General) RZ400 Mental healing
Online Access:	http://irep.iium.edu.my/39830/ http://irep.iium.edu.my/39830/ http://irep.iium.edu.my/39830/3/depression_anxiety_stress.pdf

id	iium-39830
recordtype	eprints
spelling	iium-398302015-01-06T10:36:27Z http://irep.iium.edu.my/39830/ Depression, anxiety and stress level of type-2 diabetes mellitus patients from a selected primary care clinic in Kuantan, Pahang Md Aris, Mohd Aznan Tin, Myo Han R Medicine (General) RZ400 Mental healing Introduction: Modern stressors such as financial worries, deadline pressures at work or school, as well as unnecessary physical stressors such as excessive caloric intake, obesity, and inactivity chronically activate the hypothalamic-pituitary-adrenal axis, leading to adverse health consequences such as increased rates of cardiovascular diseases, diabetes, and mood disorders like depression and anxiety. The relationship between chronic stress, depression, and anxiety is complex and incredibly powerful. Based on the facts, stress, anxiety and depression might affect together on patients with DM through physiological mechanism and via health related behavior particularly poor compliance of treatment and diet control. Methods: A cross sectional study was carried out. The respondents were selected through random sampling from the list of patients who attended the diabetic clinic in a selected primary care clinic in Kuantan, Pahang during the study period from 1st July 2013 to 31st August 2013. Depression, anxiety and stress level of the patients were assessed by using self-reported answer on the validated Depression and Anxiety Stress Scales 21(DASS-21) Malay version within stipulated time. Four rating scores of the patients on DASS-21 questions were analyzed to determine the level and prevalence of depression, anxiety and stress among type-2 DM patients. Background socio-demo-economic status and clinical profiles were assessed by using a pre-tested verified questionnaire. A correlation matrix was done to infer the relationship of depression, anxiety and stress of the type-2 DM patients. A cross analysis was done to find out the influences of background socio-demo-economic status and clinical profiles of the type-2 DM patients on their depression, anxiety and stress status. Results: A total of 103 Type 2 DM patients agreed to participate in the study. The study revealed that the prevalence of depression, anxiety and stress among type 2 DM are 12.6%, 20.4% and 9.7 % respectively. There are significance correlation in between the relationship of depression, anxiety and stress among Type-2 DM but there are no significance difference variables in between Type-2 DM patients with DAS group and non DAS group except in female gender. Conclusion: Regular assessing DAS status and Psychological support/therapy to relieve anxiety and stress together with anti-depressant medication should be considered as a holistic care to assist in glycemic control and to improve quality of life of DM patients. A further study should be conducted with extended sample size to get more valid data regarding this issue. 2014 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/39830/3/depression_anxiety_stress.pdf Md Aris, Mohd Aznan and Tin, Myo Han (2014) Depression, anxiety and stress level of type-2 diabetes mellitus patients from a selected primary care clinic in Kuantan, Pahang. In: International Research Invention and Innovation Exhibition (IRIIE) 2014, 11-12 Jun 2014, Gombak, Kuala Lumpur. http://www.iium.edu.my/irie/14/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General) RZ400 Mental healing
spellingShingle	R Medicine (General) RZ400 Mental healing Md Aris, Mohd Aznan Tin, Myo Han Depression, anxiety and stress level of type-2 diabetes mellitus patients from a selected primary care clinic in Kuantan, Pahang
description	Introduction: Modern stressors such as financial worries, deadline pressures at work or school, as well as unnecessary physical stressors such as excessive caloric intake, obesity, and inactivity chronically activate the hypothalamic-pituitary-adrenal axis, leading to adverse health consequences such as increased rates of cardiovascular diseases, diabetes, and mood disorders like depression and anxiety. The relationship between chronic stress, depression, and anxiety is complex and incredibly powerful. Based on the facts, stress, anxiety and depression might affect together on patients with DM through physiological mechanism and via health related behavior particularly poor compliance of treatment and diet control. Methods: A cross sectional study was carried out. The respondents were selected through random sampling from the list of patients who attended the diabetic clinic in a selected primary care clinic in Kuantan, Pahang during the study period from 1st July 2013 to 31st August 2013. Depression, anxiety and stress level of the patients were assessed by using self-reported answer on the validated Depression and Anxiety Stress Scales 21(DASS-21) Malay version within stipulated time. Four rating scores of the patients on DASS-21 questions were analyzed to determine the level and prevalence of depression, anxiety and stress among type-2 DM patients. Background socio-demo-economic status and clinical profiles were assessed by using a pre-tested verified questionnaire. A correlation matrix was done to infer the relationship of depression, anxiety and stress of the type-2 DM patients. A cross analysis was done to find out the influences of background socio-demo-economic status and clinical profiles of the type-2 DM patients on their depression, anxiety and stress status. Results: A total of 103 Type 2 DM patients agreed to participate in the study. The study revealed that the prevalence of depression, anxiety and stress among type 2 DM are 12.6%, 20.4% and 9.7 % respectively. There are significance correlation in between the relationship of depression, anxiety and stress among Type-2 DM but there are no significance difference variables in between Type-2 DM patients with DAS group and non DAS group except in female gender. Conclusion: Regular assessing DAS status and Psychological support/therapy to relieve anxiety and stress together with anti-depressant medication should be considered as a holistic care to assist in glycemic control and to improve quality of life of DM patients. A further study should be conducted with extended sample size to get more valid data regarding this issue.
format	Conference or Workshop Item
author	Md Aris, Mohd Aznan Tin, Myo Han
author_facet	Md Aris, Mohd Aznan Tin, Myo Han
author_sort	Md Aris, Mohd Aznan
title	Depression, anxiety and stress level of type-2 diabetes mellitus patients from a selected primary care clinic in Kuantan, Pahang
title_short	Depression, anxiety and stress level of type-2 diabetes mellitus patients from a selected primary care clinic in Kuantan, Pahang
title_full	Depression, anxiety and stress level of type-2 diabetes mellitus patients from a selected primary care clinic in Kuantan, Pahang
title_fullStr	Depression, anxiety and stress level of type-2 diabetes mellitus patients from a selected primary care clinic in Kuantan, Pahang
title_full_unstemmed	Depression, anxiety and stress level of type-2 diabetes mellitus patients from a selected primary care clinic in Kuantan, Pahang
title_sort	depression, anxiety and stress level of type-2 diabetes mellitus patients from a selected primary care clinic in kuantan, pahang
publishDate	2014
url	http://irep.iium.edu.my/39830/ http://irep.iium.edu.my/39830/ http://irep.iium.edu.my/39830/3/depression_anxiety_stress.pdf
first_indexed	2023-09-18T20:57:11Z
last_indexed	2023-09-18T20:57:11Z
_version_	1777410382347894784

Depression, anxiety and stress level of type-2 diabetes mellitus patients from a selected primary care clinic in Kuantan, Pahang

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