Predictors of depressive symptoms among people with type 2 diabetes mellitus in Indonesia: a cross-sectional study 10.55131/jphd/2023/210304

Main Article Content

Akhmad Azmiardi
Joko Tri Atmojo
Aris Widiyanto
Rejo Rejo
Nova Rahma Widyaningrum
Catur Setyorini
Siti Maesaroh
Rina Tri Handayani
Lilik Hanifah
Tri Yuniarti

Abstract

Working conditions and quality of work life reflect a person’s overall quality of life and well study to date has investigated the factors contributing to depressive symptoms in people with type 2 DM in Indonesia. This study aimed to investigate the predictors of depressive symptoms among people with type 2 DM in Indonesia.  This was a cross‐sectional study using secondary data from the Indonesian family life survey 5 (IFLS-5). A total of 774 respondents with type 2 DM were selected for this study. The dependent variable was depressive symptoms while the independent variables were demographics, economic status, smoking, duration of diabetes, chronic conditions, self-rated health, and physical function. The center for epidemiologic studies depression scale was used to measure depressive symptoms. The data were analyzed with multivariate logistic regression. The results showed that 70.70% of respondents had depressive symptoms. The risk of experiencing depressive symptoms decreased with age ≥ 50 years (AOR= 0.40; 95%CI 0.25 to 0.64; p<0.001) and good self-rated health (AOR= 0.54; 95%CI= 0.35 to 0.81; p= 0.003). Otherwise, the risk of experiencing depressive symptoms increased with a higher level of education (AOR= 1.78; 95%CI= 1.02 to 3.12; p= 0.042) and with chronic conditions (AOR= 1.64; 95%CI= 1.07 to 2.51; p= 0.023).


Depressive symptoms were significantly associated with personal health conditions including older age, level of education, self-rated health and chronic conditions. Individual and community level strategies that can improve personal health conditions can be further studied to address depressive symptoms in type 2 DM patients.

Article Details

How to Cite
1.
Azmiardi A, Atmojo JT, Widiyanto A, Rejo R, Widyaningrum NR, Setyorini C, Maesaroh S, Handayani RT, Hanifah L, Yuniarti T. Predictors of depressive symptoms among people with type 2 diabetes mellitus in Indonesia: a cross-sectional study: 10.55131/jphd/2023/210304. J Public Hlth Dev [Internet]. 2023 Aug. 9 [cited 2024 May 12];21(3):43-54. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/261545
Section
Original Articles
Author Biographies

Akhmad Azmiardi, School of Health Sciences Mamba'ul 'Ulum, Surakarta, Central Java, Indonesia

School of Health Sciences Mamba'ul 'Ulum, Surakarta, Central Java, Indonesia

Joko Tri Atmojo , School of Health Science Mamba’ul ‘Ulum Surakarta, Central Java, Indonesia

School of Health Sciences Mamba'ul 'Ulum, Surakarta, Central Java, Indonesia

Aris Widiyanto, School of Health Science Mamba’ul ‘Ulum Surakarta, Central Java, Indonesia

School of Health Sciences Mamba'ul 'Ulum, Surakarta, Central Java, Indonesia

Rejo Rejo, School of Health Science Mamba’ul ‘Ulum Surakarta, Central Java, Indonesia

School of Health Sciences Mamba'ul 'Ulum, Surakarta, Central Java, Indonesia

Nova Rahma Widyaningrum, School of Health Science Mamba’ul ‘Ulum Surakarta, Central Java, Indonesia

School of Health Sciences Mamba'ul 'Ulum, Surakarta, Central Java, Indonesia

Catur Setyorini, School of Health Science Mamba’ul ‘Ulum Surakarta, Central Java, Indonesia

School of Health Sciences Mamba'ul 'Ulum, Surakarta, Central Java, Indonesia

Siti Maesaroh, School of Health Science Mamba’ul ‘Ulum Surakarta, Central Java, Indonesia

School of Health Sciences Mamba'ul 'Ulum, Surakarta, Central Java, Indonesia

Rina Tri Handayani, School of Health Science Mamba’ul ‘Ulum Surakarta, Central Java, Indonesia

School of Health Sciences Mamba'ul 'Ulum, Surakarta, Central Java, Indonesia

Lilik Hanifah, School of Health Science Mamba’ul ‘Ulum Surakarta, Central Java, Indonesia

School of Health Sciences Mamba'ul 'Ulum, Surakarta, Central Java, Indonesia

Tri Yuniarti, School of Health Science Mamba’ul ‘Ulum Surakarta, Central Java, Indonesia

School of Health Sciences Mamba'ul 'Ulum, Surakarta, Central Java, Indonesia

References

American Diabetes Association. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes—2018. Diabetes Care. 2018;41(Supplement 1):S13–27.

Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019;157:107843. doi: 10.1016/ j.diabres.2019.107843

Lam AA, Lepe A, Wild SH, Jackson C. Diabetes comorbidities in low- and middle-income countries: An umbrella review. J Glob Health. 2021;11. doi: 10.7189/jogh.11.04040

Alkaff FF, Illavi F, Salamah S, Setiyawati W, Ramadhani R, Purwantini E, et al. The Impact of the Indonesian Chronic Disease Management Program(PROLANIS) on Metabolic Control and Renal Function of Type 2 Diabetes MellitusPatients in Primary Care Setting. J Prim Care Community Health. 2021;12. doi: 10.1177/2150132720984409

Khan MAB, Hashim MJ, King JK, Govender RD, Mustafa H, Al Kaabi J. Epidemiology of Type 2 Diabetes – Global Burden of Disease and Forecasted Trends. J Epidemiol Glob Health. 2019;10(1):107-11. doi: 10.2991/jegh.k.191028.001.

Afroz A, Zhang W, Wei Loh AJ, Jie Lee DX, Billah B. Macro- and micro-vascular complications and their determinants among people with type 2 diabetes in Bangladesh. Diabetes Metab Syndr Clin Res Rev. 2019;13(5):2939–46. doi: 10.1016/j.dsx.2019.07.046

Sartorius N. Depression and diabetes. Dialogues Clin Neurosci. 2018;20(1): 47.

Khaledi M, Haghighatdoost F, Feizi A, Aminorroaya A. The prevalence of comorbid depression in patients with type 2 diabetes: an updated systematic review and meta-analysis on huge number of observational studies. Acta Diabetol. 2019;56(6):631–50. doi: 10.1007/s00592-019-01295-9

Poongothai S, Anjana RM, Pradeepa R, Ganesan A, Umapathy N, Mohan V. Prevalence of depression in relation to glucose intolerance in urban south Indians--the Chennai Urban Rural Epidemiology Study (CURES-76). Diabetes Technol Ther. 2010;12(12): 989–94. doi: 10.1089/dia.2010.0081

Maurer DM, Raymond TJ, Davis BN. Depression: Screening and Diagnosis. Am Fam Physician. 2018;98(8):508–15.

Timar B, Mut-Vitcu G, Timar R, Oancea C, Citu IC. Depression influences the quality of diabetes-related self-management activities in elderly patients with type 2 diabetes: a cross-sectional study. Clin Interv Aging. 2016;11:471-9. doi: 10.2147/ CIA.S104083.

Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World J Diabetes. 2017;8(4):120.

Fried EI, Nesse RM. The Impact of Individual Depressive Symptoms on Impairment of Psychosocial Functioning. Gong Q, editor. PLOS ONE. 2014;9(2):e90311. doi: 10.1371/ journal.pone.0090311

Habtewold TD, Alemu SM, Haile YG. Sociodemographic, clinical, and psychosocial factors associated with depression among type 2 diabetic outpatients in Black Lion General Specialized Hospital, Addis Ababa, Ethiopia: A cross-sectional study. BMC Psychiatry. 2016;16(1). doi: 10.1186/ s12888-016-0809-6

Islam SMS, Rawal LB, Niessen LW. Prevalence of depression and its associated factors in patients with type 2 diabetes: A cross-sectional study in Dhaka, Bangladesh. Asian J Psychiatr. 2015;17:36–41. doi: 10.1016/j.ajp. 2015.07.008

Gebre BB, Anand S, Assefa ZM. Depression and Its Predictors among Diabetes Mellitus Patients Attending Treatment in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia. J Diabetes Res. 2020;2020:1–9. doi: 10.1155/ 2020/7138513

Ischaq Nabil Asshiddiqi M, Yodchai K, Taniwattananon P. Predictors of diabetes distress among older persons with type 2 diabetes mellitus in Indonesia. J Res Nurs. 2021;26(4):307. doi: 10.1177/1744987120943936

Mokoagow MI, Pitawati D, Arisandy DN, Magfira N, Palupi PI, Nasarudin J, et al. Factors Associated with Depression among Type 2 Diabetes Mellitus Patients at a Tertiary Hospital during the COVID-19 Pandemic. Kesmas J Kesehat Masy Nas. 2022; 17(4):257.

Strauss J, Witoelar F, Sikoki B. The Fifth Wave of the Indonesia Family Life Survey: Overview and Field Report: Volume 1 [Internet]. RAND Corporation; 2016. Available from: https://www.rand.org/content/dam/rand/pubs/working_papers/WR1100/WR1143z1/RAND_WR1143z1.pdf

Henry SK, Grant MM, Cropsey KL. Determining the optimal clinical cutoff on the CES-D for depression in a community corrections sample. J Affect Disord. 2018;234:270–5. doi: 10.1016/ j.jad.2018.02.071

Astutik E, Hidajah AC, Tama TD, Efendi F, Li C. Prevalence and determinants of depressive symptoms among adults in Indonesia: A cross‐sectional population‐based national survey. Nurs Forum. 2021;56(1):37–44. doi: 10.1111/nuf.12508.

Pengpid S, Peltzer K. Utilization of traditional and complementary medicine in Indonesia: Results of a national survey in 2014–15. Complement Ther Clin Pract. 2018;33: 156–63. doi: 10.1016/j.ctcp.2018. 10.006

Berge LI, Riise T, Tell GS, Iversen MM, Østbye T, Anders L, et al. Depression in Persons with Diabetes by Age and Antidiabetic Treatment: A Cross-Sectional Analysis with Data from the Hordaland Health Study. PLOS ONE. 2015;10(5). doi: 10.1371/ journal.pone.0127161

Isaura ER, Chen YC, Adi AC, Fan HY, Li CY, Yang SH. Association between Depressive Symptoms and Food Insecurity among Indonesian Adults: Results from the 2007–2014 Indonesia Family Life Survey. Nutrients. 2019; 11(12). doi: 10.3390/nu11123026

Harding KA, Pushpanathan ME, Whitworth SR, Nanthakumar S, Bucks RS, Skinner TC. Depression prevalence in Type 2 diabetes is not related to diabetes–depression symptom overlap but is related to symptom dimensions within patient self‐report measures: a meta‐analysis. Diabet Med. 2019; 36(12):1600–11. doi: 10.1111/dme. 14139

Rice F, Riglin L, Lomax T, Souter E, Potter R, Smith DJ, et al. Adolescent and adult differences in major depression symptom profiles. J Affect Disord. 2019;243:175–81. doi: 10.1016/j.jad.2018.09.015

Bawadi H, Al-Shahwani A, Arafeh D, Al-Asmar D, Moawad J, Shi Z, et al. Depressive Symptoms among Patients with Diabetes in Qatar: Frequency and Potential Determinants. Healthcare (Basel). 2021;9(3). doi: 10.3390/ healthcare9030302.

Collins MM, Corcoran P, Perry IJ. Anxiety and depression symptoms in patients with diabetes. Diabet Med. 2009;26(2):153–61. doi: 10.1111/ j.1464-5491.2008.02648.x

Seo J, Choi B, Kim S, Lee H, Oh D. The relationship between multiple chronic diseases and depressive symptoms among middle-aged and elderly populations: results of a 2009 korean community health survey of 156,747 participants. BMC Public Health. 2017;17(1):844. doi: 10.1186/s12889-017-4798-2.

Abdul Razzak H, Harbi A, Ahli S. Depression: Prevalence and Associated Risk Factors in the United Arab Emirates. Oman Med J. 2019;34(4): 274–82. doi: 10.5001/omj.2019.56

Read JR, Sharpe L, Modini M, Dear BF. Multimorbidity and depression: A systematic review and meta-analysis. J Affect Disord. 2017;221:36–46. doi: 10.1016/j.jad.2017.06.009

Maresova P, Javanmardi E, Barakovic S, Husic JB, Tomsone S, Krejcar O, et al. Consequences of chronic diseases and other limitations associated with old age – a scoping review. BMC Public Health. 2019;19(1):1431. doi: 10.1186/ s12889-019-7762-5

Rantanen AT, Korkeila JJA, Kautiainen H, Korhonen PE. Poor or fair self-rated health is associated with depressive symptoms and impaired perceived physical health: A cross-sectional study in a primary care population at risk for type 2 diabetes and cardiovascular disease. Eur J Gen Pract. 2019;25(3): 143–8. doi: 10.1080/13814788.2019. 1635114.

Lin YH, Chen HC, Hsu NW, Chou P. Validation of Global Self-Rated Health and Happiness Measures Among Older People in the Yilan Study, Taiwan. Front Public Heal. 2020;8:346. doi: 10.3389/fpubh.2020.00346

Jones JW, Ledermann T, Fauth EB. Self-rated health and depressive symptoms in older adults: A growth mixture modeling approach. Arch Gerontol Geriatr. 2018;79:137–44. doi: 10.1016/j.archger.2018.08.012.

Ishida M, Montagni I, Matsuzaki K, Shimamoto T, Cariou T, Kawamura T, et al. The association between depressive symptoms and self-rated health among university students: a cross-sectional study in France and Japan. BMC Psychiatry. 2020;20(1): 549. doi: 10.1186/s12888-020-02948-8.

Rezia R, Islam A, Shariful Islam S. Depressive symptoms among participants with type 2 diabetes in Southeast Asia: A systematic review. J Diabetol. 2018;9(1):19.