Sociodemographic and disease-related correlates of depressive morbidity among diabetic patients in Zagreb, Croatia

Research output: Contribution to journalArticle

Abstract

The magnitude of depressive morbidity as well as its significant sociodemographic and disease-related correlates were investigated in a sample of 180 adult diabetic patients attending an outpatient clinic in Zagreb, Croatia (formerly Yugoslavia) in 1989. Results using the Zung Self-Rating Depression Scale yielded a prevalence rate of 60.5% with 10% manifesting severe levels of depressive symptoms. Significant correlates of higher symptoms included older age, female gender, unmarried status, less education, the presence of diabetic complications, longer duration of the disease, more demanding diabetic regimens, and poorer adherence to the regimen. The lowest coefficient was for level of glycosylated hemoglobin (r =.04), indicating a weak relationship between diabetic control and depressive symptoms. Findings arc discussed in relation to other epidemiological surveys of depression and to the deteriorating economic and political situation in Croatia. The implications of untreated depression for diabetic self-care are discussed.

Original languageEnglish (US)
Pages (from-to)130-134
Number of pages5
JournalJournal of Nervous and Mental Disease
Volume181
Issue number2
StatePublished - 1993

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Croatia
Depression
Morbidity
Yugoslavia
Glycosylated Hemoglobin A
Diabetes Complications
Self Care
Ambulatory Care Facilities
Economics
Education

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

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title = "Sociodemographic and disease-related correlates of depressive morbidity among diabetic patients in Zagreb, Croatia",
abstract = "The magnitude of depressive morbidity as well as its significant sociodemographic and disease-related correlates were investigated in a sample of 180 adult diabetic patients attending an outpatient clinic in Zagreb, Croatia (formerly Yugoslavia) in 1989. Results using the Zung Self-Rating Depression Scale yielded a prevalence rate of 60.5{\%} with 10{\%} manifesting severe levels of depressive symptoms. Significant correlates of higher symptoms included older age, female gender, unmarried status, less education, the presence of diabetic complications, longer duration of the disease, more demanding diabetic regimens, and poorer adherence to the regimen. The lowest coefficient was for level of glycosylated hemoglobin (r =.04), indicating a weak relationship between diabetic control and depressive symptoms. Findings arc discussed in relation to other epidemiological surveys of depression and to the deteriorating economic and political situation in Croatia. The implications of untreated depression for diabetic self-care are discussed.",
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AB - The magnitude of depressive morbidity as well as its significant sociodemographic and disease-related correlates were investigated in a sample of 180 adult diabetic patients attending an outpatient clinic in Zagreb, Croatia (formerly Yugoslavia) in 1989. Results using the Zung Self-Rating Depression Scale yielded a prevalence rate of 60.5% with 10% manifesting severe levels of depressive symptoms. Significant correlates of higher symptoms included older age, female gender, unmarried status, less education, the presence of diabetic complications, longer duration of the disease, more demanding diabetic regimens, and poorer adherence to the regimen. The lowest coefficient was for level of glycosylated hemoglobin (r =.04), indicating a weak relationship between diabetic control and depressive symptoms. Findings arc discussed in relation to other epidemiological surveys of depression and to the deteriorating economic and political situation in Croatia. The implications of untreated depression for diabetic self-care are discussed.

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