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Table 1 Studies (n = 14) included in the mapping

From: Diabetes and depression comorbidity and socio-economic status in low and middle income countries (LMICs): a mapping of the evidence

Author

Year of publication

Sample size

Country of study

Association with SES

Recommended intervention

Clinical assessment

Analysis

Agbir

2010

160

Nigeria

No significant association between patients with diabetes and depression and SES

Screen people with diabetes for depression especially those at “high risk” (e.g.: unmarried females); increase patient compliance to treatment, prevent complications, improve quality of life.

Clinical assessment of depression and blood glucose

Association of depression with newly diagnosed type 2 diabetes among adults

Eren

2008

108

Turkey

Negative correlation with SES (education)

Early detection and treatment of depression in people with diabetes.

Clinical assessment of depression and blood glucose

Impact of depression on diabetic quality of life.

James

2010

400

Nigeria

SES(Education, occupation, income)

Screening for depression among people with diabetes and management of depression to improve quality of life and reduce treatment costs

Questionnaire and blood glucose

Prevalence of depression and SES

Kilzieh

2008

2038

Syria

Comorbidity decreases with increasing SES

Deliver treatment for depression in primary care settings because access to mental health services are limited and stigmatised.

Questionnaire and diabetes self-reported

assess the comorbidity and correlates of depression in chronic diseases in a community

Mansour

2007

103, 103

Iraq

SES(Education, occupation, income)

None made

Questionnaire and blood glucose

Determine the prevalence of comorbid depression among sample of patients with type 2 diabetes mellitus. Control for social class

Mier

2008

200

Mexico and USA

Low education increases risk of depression

Depression screening among diabetic patients by family practice physicians.

Questionnaire and diabetes self-reported

prevalence and correlates of clinical depressive symptoms in Hispanics of Mexican origin with type 2 diabetes

Pan

2008

3285

China

Low education level and presence of co-morbidities associated with depressive symptoms

None made

Questionnaire and blood glucose

Association between insulin resistance and depressive symptoms

Raval

2010

300

India

Relationship between comorbidity and income and education unclear

None made

Questionnaire and blood glucose

Prevalence and determinants of depression in patients with established type 2 diabetes (T2DM)

Sevincok

2001

98

Turkey

Failed to find association between

None made

Clinical assessment and blood glucose

Assess association of socio-demographic variables for patients with and without comorbidity

Tellez-Zenteno

2002

189

Mexico

Higher risk of depression for lower SES

Screen for depression in all diabetic patients, so that early diagnosis and treatment can improve patient metabolic control and enhance patient quality of life.

Clinical assessment and blood glucose

Identify the prevalence and factors associated with depression in a group of patients with type 2 diabetes mellitus

Thaneerat

2009

250

Thailand

Association for co-morbid patients not clear

Early detection of depression among diabetic patients

self-reported questionnaire and blood glucose

To estimate the prevalence of depression, and poor glycemic control, and to determine the associated factors in outpatients with type-2 diabetes.

Yang

2009

148

China

Not clear

Early detection and treatment of depression in people with diabetes by community nurses and provision of social support.

Self-reported Questionnaire and diabetes self-reported

To examine levels of perceived social support and depression and to identify the related factors and

Yekta

2010

295

Iran

Lower educated higher risk of depression

None made

Self-reported questionnaire and blood glucose taken

To describe the prevalence of depression in patients attending a diabetes clinic determine the associated sociodemographic, behavioural and clinical factors.

Zhang CX

2008

304

China

Not clear

Identify source of patient stress; Advise on active coping styles; Mobilize more social support resources to reduce risk of depression in Type 2 diabetes.

Clinical assessment and blood glucose

To investigate association of psychosocial factors with anxiety and depressive symptoms in type 2 diabetes patients

  1. Depression is responsible for the greatest proportion of disease burden associated with non-fatal health outcomes, accounting for approximately 12% of the total years lived with disability [4]. The evidence base and data for LICs are under-developed, but it is estimated that the average lifetime and 12-month prevalence estimates of major depression episodes was 11.1% and 5.9%, respectively, on the basis of data from eight LMICs [23].