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Depression and Self-Efficacy in Patients with Type 2 Diabetes in Northern Greece

[ Vol. 18 , Issue. 4 ]

Author(s):

Paraskevi Sympa, Eugenia Vlachou, Kyriakos Kazakos, Ourania Govina, George Stamatiou and Maria Lavdaniti*   Pages 371 - 378 ( 8 )

Abstract:


Background: Depression represents one of the most common disorders in diabetic patients and frequently complicates the health care of this population. Poor self-efficacy has been associated with increased depressive symptoms as well as poor glycemic control.

Objective: To assess depression and self-efficacy in adults with type 2 diabetes in Northern Greece and to explore the factors which may affect them in this group of population.

Method: A descriptive study was conducted in a tertiary hospital in the largest city of Northern Greece. The study group included a convenience sample of 170 adults with type 2 diabetes mellitus who completed the General Health Questionnaire-28 (GHQ-28) and the Diabetes Empowerment Scale- short form (DES) questionnaire.

Results: The overall rate of diabetic patients showing psychological distress in the present study was 50.6%. Adults with low and moderate income experienced higher levels of depression and anxiety, compared to those with high economical status (p<0,001). Also, adults who graduated elementary education experienced higher levels of depressive and anxiety symptoms than those with a higher educational level (p =0,038). There was a statistically significant difference between age (p<0.001), type of residence (p=0.019), family status (p=0,002), financial status (p<0.001) and self-efficacy. Also, there was a negative correlation between BMI and self-efficacy (r=-0.206, p<0.001) and a negative correlation between depression and self-efficacy scale (r=-0.439, p<0.001).

Conclusion: The results of the present study highlight the importance of well-planned interventions in order to reduce depression and increase self-efficacy in diabetic adults and to help them further improve their quality of life.

Keywords:

Depression, anxiety, distress, self-efficacy, diabetes mellitus, Greece.

Affiliation:

Postgraduate Program in Diabetes Care, Nursing Department, Alexander Technological Educational Institute, Thessaloniki, Nursing Department, Technological Educational Institute of Athens, Athens, Postgraduate Program in Diabetes Care, Nursing Department, Alexander Technological Educational Institute, Thessaloniki, Nursing Department, Technological Educational Institute of Athens, Athens, Postgraduate Program in Diabetes Care, Nursing Department, Alexander Technological Educational Institute, Thessaloniki, Postgraduate Program in Diabetes Care, Nursing Department, Alexander Technological Educational Institute, Thessaloniki

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