Investigating the association between diabetes mellitus, depression and psychological distress in a cohort of South African teachers

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dc.contributor.authorDomingo, Abdul Kaderen_ZA
dc.contributor.authorAsmal, Lailaen_ZA
dc.contributor.authorSeedat, Sorayaen_ZA
dc.contributor.authorEsterhuizen, Tonya M.en_ZA
dc.contributor.authorLaurence, Carienen_ZA
dc.contributor.authorVolmink, Jimmyen_ZA
dc.date.accessioned2016-03-18T09:43:47Z
dc.date.available2016-03-18T09:43:47Z
dc.date.issued2015-11
dc.descriptionCITATION: Domingo, A.K. 2015. Investigating the association between diabetes mellitus, depression and psychological distress in a cohort of South African teachers. South African Medical Journal, 105(12):1057-1060, doi:10.7196/SAMJ.2015.v105i12.9843.en_ZA
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractBackground. Diabetes mellitus (DM) may increase the risk of depression as a result of a sense of threat of debilitating complications or because of associated lifestyle changes. Depression may increase the risk of type 2 diabetes as a result of poor health behaviours. Objective. To determine the association between diabetes mellitus, depression and psychological distress in a cohort of South African (SA) teachers. Methods. Teachers from 111 public schools in the Metro South District of the Cape Metropolitan area, SA, were invited to participate in this study. The Center for Epidemiologic Studies Depression Scale (CES-D) and the Kessler Psychological Distress Scale (K10) were used to assess depression and psychological distress, respectively. A professional nurse completed a physical examination and collected blood for measurement of glucose, cholesterol and serum creatinine. Results. Of the 388 teachers who completed the questionnaires, 67.5% were female and the average age was 46.2 years (standard deviation 8.7). Psychological distress was identified in 28.1% of the cohort and depression in 15.5%, and 7.7% were found to fulfil criteria for DM. A diagnosis of DM was associated with an increased risk of depression (adjusted odds ratio (AOR) 3.90; 95% confidence interval (CI) 1.33 - 11.37) and psychological distress (AOR 3.62; 95% CI 1.31 - 10.00). Conclusion. The high prevalence of obesity and DM in this cohort of SA teachers is of concern. A diagnosis of DM was strongly associated with an increased risk of depression and psychological distress.en_ZA
dc.description.urihttp://www.samj.org.za/index.php/samj/article/view/9843
dc.description.versionPublisher's versionen_ZA
dc.format.extent4 pages
dc.identifier.citationDomingo, A.K. 2015. Investigating the association between diabetes mellitus, depression and psychological distress in a cohort of South African teachers. South African Medical Journal, 105(12):1057-1060, doi:10.7196/SAMJ.2015.v105i12.9843.en_ZA
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.otherdoi:10.7196/SAMJ.2015.v105i12.9843
dc.identifier.urihttp://hdl.handle.net/10019.1/98884
dc.language.isoen_ZAen_ZA
dc.publisherHealth & Medical Publishing Groupen_ZA
dc.rights.holderSouth African Medical Journalen_ZA
dc.subjectDiabetus -- South Africa -- Cape Townen_ZA
dc.subjectDepression, Mental -- South Africa -- Cape Townen_ZA
dc.subjectDiabetes -- South Africa -- Cape Town -- Psychological aspectsen_ZA
dc.subjectTeachers -- Diseases -- South Africa -- Cape Townen_ZA
dc.titleInvestigating the association between diabetes mellitus, depression and psychological distress in a cohort of South African teachersen_ZA
dc.typeArticleen_ZA
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