Sleep Quality and Dynmptoms of Depression in Patients With Type 2 Diabetes Mellitus

Abstract

Diabetes mellitus and depression are common comorbidities, a relationship that may indicate a shared autonomic and neurohormonal etiology, which affects the quality of life, including sleep quality.

Objective: To determine the relationship between sleep quality and symptoms of depression in patients with type 2 diabetes mellitus in a family medicine unit.

Material and method. Observational, analytical, cross-sectional study; patients diagnosed with diabetes mellitus, older than 18 years, indistinct sex were included, the clinimetric scale was applied to assess depressive symptoms and the Pittsburgh Sleep Quality Index, previously validated, descriptive statistics were used, chi-square (X2), Mann Whitney U and Kruskal-Wallis H. Results: 308 patients were included, 64% women, between 31 and 87 years, median 64 years, diabetes diagnosis time between 1 and 35 years, 41.9% (129) uncontrolled. According to the clinimetric scale for the diagnosis of depression, 26.3% have mild depression, 6.5% moderate depression, and 12.7% severe depression. 56.8% have poor sleep quality and 43.2% have good sleep quality according to the Pittsburgh Sleep Quality Index. Depression was not associated with age (p 3.26), occupation (p .677), education (p= .083), marital status (p = .475), body mass index (p= .083) or job quality. sleep (p= 0.065). Conclusions: Sleep quality is poor in more than half of the population, it is not associated with depression or glycemic control