{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T15:46:04Z","timestamp":1790264764182,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T00:00:00Z","timestamp":1610496000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009647","name":"University Grants Commission- Nepal","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009647","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Research and Practice"],"published-print":{"date-parts":[[2021,1,13]]},"abstract":"<jats:p>The prevalence of depression and anxiety disorders is common among people with diabetes mellitus. Coexistence of diabetes and depression\/anxiety increases the risk of diabetes complications and reduces the overall quality of life. Hence, this study aimed to assess the depression and anxiety among patients with type 2 diabetes mellitus in Chitwan. Descriptive survey was carried out among 296 purposively selected clinically diagnosed type 2 diabetes patients admitted in the Chitwan Medical College Teaching Hospital from 15th June 2018 to 17th September 2019. Patients were interviewed using the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorders-7 (GAD-7). Data were analyzed using descriptive and inferential statistics. Of 296 diabetic patients, 48.6% were 60 years and above, 59.5% female and 61.5% literate; their common occupation was agriculture (38.2%) followed by household work (26.4%). Nearly two-thirds (62.8%) of diabetes patients had other chronic comorbid conditions. Depression and anxiety were observed among 57.8% and 49.7% of diabetes patients, respectively. While observing the severity, 27.4%, 19.6%, 8.4%, and 2.4% of patients had mild, moderate, moderately severe, and severe depression, respectively. Likewise, 24.7%, 20.3%, and 4.7% of patients had mild, moderate, and severe anxiety, respectively. Current living status, educational status, medicine adherence, satisfaction toward current treatment, and history of mental illness in the family were found to be significant factors associated with the anxiety of patients with diabetes. Further, educational status, smoking habit, satisfaction towards current treatment, and history of diabetes in family were the factors associated with depression. Prevalence of depression and anxiety is high among admitted patients with diabetes mellitus, and many factors are associated with it. Hence, regular screening services are essential along with diabetes management plan for timely identification and treatment of the vulnerable groups in the healthcare centers.<\/jats:p>","DOI":"10.1155\/2021\/8846915","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T01:51:12Z","timestamp":1610589072000},"page":"1-8","source":"Crossref","is-referenced-by-count":35,"title":["Depression and Anxiety among Patients with Type II Diabetes Mellitus in Chitwan Medical College Teaching Hospital, Nepal"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8761-8505","authenticated-orcid":true,"given":"Kalpana","family":"Sharma","sequence":"first","affiliation":[{"name":"School of Nursing, Chitwan Medical College Affiliated to Tribhuvan University, Bharatpur 44207, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3993-1614","authenticated-orcid":true,"given":"Govinda","family":"Dhungana","sequence":"additional","affiliation":[{"name":"Department of Statistics, Birendra Multiple Campus, Tribhuvan University, Bharatpur 44207, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailendra","family":"Adhikari","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Chitwan Medical College Affiliated to Tribhuvan University, Bharatpur 44207, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archana","family":"Bista Pandey","sequence":"additional","affiliation":[{"name":"Maharajgunj Nursing Campus, Institute of Medicine, Tribhuvan University, Bharatpur 44600, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muna","family":"Sharma","sequence":"additional","affiliation":[{"name":"Maharajgunj Nursing Campus, Institute of Medicine, Tribhuvan University, Bharatpur 44600, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","article-title":"Diabetes facts and figures","volume-title":"Diabetes Atlas","author":"International Diabetes Federation","year":"2019","edition":"9th"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.2337\/db18-202-LB"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.3402\/gha.v8.29088"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1177\/0145721707304079"},{"issue":"4","key":"5","first-page":"398","article-title":"Anxiety and depression: physiological and pharmacological considerations","volume":"62","author":"J. 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