alexa Depression Symptoms among Patients with Multiple Chronic Conditions
ISSN: 2167-1044

Journal of Depression and Anxiety
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Research Article

Depression Symptoms among Patients with Multiple Chronic Conditions

Eliane Ferreira Carvalho Banhato1,2*, Arise Garcia De Siqueira Galil1,2, Tatiane Da Silva Campos2, Fernando A.B. Colugnati1,2, Kimber P. Richter3, Marcus Gomes Bastos1,2 and Ana Paula Cupertino3

1Department of Clinical Medicine and Interdisciplinary Studies, Research and Nephrology Treatments from the Federal University of Juiz De Fora, Brazil

2Fundação Instituto Mineiro de Ensino e Pesquisas em Nefrogia (Fundação IMEPEN), Brazil

3University of Kansas Medical Center, Brazil

*Corresponding Author:
Eliane Ferreira Carvalho Banhato
Av. Vasconcelos, 50/1400 Bairro: Alto dos
Passos CEP: 36026480 Juiz de Fora – MG
Tel: 55323234- 4199
E-mail: [email protected]

Received date: March 23, 2016; Accepted date: May 23, 2016; Published date: May 25, 2016

Citation: Banhato EFC, Galil AGD, Campos TDS, Colugnati FAD, Richter KP, et al. (2016) Depression Symptoms among Patients with Multiple Chronic Conditions. J Depress Anxiety 5:230. doi:10.4172/2167-1044.1000230

Copyright: © 2016 Banhato EFC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Aim: To identify depressive symptoms and biological psychosocial risk factors associated among patients with multiple chronic conditions (MCC). Methods: The study was conducted in a center for the treatment of hypertension, diabetes, and chronic kidney disease in Brazil. During three months a structured interview was conducted among patients waiting for routine visits. In the univariate analysis, descriptive statistics were performed to characterize the sample and in the bivariate analysis were used the chi-square. The risk of depression was calculated in a Prevalence Ratio with 95% confidence interval, as association measure. Variables with p<0.10 were selected for inclusion in the multivariate model, except in the case of self reported chronic disease and the elderly (60 years old or more). Results: The study population included 1.558 patients with MCC. The mean age of participants was 61.4 years (SD = 12.4), most were women (57.5%) and had low levels of education (87.3%). The most prevalent disease was hypertension (88.6%), over half of the sample (55.9%) had 2 chronic diseases, 12% were smokers, and 3.5% were heavy alcohol users. The prevalence of depressive symptoms was 33.3% and was associated with female gender, diabetes and tobacco use. Conclusion: There is a high prevalence of depressive symptoms in this population and it is associated with a number of health conditions and health behaviors, confirming the complex relationship between depressive symptoms and MCC. These data reinforce the need for screening, early diagnosis and management of depression among patients with MCC.


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