الإكتئاب و جودة الحياة لدى الشباب المصابين بمرض السكري النوع الأول في عيادات الأونروا في الضفة الغربية
Depression and quality of life of youth with juvenile diabetes mellitus attending UNRWA clinics in West Bank
لؤي جورج عبدالله الفواضله
Loai Goerge Abdallah Al-fawadleh
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Background: Juvenile diabetes mellitus is one of the major chronic diseases which affects millions of people worldwide. There is an increase in the incidence of childhood type 1 diabetes mellitus which makes this disorder a major public health problem. Aim: To assess depression and quality of life among youth with Juvenile diabetes (T1DM) aged 15-24 years who attended 20 UNRWA clinics in West Bank. Method: A cross-sectional design was utilized to achieve this purpose. The data was gathered between the first of September, 2013 and finished at the end of October, 2013. Data was collected by using self reported questionnaire including 141 patients attending the UNRWA primary healthcare centers in West Bank. The self-reported questionnaire consisted of socio-demographic data sheet, Beck Depression Inventory Scale (BDI) and Quality of Life (QOL) and they included 57 items. Statistical analysis was performed using the statistical package for social sciences (SPSS), version 18.0 and were analyzed by the using parametric test such as frequency, T-test, ANOVAs test and Pearson's test. Findings: Analysis of the patients’ characteristics showed that the participants’ age ranged from 15 to 24 years old of which 38.3% were less than 18 years old, 51.8% were males and 48.2% were females. The majority of the participants (42.6%) lived in villages, 87.2% were single, 35.5% had elementary education and 36.2% had family income from 1,000For the medical history, 73.8% who were having diabetes mellitus for more than 3 years, 31.8% of the participants suffered from diabetes complications such as eye complications and 31.2% of the participants had psychological problems. The current study showed that the overall QOL for diabetic patients was (65.5%) and (47.5%) of them rated their quality of life as good and very good. They were satisfied NIS to less than 2,000 NIS monthlywith the social domain more than other domains and they were least satisfied with the physical domain. In addition, the current study showed that 41.1% of the participants suffered from the presence of depressive symptoms. Further, the findings showed that independent variables including gender, age, place of residency, marital status, educational level and psychological problems had significant effects on quality of life of the diabetes mellitus type 1 patients. In addition, the findings showed that gender, age, place of residency, marital status, educational level, diabetes complications and psychological problems had significant effects on depression among youth with diabetes mellitus type 1. Furthermore, the Pearson’s test revealed a strong inversed statistically significant relationship between quality of life and depression. The strongest relationship between QOL and depression was for the psychological domain and the weakest relationship was for the social domain. Conclusion: The study found that diabetes mellitus type 1 affected negatively quality of life of youth with juvenile diabetes mellitus type 1 and its four domains (physical, psychological, environment and social) and these patients had a high level of depressive symptoms.