ArticleInternational journal of mental health systems2020
Detection and prevalence of depression among adult type 2 diabetes mellitus patients attending non-communicable diseases clinics in Lilongwe, Malawi.
Article in International journal of mental health systems, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 23 citations in OpenAlex.
- Patient perspectives on group problem management plus for adults with major depressive disorder in rural Malawi.Global health action · 2025Trial
- Cost analysis of integrating depression treatment into chronic care in Malawi: evidence from a cluster randomised controlled trial.BMJ open · 2025Trial
- Article
- Prevalence of Depression and Associated Factors Among Adult Diabetic Men on Follow-Up at Goba and Robe Hospitals: Institution-Based Cross-Sectional Study.Health science reports · 2026Article
- Applying the Multi-Theory Model of Health Behavior Change to Examine Depression Among U.S. Adults with Diagnosed Diabetes.Healthcare (Basel, Switzerland) · 2026Article
- Prevalence and determinants of depression and anxiety among patients enrolled in palliative care: The Case of a palliative care program in Neno District, Malawi.Palliative care and social practice · 2026Article
- Provider perceptions and experiences integrating depression treatment into chronic healthcare services in Neno District, Malawi: a qualitative study.BMC health services research · 2025Article
- Article
- Barriers and potential solutions for effective integration of depression care into non-communicable diseases clinics in Malawi: a qualitative end-point evaluation of the SHARP randomized controlled trial.International journal of mental health systems · 2025Article
- Barriers and facilitators to integrating the friendship bench into non-communicable disease care in Malawi: A qualitative study.PLOS mental health · 2025Article
- Article
- Improving integrated depression and non-communicable disease care in Malawi through engaged leadership and supportive implementation climate.BMC health services research · 2023Article
- The risk associated with psychiatric disturbances in patients with diabetes in Indonesia (2018): a cross-sectional observational study.Osong public health and research perspectives · 2023Article
- Employers Feedback on Psychosocial Counselling Graduates' Performance in Selected Healthcare Facilities in Malawi.Journal of multidisciplinary healthcare · 2023Article
- The prevalence of depression and its associated factors among patients with diabetes mellitus attending a tertiary clinic in Gaborone, Botswana.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2022Article
- Multimorbidity and achievement of treatment goals among patients with type 2 diabetes: a primary care, real-world study.BMC health services research · 2021Article
- Prevalence of depression and associated factors among patients with type 2 diabetes mellitus in eastern Sudan.BMC psychiatry · 2021Article
- Burden of chronic disease comorbidities among cancer patients at Queen Elizabeth and Kamuzu Central Hospitals in Malawi: an exploratory cross-sectional study.The Pan African medical journal · 2021Article
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Authors and funding
4 authors at 2 institutions in 3 countries.
Funding
Abstract
backgroundDepression is associated with chronic physical illnesses and negatively affects health outcomes. However, it often goes undiagnosed and untreated. We investigated the prevalence of depression among adult type 2 diabetes mellitus (T2DM) patients attending non-communicable diseases (NCD) clinics in Lilongwe, Malawi, and estimated the level of routine detection by NCD clinicians. This study set out to determine the prevalence of major depression and its detection among adult type 2 diabetes mellitus (T2DM) patients attending NCD clinics in Lilongwe, Malawi.
methodsIn a cross-sectional study design, 323 T2DM patients aged ≥ 18 years were screened for depression with the Patient Health Questionnare-9 (PHQ-9) followed by diagnostic assessment with the Structured Clinical Interview for DSM-IV (SCID). We analysed the association between presence of major depression and sociodemographic factors using logistic regression.
resultsThree quarters of the participants (76%) were females. The participants' ages ranged from 21-79 years. Of the 323 participants, 58 (18%) met criteria for DSM-IV major depression. None of the cases of major depression had been identified by the NCD clinicians. Major depression was found not to be significantly associated with any of the sociodemographic factors.
conclusionsWe found that depression is common among NCD clinic attendees with T2DM in Malawi, and poorly detected by NCD clinicians. Given the high prevalence and challenges in clinical identification, integration of depression screening with a standardized validated tool should be a high priority so as to link patients to appropriate services.
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