Project Description

There were 58, 23 and 19 patients with PHQ-9 scores of 0-4, 5-9, and >10, respectively By univariate analysis, proficiency in speaking English, age at time of immigration, length of time in Australia, time spent alone each day and presence of exercise activity were significantly different between the PHQ-9 groupings The three PHQ-9 subgroups were also different in their diabetes treatment, glycemic control, presence and number of chronic complications and history of previous hypoglycemia By multivariate analysis, PHQ-9 scores were found to be independently determined by previous history of hypoglycemia, number of chronic complications, time spent alone, presence of chronic complications and ability to speak English
One-fifth of immigrant Chinese patients with diabetes in the study had symptoms consistent with moderate to severe depression. This is likely to be under-recognized in comparison to other ethnic groups with a more open attitude to psychological illness. Individuals who are socially isolated and have more complex treatment and complications of diabetes are particularly at risk.
Social isolation increases risk of complications of diabetes.