EXAMINATION OF DEPRESSION AND ADVERSE CHILDHOOD EXPERIENCES AMONG PATIENTS WITH DIABETES: A CROSS-SECTIONAL STUDY

Öz

This study examined the relationship between depression levels and adverse childhood experiences among patients with diabetes. The sample consisted of 296 volunteer patients with diabetes aged 18–65 who were admitted to the internal medicine outpatient clinic of a public hospital. Data were collected using a sociodemographic information form, the Adverse Childhood Experiences (ACE) Scale, and the Beck Depression Inventory. The results of the regression analysis indicated that ACE scores had a statistically significant but quite limited effect on depression levels (R² = .088). A significant difference was found in Beck Depression Inventory scores by gender, and ACE scores differed according to the presence of comorbid disease. In addition, a statistically significant difference was observed in depression levels according to educational status. Examination of rank means showed that illiterate participants and those with primary school education had higher depression scores. The findings suggest that preventive interventions targeting adverse childhood experiences may contribute to reducing the risk of depression and chronic conditions such as diabetes in later life.

Anahtar Kelimeler

• Adverse childhood experiences
• depression
• diabetes

Teşekkür

We would like to thank Prof. Dr. Veli Duyan, faculty member of the Department of Social Work, Faculty of Health Sciences at Ankara University, for his valuable contributions.

DİYABET HASTALARININ DEPRESYON VE OLUMSUZ ÇOCUKLUK YAŞANTILARININ İNCELENMESİ: KESİTSEL BİR ÇALIŞMA

Öz

Bu araştırmada diyabet hastalarının depresyon düzeyleri ile olumsuz çocukluk yaşantıları arasındaki ilişki incelenmiştir. Çalışma, bir devlet hastanesinin dahiliye polikliniğine başvuran 18–65 yaş arasındaki 296 gönüllü diyabet hastası ile gerçekleştirilmiştir. Veri toplama aracı olarak sosyodemografik bilgi formu, ACE Travma Ölçeği ve Beck Depresyon Ölçeği kullanılmıştır. Regresyon analizi sonucunda ACE puanının depresyon düzeyi üzerinde istatistiksel olarak anlamlı ancak oldukça sınırlı bir etkisi olduğu belirlenmiştir (R² = .088). Cinsiyete göre Beck Depresyon Ölçeği puanları arasında anlamlı fark bulunmuş, başka bir hastalığa sahip olma durumuna göre ACE puanlarının farklılaştığı görülmüştür. Ayrıca öğrenim durumuna göre depresyon düzeyleri arasında istatistiksel olarak anlamlı bir farklılık olduğu saptanmıştır. Depresyon puanlarına ilişkin sıra ortalamaları incelendiğinde, okur-yazar olmayan ve ilkokul mezunu katılımcıların daha yüksek değerlere sahip olduğu görülmüştür. Bulgular, olumsuz çocukluk yaşantılarına yönelik önleyici çalışmalar ve müdahalelerin, ilerleyen yaşlarda depresyon ve diyabet gibi sağlık sorunlarının önlenmesine katkı sağlayabileceğini düşündürmektedir.

Anahtar Kelimeler

• Çocukluk çağı olumsuz yaşantıları
• Depresyon
• diyabet

Teşekkür

Ankara Üniversitesi Sağlık Bilimleri Fakültesi Sosyal Hizmet Bölümü öğretim üyesi Prof. Dr. Veli DUYAN'a değerli katkıları için teşekkür ederiz.

Kaynakça

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