Journal of Family Medicine and Primary Care

LETTER TO EDITOR
Year
: 2013  |  Volume : 2  |  Issue : 2  |  Page : 209-

Healthcare technician delivered screening of adults with diabetes to improve primary care provider recognition of depression


Sunil Kumar Raina 
 Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, Himachal Pradesh, India

Correspondence Address:
Sunil Kumar Raina
Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, Tanda,Kangra Himachal Pradesh
India




How to cite this article:
Raina SK. Healthcare technician delivered screening of adults with diabetes to improve primary care provider recognition of depression.J Family Med Prim Care 2013;2:209-209


How to cite this URL:
Raina SK. Healthcare technician delivered screening of adults with diabetes to improve primary care provider recognition of depression. J Family Med Prim Care [serial online] 2013 [cited 2019 Sep 17 ];2:209-209
Available from: http://www.jfmpc.com/text.asp?2013/2/2/209/117430


Full Text

Dear Editor,

This is in reference to the article entitled "Healthcare technician delivered screening of adults with diabetes to improve primary care provider recognition of depression" published in your journal. [1] In spite of my reservation with the methodology adopted for conducting this study, I am happy to see a publication highlighting the psychological aspects of Diabetes being published in an Indian Journal. This to me is refreshing as at least now we have begun to recognize the importance of psychosociology in noncommunicable diseases. As pointed out by the authors, the intervention delivered in the study was based on the curriculum from the American Association of Diabetes Educators' Fundamentals of Diabetes Care course for HCTs. A meta-analysis of 39 studies provides ample evidence on the importance of psychosociology of Diabetes. [2] It pointed out that 11% of patients with diabetes met the criteria for comorbid, major depressive disorder and 31% experienced significant depressive symptoms; in addition, the prevalence of depression in patients with diabetes was significantly higher in women than men (28 and 18%, respectively; P < 0.0001). It further mentions that in the controlled studies, the odds of having depression were twice as great in patients with diabetes as in their nondiabetic counterparts (odds ratio, 2.0; 95% confidence interval, 1.8-2.2). Now given the number of diabetics we have in India, the magnitude of dealing with comorbid, particularly psychosocial conditions seems a daunting task. And it is herein that the role of various healthcare professionals in dealing with this issue needs to be underlined. But given the fact that we are still to evolve, a consensus on this makes it a difficult job for healthcare providers.

In this regard, I went through a literature search on similar guidelines for Indian patients, but was surprised to find none. The closest we came to dealing with this aspect in noncommunicable diseases is providing statements, like creating awareness etc., without clearly outlining how exactly this will be done. In this regard, I also went through Indian Public Health Standards-12 published by the Ministry of Health and Family welfare, Govt. of India and therein also, I was unable to find anything in terms of guidelines for dealing with psychosociology of noncommunicable diseases. [3] I hope that this paper will initiate a chain of papers on this topic and probably pave a way in this direction.

References

1Scollan-Koliopoulos M, Herrera I, Romano K, Gregory C, Rapp K, Bleich D. Healthcare technician delivered screening of adults with diabetes to improve primary care provider recognition of depression. J Fam Med Prim Care 2012;1:97-102.
2Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. The prevalence of comorbid depression in adults with diabetes: A meta-analysis. Diabetes Care 2001;24:1069-78.
3Indian Public Health Standards-12. Ministry of Health and Family Welfare, Government of India. Available from: www.mohfw.nic.in/NRHM/Task_grp/Task_group_IPHS.pdf. [Last accessed on 2013 Jan 12].