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Paleo

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Prevalence of Anxiety and Depression among Outpatients with Type 2 Diabetes in the Mexican Population
´ ´ ´ ´ Carlos Tovilla-Zarate1,5*, Isela Juarez-Rojop2, Yesenia Peralta Jimenez1, Marıa Antonia Jimenez1, 1 1 1 3 ´ ´ ´ ˜ ´ Silvia Vazquez , Deysi Bermudez-Ocana , Teresa Ramon-Frıas , Alma D. Genis Mendoza , Sherezada ´ ´ ´ Pool Garcıa4, Lilia Lopez Narvaez5
´ ´ ´ ´mica Multidisciplinaria de Comalcalco, Comalcalco, Tabasco, Me ´xico, 2 Universidad Juarez Autonoma de ´ ´ 1 Universidad Juarez Autonoma de Tabasco, Division Acade ´ ´ ´xico, 3 Servicios de Atencion Psiquia ´ ´trica, Secretarıa de Salud. Me ´xico D. F., Me ´xico, ´ Tabasco, Division Academica de Ciencias de la Salud, Villahermosa, Tabasco, Me ´xico, 5 Centro de Investigacion Genomica, Comalcalco, Tabasco, Mexico ´ ´ ´ ´ 4 Hospital General de Comalcalco, Tabasco. Secretarıa de Salud, Comalcalco, Tabasco, Me

Abstract
Background: Depression and anxiety are common in diabetic patients; however, in recent years the frequency of these symptoms has markedly increased worldwide. Therefore, it is necessary to establish the frequency and factors associated with depression and anxiety, since they can be responsible for premature morbidity, mortality, risk of developing comorbidities, complications, suffering of patients, as well as escalation of costs. We studied the frequency of depression and anxiety in Mexican outpatients with type 2 diabetes and identified the risk factors for depression and anxiety. Methods and Findings: We performed a study in 820 patients with type 2 diabetes. The prevalence of depression and anxiety was estimated using the Hamilton Depression Rating Scale and the Hamilton Anxiety Rating Scale, respectively. We calculated the proportions for depression and anxiety and, after adjusting for confounding variables, we performed multivariate analysis using multiple logistic regressions to

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