title: [Prevalence and gravity of depression and anxiety in patients with obesity and type 2 diabetes: a study in the population of Tabasco, Mexico].
abstract: OBJECTIVE
  The aim of this study was to assess the prevalence of anxiety and depression in groups of obese and normal-weight individuals with type 2 diabetes. Also, to analyze the severity of depression in type 2 diabetics by taking into account the body mass index in people with this condition.
  
  
  METHODS
  This study included 702 patients with type 2 diabetes, 236 with normal weight, and 231 with obesity. All participants completed a demographic questionnaire, the Hamilton Anxiety Rating Scale and the Hamilton Depression Rating Scale.
  
  
  RESULTS
  In patients with obesity, 48.48% (95% CI: 41.82-55.14) were positive for anxiety and 49.78% (95% CI: 43.11-56.44) for depression. A significant correlation existed between the Hamilton Depression Rating Scale and body mass index with a correlation coefficient of 0.11 (p = 0.003). Also, a significant correlation coefficient equal to 0.107 (p = 0.005) between the Hamilton Anxiety Rating Scale and body mass index was found. In addition, when we analyzed depression scores, significant differences were encountered for gender between normal-weight and obesity groups in the range of severe (p = 0.01) and very severe (p = 0.04) cases.
  
  
  CONCLUSIONS
  In view of the existing relationships observed among obesity, depression, anxiety, and gender in type 2 diabetics, we consider that a psychological intervention is necessary for an integral management of these patients.
authors: Universidad Juárez Autónoma de Tabasco (UJAT), División Multidisciplinaria de Comalcalco, Comalcalco, Tab.
authors: Fátima
authors: F
authors: Martínez Hernández
authors: Universidad Juárez Autónoma de Tabasco (UJAT), División Multidisciplinaria de Comalcalco, Comalcalco, Tab.
authors: Carlos Alfonso
authors: CA
authors: Tovilla Zárate
authors: Centro de Investigación Genómica (CIGEN), Comalcalco, Tab.; Hospital General de Yajalón, Secretaría de Salud de Chiapas, Yajalón, Chis.
authors: Lilia
authors: L
authors: López Narváez
authors: UJAT, División Académica de Ciencias de la Salud, Villahermosa, Tab.
authors: Isela E
authors: IE
authors: Juárez Rojop
authors: Universidad Juárez Autónoma de Tabasco (UJAT), División Multidisciplinaria de Comalcalco, Comalcalco, Tab.
authors: María A
authors: MA
authors: Jiménez Santos
authors: Hospital General de Comalcalco, Tabasco, Secretaría de Salud, Comalcalco, Tab.
authors: Cristell P
authors: CP
authors: González Gutiérrez
authors: Hospital General de Comalcalco, Tabasco, Secretaría de Salud, Comalcalco, Tab.
authors: Sherezada
authors: S
authors: Pool García