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Individuals with type 2 diabetes and depressive symptoms exhibited lower adherence with self-care.
J Clin Epidemiol 2004; 57(9):978-84JC

Abstract

OBJECTIVE

Our study aimed to determine whether depressive symptoms are associated with poor self-care behaviors among patients with type 2 diabetes.

METHODS

Study subjects were 168 patients with diabetes, aged >30 years, who had a diabetes history of 1-15 years. Using a self-reported questionnaire, we evaluated diabetes self-care behaviors and depressive symptoms. Self-care behaviors were evaluated in five categories: medication taking, self-monitoring of blood glucose (SMBG), diet, exercise, and participation in patient education programs. Depressive symptoms were evaluated using the Centers for Epidemiologic Studies-Depression (CES-D) scales. Multiple logistic regression analyses were used to determine the association between self-care behaviors and depressive symptoms.

RESULTS

Higher depressive-symptom scores were associated with poor self-care behaviors, significantly with poor participation in education programs (odds ratio OR=1.21, 95% confidence interval CI=1.06-1.38) and poor diet (OR=1.11, 95% CI=1.01-1.22), and marginally with poor medication taking (OR=1.14, 95% CI=1.00-1.31). Depressive symptoms were not significantly associated with either SMBG or exercise.

CONCLUSIONS

These data suggest that the evaluation and control of depressive symptoms among diabetic patients would improve their adherence to self-care behaviors.

Authors+Show Affiliations

Department of Preventive Medicine, Medical Research Center, Medical College, Ewha Womans University, 911-1 Mok-6-dong, Yangcheon-Gu, Seoul 158-710, Republic of Korea. bpark@ewha.ac.kr

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15504641

Citation

Park, Hyesook, et al. "Individuals With Type 2 Diabetes and Depressive Symptoms Exhibited Lower Adherence With Self-care." Journal of Clinical Epidemiology, vol. 57, no. 9, 2004, pp. 978-84.
Park H, Hong Y, Lee H, et al. Individuals with type 2 diabetes and depressive symptoms exhibited lower adherence with self-care. J Clin Epidemiol. 2004;57(9):978-84.
Park, H., Hong, Y., Lee, H., Ha, E., & Sung, Y. (2004). Individuals with type 2 diabetes and depressive symptoms exhibited lower adherence with self-care. Journal of Clinical Epidemiology, 57(9), pp. 978-84.
Park H, et al. Individuals With Type 2 Diabetes and Depressive Symptoms Exhibited Lower Adherence With Self-care. J Clin Epidemiol. 2004;57(9):978-84. PubMed PMID: 15504641.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Individuals with type 2 diabetes and depressive symptoms exhibited lower adherence with self-care. AU - Park,Hyesook, AU - Hong,Youngsun, AU - Lee,Hyejin, AU - Ha,Eunhee, AU - Sung,Yeonah, PY - 2004/01/20/accepted PY - 2004/10/27/pubmed PY - 2004/12/16/medline PY - 2004/10/27/entrez SP - 978 EP - 84 JF - Journal of clinical epidemiology JO - J Clin Epidemiol VL - 57 IS - 9 N2 - OBJECTIVE: Our study aimed to determine whether depressive symptoms are associated with poor self-care behaviors among patients with type 2 diabetes. METHODS: Study subjects were 168 patients with diabetes, aged >30 years, who had a diabetes history of 1-15 years. Using a self-reported questionnaire, we evaluated diabetes self-care behaviors and depressive symptoms. Self-care behaviors were evaluated in five categories: medication taking, self-monitoring of blood glucose (SMBG), diet, exercise, and participation in patient education programs. Depressive symptoms were evaluated using the Centers for Epidemiologic Studies-Depression (CES-D) scales. Multiple logistic regression analyses were used to determine the association between self-care behaviors and depressive symptoms. RESULTS: Higher depressive-symptom scores were associated with poor self-care behaviors, significantly with poor participation in education programs (odds ratio OR=1.21, 95% confidence interval CI=1.06-1.38) and poor diet (OR=1.11, 95% CI=1.01-1.22), and marginally with poor medication taking (OR=1.14, 95% CI=1.00-1.31). Depressive symptoms were not significantly associated with either SMBG or exercise. CONCLUSIONS: These data suggest that the evaluation and control of depressive symptoms among diabetic patients would improve their adherence to self-care behaviors. SN - 0895-4356 UR - https://www.unboundmedicine.com/medline/citation/15504641/Individuals_with_type_2_diabetes_and_depressive_symptoms_exhibited_lower_adherence_with_self_care_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0895-4356(04)00085-X DB - PRIME DP - Unbound Medicine ER -