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Depression, quality of life, and glycemic control in individuals with type 2 diabetes.

Abstract

PURPOSE

The purpose of this article is to evaluate the contributions of diabetic complications to depression beyond the contributions of demographic characteristics in patients with type 2 diabetes. Further, this article evaluates the contributions of diabetic complications, depression, and quality of life to A1C (also know as HbA1c) beyond the contributions of demographic characteristics in individuals with type 2 diabetes.

DATA SOURCES

A cross-sectional survey of 55 individuals with type 2 diabetes attending an inner city diabetes specialty clinic. Patients completed the Beck Depression Inventory - II, the Inventory of Depressive Symptomatology Self-Report, the Medical Outcome Study Short Form-36, and a demographic questionnaire. A1C and diabetes-related comorbidities were obtained from the patients' medical records.

CONCLUSIONS

Being younger and female were associated with depression in individuals with type 2 diabetes. After controlling for age and gender, neuropathy tended to add to the prediction of depression; other comorbidities did not. Being black was associated with poor diabetic control (A1C > 7). After controlling for race, neuropathy and retinopathy predicted poor diabetes control and depression tended to predict poor diabetes control.

IMPLICATIONS FOR PRACTICE

Given the high prevalence of depression, the relationship of depression with poor diabetic self-care and medication adherence, and the increased cost of treatment for patients with depression among individuals with type 2 diabetes, assessment of depression is crucial. Further research is needed to establish effective treatment of depression and its effect on glycemic control in patients with type 2 diabetes.

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  • Authors+Show Affiliations

    ,

    University of Maryland School of Nursing, Baltimore, MD 21201, USA.

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    Source

    MeSH

    Adult
    Aged
    Cross-Sectional Studies
    Depressive Disorder
    Diabetes Mellitus, Type 2
    Female
    Glycated Hemoglobin A
    Humans
    Hypoglycemic Agents
    Male
    Medication Adherence
    Middle Aged
    Quality of Life
    Risk Factors

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    19366380

    Citation

    Lee, Hyeon-Joo, et al. "Depression, Quality of Life, and Glycemic Control in Individuals With Type 2 Diabetes." Journal of the American Academy of Nurse Practitioners, vol. 21, no. 4, 2009, pp. 214-24.
    Lee HJ, Chapa D, Kao CW, et al. Depression, quality of life, and glycemic control in individuals with type 2 diabetes. J Am Acad Nurse Pract. 2009;21(4):214-24.
    Lee, H. J., Chapa, D., Kao, C. W., Jones, D., Kapustin, J., Smith, J., ... Friedmann, E. (2009). Depression, quality of life, and glycemic control in individuals with type 2 diabetes. Journal of the American Academy of Nurse Practitioners, 21(4), pp. 214-24. doi:10.1111/j.1745-7599.2009.00396.x.
    Lee HJ, et al. Depression, Quality of Life, and Glycemic Control in Individuals With Type 2 Diabetes. J Am Acad Nurse Pract. 2009;21(4):214-24. PubMed PMID: 19366380.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Depression, quality of life, and glycemic control in individuals with type 2 diabetes. AU - Lee,Hyeon-Joo, AU - Chapa,Deborah, AU - Kao,Chi-Wen, AU - Jones,Deborah, AU - Kapustin,Jane, AU - Smith,Jamie, AU - Krichten,Cathy, AU - Donner,Thomas, AU - Thomas,Sue A, AU - Friedmann,Erika, PY - 2009/4/16/entrez PY - 2009/4/16/pubmed PY - 2009/7/23/medline SP - 214 EP - 24 JF - Journal of the American Academy of Nurse Practitioners JO - J Am Acad Nurse Pract VL - 21 IS - 4 N2 - PURPOSE: The purpose of this article is to evaluate the contributions of diabetic complications to depression beyond the contributions of demographic characteristics in patients with type 2 diabetes. Further, this article evaluates the contributions of diabetic complications, depression, and quality of life to A1C (also know as HbA1c) beyond the contributions of demographic characteristics in individuals with type 2 diabetes. DATA SOURCES: A cross-sectional survey of 55 individuals with type 2 diabetes attending an inner city diabetes specialty clinic. Patients completed the Beck Depression Inventory - II, the Inventory of Depressive Symptomatology Self-Report, the Medical Outcome Study Short Form-36, and a demographic questionnaire. A1C and diabetes-related comorbidities were obtained from the patients' medical records. CONCLUSIONS: Being younger and female were associated with depression in individuals with type 2 diabetes. After controlling for age and gender, neuropathy tended to add to the prediction of depression; other comorbidities did not. Being black was associated with poor diabetic control (A1C > 7). After controlling for race, neuropathy and retinopathy predicted poor diabetes control and depression tended to predict poor diabetes control. IMPLICATIONS FOR PRACTICE: Given the high prevalence of depression, the relationship of depression with poor diabetic self-care and medication adherence, and the increased cost of treatment for patients with depression among individuals with type 2 diabetes, assessment of depression is crucial. Further research is needed to establish effective treatment of depression and its effect on glycemic control in patients with type 2 diabetes. SN - 1745-7599 UR - https://www.unboundmedicine.com/medline/citation/19366380/Depression_quality_of_life_and_glycemic_control_in_individuals_with_type_2_diabetes_ L2 - https://doi.org/10.1111/j.1745-7599.2009.00396.x DB - PRIME DP - Unbound Medicine ER -