Depressive symptoms in the first year from diagnosis of Type 2 diabetes: results from the DESMOND trial

Diabet. Med. 27, 965–967 (2010) Aims  To describe the course of depressive symptoms during the first year after diagnosis of Type 2 diabetes. Methods  Post hoc analysis of data from a randomized controlled trial of self‐management education for 824 individuals newly diagnosed with Type 2 diabetes. P...

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Veröffentlicht in:Diabetic medicine 2010-08, Vol.27 (8), p.965-967
Hauptverfasser: Skinner, T. C., Carey, M. E., Cradock, S., Dallosso, H. M., Daly, H., Davies, M. J., Doherty, Y., Heller, S., Khunti, K., Oliver, L.
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container_end_page 967
container_issue 8
container_start_page 965
container_title Diabetic medicine
container_volume 27
creator Skinner, T. C.
Carey, M. E.
Cradock, S.
Dallosso, H. M.
Daly, H.
Davies, M. J.
Doherty, Y.
Heller, S.
Khunti, K.
Oliver, L.
description Diabet. Med. 27, 965–967 (2010) Aims  To describe the course of depressive symptoms during the first year after diagnosis of Type 2 diabetes. Methods  Post hoc analysis of data from a randomized controlled trial of self‐management education for 824 individuals newly diagnosed with Type 2 diabetes. Participants completed the Depression scale of the Hospital Anxiety and Depression Scale after diagnosis and at 4, 8 and 12 months follow‐up. Participants also completed the Problem Areas in Diabetes scale at 8 and 12 months follow‐up. We present descriptive statistics on prevalence and persistence of depressive symptoms. Logistic regression is used to predict possible depression cases, and multiple regression to predict depressive symptomatology. Results  The prevalence of depressive symptoms in individuals recently diagnosed with diabetes (18–22% over the year) was not significantly different from normative data for the general population (12%) in the UK. Over 20% of participants indicated some degrees of depressive symptoms over the first year of living with Type 2 diabetes; these were mostly transient episodes, with 5% (1% severe) reporting having depressive symptoms throughout the year. At 12 months post diagnosis, after controlling for baseline depressive symptoms, diabetes‐specific emotional distress was predictive of depressive symptomatology. Conclusions  The increased prevalence of depressive symptoms in diabetes is not manifest until at least 1 year post diagnosis in this cohort. However, there are a significant number of people with persistent depressive symptoms in the early stages of diabetes, and diabetes‐specific distress may be contributing to subsequent development of depressive symptoms in people with Type 2 diabetes.
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C. ; Carey, M. E. ; Cradock, S. ; Dallosso, H. M. ; Daly, H. ; Davies, M. J. ; Doherty, Y. ; Heller, S. ; Khunti, K. ; Oliver, L.</creator><creatorcontrib>Skinner, T. C. ; Carey, M. E. ; Cradock, S. ; Dallosso, H. M. ; Daly, H. ; Davies, M. J. ; Doherty, Y. ; Heller, S. ; Khunti, K. ; Oliver, L. ; DESMOND Collaborative ; on behalf of The DESMOND Collaborative</creatorcontrib><description>Diabet. Med. 27, 965–967 (2010) Aims  To describe the course of depressive symptoms during the first year after diagnosis of Type 2 diabetes. Methods  Post hoc analysis of data from a randomized controlled trial of self‐management education for 824 individuals newly diagnosed with Type 2 diabetes. Participants completed the Depression scale of the Hospital Anxiety and Depression Scale after diagnosis and at 4, 8 and 12 months follow‐up. Participants also completed the Problem Areas in Diabetes scale at 8 and 12 months follow‐up. We present descriptive statistics on prevalence and persistence of depressive symptoms. Logistic regression is used to predict possible depression cases, and multiple regression to predict depressive symptomatology. Results  The prevalence of depressive symptoms in individuals recently diagnosed with diabetes (18–22% over the year) was not significantly different from normative data for the general population (12%) in the UK. Over 20% of participants indicated some degrees of depressive symptoms over the first year of living with Type 2 diabetes; these were mostly transient episodes, with 5% (1% severe) reporting having depressive symptoms throughout the year. At 12 months post diagnosis, after controlling for baseline depressive symptoms, diabetes‐specific emotional distress was predictive of depressive symptomatology. Conclusions  The increased prevalence of depressive symptoms in diabetes is not manifest until at least 1 year post diagnosis in this cohort. However, there are a significant number of people with persistent depressive symptoms in the early stages of diabetes, and diabetes‐specific distress may be contributing to subsequent development of depressive symptoms in people with Type 2 diabetes.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/j.1464-5491.2010.03028.x</identifier><identifier>PMID: 20653757</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Anxiety ; Biological and medical sciences ; depression ; Depressive Disorder - diagnosis ; Depressive Disorder - psychology ; Diabetes Mellitus, Type 2 - diagnosis ; Diabetes Mellitus, Type 2 - psychology ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Feeding. 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C.</creatorcontrib><creatorcontrib>Carey, M. E.</creatorcontrib><creatorcontrib>Cradock, S.</creatorcontrib><creatorcontrib>Dallosso, H. M.</creatorcontrib><creatorcontrib>Daly, H.</creatorcontrib><creatorcontrib>Davies, M. J.</creatorcontrib><creatorcontrib>Doherty, Y.</creatorcontrib><creatorcontrib>Heller, S.</creatorcontrib><creatorcontrib>Khunti, K.</creatorcontrib><creatorcontrib>Oliver, L.</creatorcontrib><creatorcontrib>DESMOND Collaborative</creatorcontrib><creatorcontrib>on behalf of The DESMOND Collaborative</creatorcontrib><title>Depressive symptoms in the first year from diagnosis of Type 2 diabetes: results from the DESMOND trial</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Diabet. Med. 27, 965–967 (2010) Aims  To describe the course of depressive symptoms during the first year after diagnosis of Type 2 diabetes. Methods  Post hoc analysis of data from a randomized controlled trial of self‐management education for 824 individuals newly diagnosed with Type 2 diabetes. Participants completed the Depression scale of the Hospital Anxiety and Depression Scale after diagnosis and at 4, 8 and 12 months follow‐up. Participants also completed the Problem Areas in Diabetes scale at 8 and 12 months follow‐up. We present descriptive statistics on prevalence and persistence of depressive symptoms. Logistic regression is used to predict possible depression cases, and multiple regression to predict depressive symptomatology. Results  The prevalence of depressive symptoms in individuals recently diagnosed with diabetes (18–22% over the year) was not significantly different from normative data for the general population (12%) in the UK. Over 20% of participants indicated some degrees of depressive symptoms over the first year of living with Type 2 diabetes; these were mostly transient episodes, with 5% (1% severe) reporting having depressive symptoms throughout the year. At 12 months post diagnosis, after controlling for baseline depressive symptoms, diabetes‐specific emotional distress was predictive of depressive symptomatology. Conclusions  The increased prevalence of depressive symptoms in diabetes is not manifest until at least 1 year post diagnosis in this cohort. However, there are a significant number of people with persistent depressive symptoms in the early stages of diabetes, and diabetes‐specific distress may be contributing to subsequent development of depressive symptoms in people with Type 2 diabetes.</description><subject>Anxiety</subject><subject>Biological and medical sciences</subject><subject>depression</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - psychology</subject><subject>Diabetes Mellitus, Type 2 - diagnosis</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Prevalence</subject><subject>type 2 diabetes</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE2P0zAQhi0EYsvCX0C-IE4p_kpsI3GAbXdB6u4isQiJi-Wkk8UlaYonhebf45BSrliybI2fdzx6CKGczXlarzZzrgqV5cryuWCpyiQTZn54QGanh4dkxrQSmWSan5EniBvGuLDSPiZnghW51LmekfsF7CIghp9AcWh3fdciDVvafwNah4g9HcBHWseupevg77cdBqRdTe-GHVAx1kroAV_T1GXf9DihY3yx_HR9e7OgfQy-eUoe1b5BeHY8z8nny-XdxftsdXv14eLtKquULEwmjJS6NLW3sDZpC51bppniurQlCCtsxVTORak0B5nntqyrtbXG6EopC7U8Jy-nvrvY_dgD9q4NWEHT-C10e3RaWcYNNyqRZiKr2CFGqN0uhtbHwXHmRstu40aZbpTpRsvuj2V3SNHnx0_2ZQvrU_Cv1gS8OAIeK9_U0W-rgP84yQouhEzcm4n7FRoY_nsAt7hejreUz6Z8wB4Op7yP312h0yTuy82V-_rRXr6TQrmV_A1NxqXc</recordid><startdate>201008</startdate><enddate>201008</enddate><creator>Skinner, T. C.</creator><creator>Carey, M. E.</creator><creator>Cradock, S.</creator><creator>Dallosso, H. M.</creator><creator>Daly, H.</creator><creator>Davies, M. J.</creator><creator>Doherty, Y.</creator><creator>Heller, S.</creator><creator>Khunti, K.</creator><creator>Oliver, L.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201008</creationdate><title>Depressive symptoms in the first year from diagnosis of Type 2 diabetes: results from the DESMOND trial</title><author>Skinner, T. C. ; Carey, M. E. ; Cradock, S. ; Dallosso, H. M. ; Daly, H. ; Davies, M. 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Psychology</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Prevalence</topic><topic>type 2 diabetes</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Skinner, T. C.</creatorcontrib><creatorcontrib>Carey, M. E.</creatorcontrib><creatorcontrib>Cradock, S.</creatorcontrib><creatorcontrib>Dallosso, H. M.</creatorcontrib><creatorcontrib>Daly, H.</creatorcontrib><creatorcontrib>Davies, M. J.</creatorcontrib><creatorcontrib>Doherty, Y.</creatorcontrib><creatorcontrib>Heller, S.</creatorcontrib><creatorcontrib>Khunti, K.</creatorcontrib><creatorcontrib>Oliver, L.</creatorcontrib><creatorcontrib>DESMOND Collaborative</creatorcontrib><creatorcontrib>on behalf of The DESMOND Collaborative</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Skinner, T. C.</au><au>Carey, M. E.</au><au>Cradock, S.</au><au>Dallosso, H. M.</au><au>Daly, H.</au><au>Davies, M. J.</au><au>Doherty, Y.</au><au>Heller, S.</au><au>Khunti, K.</au><au>Oliver, L.</au><aucorp>DESMOND Collaborative</aucorp><aucorp>on behalf of The DESMOND Collaborative</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depressive symptoms in the first year from diagnosis of Type 2 diabetes: results from the DESMOND trial</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2010-08</date><risdate>2010</risdate><volume>27</volume><issue>8</issue><spage>965</spage><epage>967</epage><pages>965-967</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Diabet. Med. 27, 965–967 (2010) Aims  To describe the course of depressive symptoms during the first year after diagnosis of Type 2 diabetes. Methods  Post hoc analysis of data from a randomized controlled trial of self‐management education for 824 individuals newly diagnosed with Type 2 diabetes. Participants completed the Depression scale of the Hospital Anxiety and Depression Scale after diagnosis and at 4, 8 and 12 months follow‐up. Participants also completed the Problem Areas in Diabetes scale at 8 and 12 months follow‐up. We present descriptive statistics on prevalence and persistence of depressive symptoms. Logistic regression is used to predict possible depression cases, and multiple regression to predict depressive symptomatology. Results  The prevalence of depressive symptoms in individuals recently diagnosed with diabetes (18–22% over the year) was not significantly different from normative data for the general population (12%) in the UK. Over 20% of participants indicated some degrees of depressive symptoms over the first year of living with Type 2 diabetes; these were mostly transient episodes, with 5% (1% severe) reporting having depressive symptoms throughout the year. At 12 months post diagnosis, after controlling for baseline depressive symptoms, diabetes‐specific emotional distress was predictive of depressive symptomatology. Conclusions  The increased prevalence of depressive symptoms in diabetes is not manifest until at least 1 year post diagnosis in this cohort. However, there are a significant number of people with persistent depressive symptoms in the early stages of diabetes, and diabetes‐specific distress may be contributing to subsequent development of depressive symptoms in people with Type 2 diabetes.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20653757</pmid><doi>10.1111/j.1464-5491.2010.03028.x</doi><tpages>3</tpages></addata></record>
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subjects Anxiety
Biological and medical sciences
depression
Depressive Disorder - diagnosis
Depressive Disorder - psychology
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - psychology
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Humans
Logistic Models
Male
Medical sciences
Prevalence
type 2 diabetes
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vertebrates: endocrinology
title Depressive symptoms in the first year from diagnosis of Type 2 diabetes: results from the DESMOND trial
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