Symptoms of depression prospectively predict poorer self-care in patients with Type 2 diabetes
Aims To examine prospectively the association of depression symptoms with subsequent self‐care and medication adherence in patients with Type 2 diabetes mellitus. Methods Two hundred and eight primary care patients with Type 2 diabetes completed the Harvard Department of Psychiatry/National Depres...
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| Veröffentlicht in: | Diabetic medicine 2008-09, Vol.25 (9), p.1102-1107 |
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| creator | Gonzalez, J. S. Safren, S. A. Delahanty, L. M. Cagliero, E. Wexler, D. J. Meigs, J. B. Grant, R. W. |
| description | Aims To examine prospectively the association of depression symptoms with subsequent self‐care and medication adherence in patients with Type 2 diabetes mellitus.
Methods Two hundred and eight primary care patients with Type 2 diabetes completed the Harvard Department of Psychiatry/National Depression Screening Day Scale (HANDS) and the Summary of Diabetes Self‐Care Activities (SDSCA) at baseline and at follow‐up, an average of 9 months later. They also self‐reported medication adherence at baseline and at a follow‐up.
Results Baseline HANDS scores ranged from 0 to 27, with a mean score of 5.15 ± 4.99. In separate linear regression models that adjusted for baseline self‐care, patients with higher levels of depressive symptoms at baseline reported significantly lower adherence to general diet recommendations and specific recommendations for consumption of fruits and vegetables and spacing of carbohydrates; less exercise; and poorer foot care at follow‐up (β ranging from −0.12 to −0.23; P |
| doi_str_mv | 10.1111/j.1464-5491.2008.02535.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2635490</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>66668787</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5405-b7a7d6da6fde6bead36e59d036eee33627266448f9620c372968bb23a6a7c3593</originalsourceid><addsrcrecordid>eNqNkU1v1DAQhi1ERZfCX0C-wC2pPxI7OYCESlmQtu2BAhIHLMeZUC9JnNrZdvPv67CrLdyYy9ia550ZzYsQpiSlMU7XKc1EluRZSVNGSJESlvM83T5Bi0PhKVoQmbGEE0mP0fMQ1oRQVvLyGTqmJS04p_kC_fwydcPouoBdg2sYPIRgXY8H78IAZrR30E7xB7U1Ix6c8-BxgLZJjPaAbST1aKEfA7634w2-ngbADNdWVzBCeIGOGt0GeLnPJ-jrx_Prs0_J6mr5-ez9KjF5RvKkklrWotaiqUFUoGsuIC9rEhMA54JJJkSWFU0pGDFcslIUVcW4Floanpf8BL3b9R02VQe1iQt53arB2077STlt1b-V3t6oX-5OMcHjsUhs8GbfwLvbDYRRdTYYaFvdg9sEJWIUspARLHagiRcKHprDEErUbI5aq9kDNXugZnPUH3PUNkpf_b3ko3DvRgRe7wEdjG4br3tjw4FjRDAuMxq5tzvu3rYw_fcC6sPF-fyK-mSnt2GE7UGv_W8lJJe5-n65VGy1_EG_sUvF-QNZirv8</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>66668787</pqid></control><display><type>article</type><title>Symptoms of depression prospectively predict poorer self-care in patients with Type 2 diabetes</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Gonzalez, J. S. ; Safren, S. A. ; Delahanty, L. M. ; Cagliero, E. ; Wexler, D. J. ; Meigs, J. B. ; Grant, R. W.</creator><creatorcontrib>Gonzalez, J. S. ; Safren, S. A. ; Delahanty, L. M. ; Cagliero, E. ; Wexler, D. J. ; Meigs, J. B. ; Grant, R. W.</creatorcontrib><description>Aims To examine prospectively the association of depression symptoms with subsequent self‐care and medication adherence in patients with Type 2 diabetes mellitus.
Methods Two hundred and eight primary care patients with Type 2 diabetes completed the Harvard Department of Psychiatry/National Depression Screening Day Scale (HANDS) and the Summary of Diabetes Self‐Care Activities (SDSCA) at baseline and at follow‐up, an average of 9 months later. They also self‐reported medication adherence at baseline and at a follow‐up.
Results Baseline HANDS scores ranged from 0 to 27, with a mean score of 5.15 ± 4.99. In separate linear regression models that adjusted for baseline self‐care, patients with higher levels of depressive symptoms at baseline reported significantly lower adherence to general diet recommendations and specific recommendations for consumption of fruits and vegetables and spacing of carbohydrates; less exercise; and poorer foot care at follow‐up (β ranging from −0.12 to −0.23; P < 0.05). Similarly, each one‐point increase in baseline HANDS score was associated with a 1.08‐fold increase in the odds of non‐adherence to prescribed medication at follow‐up (95% confidence interval 1.001, 1.158, P = 0.047). Increases in depression scores over time also predicted poorer adherence to aspects of diet and exercise.
Conclusions Depressive symptoms predict subsequent non‐adherence to important aspects of self‐care in patients with Type 2 diabetes, even after controlling for baseline self‐care. Although the relationship between symptoms of depression and poorer diabetes self‐care is consistent, it is not large, and interventions may need to address depression and self‐care skills simultaneously in order to maximize effects on diabetes outcomes.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/j.1464-5491.2008.02535.x</identifier><identifier>PMID: 19183315</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>adherence ; Aged ; Biological and medical sciences ; compliance ; depression ; Depressive Disorder - etiology ; diabetes ; Diabetes Mellitus, Type 2 - psychology ; Diabetes Mellitus, Type 2 - therapy ; 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 ; Male ; Medical sciences ; Middle Aged ; Patient Compliance - psychology ; Risk Factors ; Self Care - psychology ; self-care ; Stress, Psychological - etiology ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology</subject><ispartof>Diabetic medicine, 2008-09, Vol.25 (9), p.1102-1107</ispartof><rights>2008 The Authors. Journal compilation © 2008 Diabetes UK</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5405-b7a7d6da6fde6bead36e59d036eee33627266448f9620c372968bb23a6a7c3593</citedby><cites>FETCH-LOGICAL-c5405-b7a7d6da6fde6bead36e59d036eee33627266448f9620c372968bb23a6a7c3593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-5491.2008.02535.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-5491.2008.02535.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20623741$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19183315$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gonzalez, J. S.</creatorcontrib><creatorcontrib>Safren, S. A.</creatorcontrib><creatorcontrib>Delahanty, L. M.</creatorcontrib><creatorcontrib>Cagliero, E.</creatorcontrib><creatorcontrib>Wexler, D. J.</creatorcontrib><creatorcontrib>Meigs, J. B.</creatorcontrib><creatorcontrib>Grant, R. W.</creatorcontrib><title>Symptoms of depression prospectively predict poorer self-care in patients with Type 2 diabetes</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Aims To examine prospectively the association of depression symptoms with subsequent self‐care and medication adherence in patients with Type 2 diabetes mellitus.
Methods Two hundred and eight primary care patients with Type 2 diabetes completed the Harvard Department of Psychiatry/National Depression Screening Day Scale (HANDS) and the Summary of Diabetes Self‐Care Activities (SDSCA) at baseline and at follow‐up, an average of 9 months later. They also self‐reported medication adherence at baseline and at a follow‐up.
Results Baseline HANDS scores ranged from 0 to 27, with a mean score of 5.15 ± 4.99. In separate linear regression models that adjusted for baseline self‐care, patients with higher levels of depressive symptoms at baseline reported significantly lower adherence to general diet recommendations and specific recommendations for consumption of fruits and vegetables and spacing of carbohydrates; less exercise; and poorer foot care at follow‐up (β ranging from −0.12 to −0.23; P < 0.05). Similarly, each one‐point increase in baseline HANDS score was associated with a 1.08‐fold increase in the odds of non‐adherence to prescribed medication at follow‐up (95% confidence interval 1.001, 1.158, P = 0.047). Increases in depression scores over time also predicted poorer adherence to aspects of diet and exercise.
Conclusions Depressive symptoms predict subsequent non‐adherence to important aspects of self‐care in patients with Type 2 diabetes, even after controlling for baseline self‐care. Although the relationship between symptoms of depression and poorer diabetes self‐care is consistent, it is not large, and interventions may need to address depression and self‐care skills simultaneously in order to maximize effects on diabetes outcomes.</description><subject>adherence</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>compliance</subject><subject>depression</subject><subject>Depressive Disorder - etiology</subject><subject>diabetes</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes Mellitus, Type 2 - therapy</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>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Compliance - psychology</subject><subject>Risk Factors</subject><subject>Self Care - psychology</subject><subject>self-care</subject><subject>Stress, Psychological - etiology</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>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhi1ERZfCX0C-wC2pPxI7OYCESlmQtu2BAhIHLMeZUC9JnNrZdvPv67CrLdyYy9ia550ZzYsQpiSlMU7XKc1EluRZSVNGSJESlvM83T5Bi0PhKVoQmbGEE0mP0fMQ1oRQVvLyGTqmJS04p_kC_fwydcPouoBdg2sYPIRgXY8H78IAZrR30E7xB7U1Ix6c8-BxgLZJjPaAbST1aKEfA7634w2-ngbADNdWVzBCeIGOGt0GeLnPJ-jrx_Prs0_J6mr5-ez9KjF5RvKkklrWotaiqUFUoGsuIC9rEhMA54JJJkSWFU0pGDFcslIUVcW4Floanpf8BL3b9R02VQe1iQt53arB2077STlt1b-V3t6oX-5OMcHjsUhs8GbfwLvbDYRRdTYYaFvdg9sEJWIUspARLHagiRcKHprDEErUbI5aq9kDNXugZnPUH3PUNkpf_b3ko3DvRgRe7wEdjG4br3tjw4FjRDAuMxq5tzvu3rYw_fcC6sPF-fyK-mSnt2GE7UGv_W8lJJe5-n65VGy1_EG_sUvF-QNZirv8</recordid><startdate>200809</startdate><enddate>200809</enddate><creator>Gonzalez, J. S.</creator><creator>Safren, S. A.</creator><creator>Delahanty, L. M.</creator><creator>Cagliero, E.</creator><creator>Wexler, D. J.</creator><creator>Meigs, J. B.</creator><creator>Grant, R. W.</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><scope>5PM</scope></search><sort><creationdate>200809</creationdate><title>Symptoms of depression prospectively predict poorer self-care in patients with Type 2 diabetes</title><author>Gonzalez, J. S. ; Safren, S. A. ; Delahanty, L. M. ; Cagliero, E. ; Wexler, D. J. ; Meigs, J. B. ; Grant, R. W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5405-b7a7d6da6fde6bead36e59d036eee33627266448f9620c372968bb23a6a7c3593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>adherence</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>compliance</topic><topic>depression</topic><topic>Depressive Disorder - etiology</topic><topic>diabetes</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Compliance - psychology</topic><topic>Risk Factors</topic><topic>Self Care - psychology</topic><topic>self-care</topic><topic>Stress, Psychological - etiology</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>Gonzalez, J. S.</creatorcontrib><creatorcontrib>Safren, S. A.</creatorcontrib><creatorcontrib>Delahanty, L. M.</creatorcontrib><creatorcontrib>Cagliero, E.</creatorcontrib><creatorcontrib>Wexler, D. J.</creatorcontrib><creatorcontrib>Meigs, J. B.</creatorcontrib><creatorcontrib>Grant, R. W.</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gonzalez, J. S.</au><au>Safren, S. A.</au><au>Delahanty, L. M.</au><au>Cagliero, E.</au><au>Wexler, D. J.</au><au>Meigs, J. B.</au><au>Grant, R. W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Symptoms of depression prospectively predict poorer self-care in patients with Type 2 diabetes</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2008-09</date><risdate>2008</risdate><volume>25</volume><issue>9</issue><spage>1102</spage><epage>1107</epage><pages>1102-1107</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aims To examine prospectively the association of depression symptoms with subsequent self‐care and medication adherence in patients with Type 2 diabetes mellitus.
Methods Two hundred and eight primary care patients with Type 2 diabetes completed the Harvard Department of Psychiatry/National Depression Screening Day Scale (HANDS) and the Summary of Diabetes Self‐Care Activities (SDSCA) at baseline and at follow‐up, an average of 9 months later. They also self‐reported medication adherence at baseline and at a follow‐up.
Results Baseline HANDS scores ranged from 0 to 27, with a mean score of 5.15 ± 4.99. In separate linear regression models that adjusted for baseline self‐care, patients with higher levels of depressive symptoms at baseline reported significantly lower adherence to general diet recommendations and specific recommendations for consumption of fruits and vegetables and spacing of carbohydrates; less exercise; and poorer foot care at follow‐up (β ranging from −0.12 to −0.23; P < 0.05). Similarly, each one‐point increase in baseline HANDS score was associated with a 1.08‐fold increase in the odds of non‐adherence to prescribed medication at follow‐up (95% confidence interval 1.001, 1.158, P = 0.047). Increases in depression scores over time also predicted poorer adherence to aspects of diet and exercise.
Conclusions Depressive symptoms predict subsequent non‐adherence to important aspects of self‐care in patients with Type 2 diabetes, even after controlling for baseline self‐care. Although the relationship between symptoms of depression and poorer diabetes self‐care is consistent, it is not large, and interventions may need to address depression and self‐care skills simultaneously in order to maximize effects on diabetes outcomes.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19183315</pmid><doi>10.1111/j.1464-5491.2008.02535.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | adherence Aged Biological and medical sciences compliance depression Depressive Disorder - etiology diabetes Diabetes Mellitus, Type 2 - psychology Diabetes Mellitus, Type 2 - therapy 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 Male Medical sciences Middle Aged Patient Compliance - psychology Risk Factors Self Care - psychology self-care Stress, Psychological - etiology Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology |
| title | Symptoms of depression prospectively predict poorer self-care in patients with Type 2 diabetes |
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