Hyesook Park1, Youngsun Hong, Hyejin Lee, Eunhee Ha, Yeonah Sung. 1. 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
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.
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 diabeticpatients would improve their adherence to self-care behaviors.
Authors: Ian M Kronish; Nina Rieckmann; Ethan A Halm; Daichi Shimbo; David Vorchheimer; Donald C Haas; Karina W Davidson Journal: J Gen Intern Med Date: 2006-08-09 Impact factor: 5.128
Authors: Lisa L Sumlin; Theresa J Garcia; Sharon A Brown; Mary A Winter; Alexandra A García; Adama Brown; Heather E Cuevas Journal: Diabetes Educ Date: 2014-06-17 Impact factor: 2.140