Paul S Ciechanowski1, Wayne J Katon, Joan E Russo. 1. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 356560, 1959 NE Pacific Street, Seattle, WA 98195-6560, USA. pavelcie@u.washington.edu
Abstract
OBJECTIVE: Using an instrument assessing interpersonal relationships in patients with diabetes, we hypothesized that a change in depression would be associated with a change in patients' perceptions of themselves and others in relationships. METHODS: Instruments assessing attachment, depression, and demographics were administered twice to 367 patients with diabetes in an HMO primary care setting, 10 months apart. We assessed change in capacity to rely on others (model of other) and to feel worthy of attention (model of self) according to depression change categories (unchanged, decreased, and increased depression). RESULTS: The degree to which patients reported being able to rely on others increased with a reduction in depressive symptoms (P = .02). The degree to which patients endorsed a sense that they were not worthy of attention in relationships increased with an increase in depressive symptoms (P = .02). CONCLUSION: A change in depressive symptoms is associated with a change in perception of interpersonal relationships in patients with diabetes.
OBJECTIVE: Using an instrument assessing interpersonal relationships in patients with diabetes, we hypothesized that a change in depression would be associated with a change in patients' perceptions of themselves and others in relationships. METHODS: Instruments assessing attachment, depression, and demographics were administered twice to 367 patients with diabetes in an HMO primary care setting, 10 months apart. We assessed change in capacity to rely on others (model of other) and to feel worthy of attention (model of self) according to depression change categories (unchanged, decreased, and increased depression). RESULTS: The degree to which patients reported being able to rely on others increased with a reduction in depressive symptoms (P = .02). The degree to which patients endorsed a sense that they were not worthy of attention in relationships increased with an increase in depressive symptoms (P = .02). CONCLUSION: A change in depressive symptoms is associated with a change in perception of interpersonal relationships in patients with diabetes.
Authors: David Moskowitz; Courtney Rees Lyles; Andrew J Karter; Nancy Adler; Howard H Moffet; Dean Schillinger Journal: Patient Educ Couns Date: 2011-08-19
Authors: Paul Ciechanowski; Joan Russo; Wayne J Katon; Elizabeth H B Lin; Evette Ludman; Susan Heckbert; Michael Von Korff; Lisa H Williams; Bessie A Young Journal: Diabetes Care Date: 2009-12-10 Impact factor: 17.152