J A Wagner1, H Tennen, C Y Osborn. 1. Department of Behavioral Sciences and Community Health, Universityof Connecticut Health Center, Farmington, CT 06410, USA. juwagner@uchc.edu
Abstract
AIMS: Little is known about the association between lifetime history of major depressive disorder (L-MDD) and diabetes self-management, particularly when depression is remitted. We examined the association between L-MDD and diabetes self-management in women with Type 2 diabetes who were not depressed at the time of assessment. METHODS: L-MDD was assessed with structured psychiatric interview. Participants completed paper-and-pencil measures of demographics, diabetes-related distress, self-care behaviours, healthcare utilization and diabetes self-efficacy. RESULTS: One-hundred and fifty-three women participated; 41% had L-MDD. Compared with their never-depressed counterparts, women with L-MDD had more diabetes distress, reported lower overall rates of self-monitoring of blood glucose (SMBG) and greater tendency to skip SMBG, had lower diet adherence and were less likely to have seen a primary care provider in the past year. Diabetes self-efficacy mediated the relationship between L-MDD and self-management. CONCLUSIONS: Interventions to promote self-management for patients with L-MDD may be warranted.
AIMS: Little is known about the association between lifetime history of major depressive disorder (L-MDD) and diabetes self-management, particularly when depression is remitted. We examined the association between L-MDD and diabetes self-management in women with Type 2 diabetes who were not depressed at the time of assessment. METHODS:L-MDD was assessed with structured psychiatric interview. Participants completed paper-and-pencil measures of demographics, diabetes-related distress, self-care behaviours, healthcare utilization and diabetes self-efficacy. RESULTS: One-hundred and fifty-three women participated; 41% had L-MDD. Compared with their never-depressed counterparts, women with L-MDD had more diabetes distress, reported lower overall rates of self-monitoring of blood glucose (SMBG) and greater tendency to skip SMBG, had lower diet adherence and were less likely to have seen a primary care provider in the past year. Diabetes self-efficacy mediated the relationship between L-MDD and self-management. CONCLUSIONS: Interventions to promote self-management for patients with L-MDD may be warranted.
Authors: Patrick J Lustman; Ray E Clouse; Paul S Ciechanowski; Irl B Hirsch; Kenneth E Freedland Journal: Psychosom Med Date: 2005 Mar-Apr Impact factor: 4.312
Authors: Elizabeth H B Lin; Wayne Katon; Carolyn Rutter; Greg E Simon; Evette J Ludman; Michael Von Korff; Bessie Young; Malia Oliver; Paul C Ciechanowski; Leslie Kinder; Edward Walker Journal: Ann Fam Med Date: 2006 Jan-Feb Impact factor: 5.166
Authors: Alex J Zautra; Mary C Davis; John W Reich; Perry Nicassario; Howard Tennen; Patrick Finan; Anna Kratz; Brendt Parrish; Michael R Irwin Journal: J Consult Clin Psychol Date: 2008-06
Authors: Jeffrey S Gonzalez; Mark Peyrot; Lauren A McCarl; Erin Marie Collins; Luis Serpa; Matthew J Mimiaga; Steven A Safren Journal: Diabetes Care Date: 2008-12 Impact factor: 17.152
Authors: David G Bruce; Wendy A Davis; Violetta Cetrullo; Sergio E Starkstein; Timothy M E Davis Journal: PLoS One Date: 2013-12-04 Impact factor: 3.240