The Relationship Between Changes in Depression Symptoms and Changes in Health Risk Behaviors in Patients with Diabetes

Overview

Journal Int J Geriatr Psychiatry

Specialties Geriatrics
Psychiatry

Date 2009 Aug 28

PMID 19711303

Citations 57

Authors

Wayne J Katon

Joan E Russo

Susan R Heckbert

Elizabeth H B Lin

Paul Ciechanowski

Evette Ludman

Bessie Young

Michael Von Korff

Affiliations

Soon will be listed here.

Abstract

Background: This longitudinal study of patients with diabetes examined the relationship between changes in depressive symptoms and changes in diabetes self-care behaviors over 5 years.

Design, Patients And Measurements: A total of 2759 patients with diabetes enrolled in a large HMO were followed over a 5-year period. Patients filled out a baseline mail survey and participated in a telephone interview 5 years later. Depression was measured with the Patient Health Questionnaire (PHQ-9) and diabetes self-care was measured with the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Baseline and longitudinal evidence of diabetes and medical disease severity and complications were measured using ICD-9 and CPT codes and verified by chart review.

Results: At the 5-year follow-up, patients with diabetes with either persistent or worsening depressive symptoms compared to those in the no depression group had significantly fewer days per week of following a healthy diet or participating in > or = 30 min of exercise. At 5-year follow-up, patients with clinical improvement in depression symptoms showed no differences compared to the no depression group on number of days per week of adherence to diet but showed deterioration in adherence to exercise on some, but not all, measures.

Conclusions: Patients with diabetes with persistent or worsening depressive symptoms over 5 years had significantly worse adherence to dietary and exercise regimens than patients in the no depression group. These results emphasize the need to further develop and test interventions to improve both quality of care for depression and self-care in diabetes patients.

Citing Articles

Diabetes Control Status and Severity of Depression: Insights from NHANES 2005-2020.

Basiri R, Rajanala Y, Kassem M, Cheskin L, Frankenfeld C, Farvid M Biomedicines. 2024; 12(10).

PMID: 39457589 PMC: 11504683. DOI: 10.3390/biomedicines12102276.

The Association Between Depressive Symptoms, Access to Diabetes Care, and Glycemic Control in Five Middle-Income Countries.

Merkel L, Teufel F, Malta D, Theilmann M, Marcus M, Flood D Diabetes Care. 2024; 47(8):1449-1456.

PMID: 38917276 PMC: 11272970. DOI: 10.2337/dc23-1507.

Impact of depression on self-efficacy, illness perceptions and self-management among people with type 2 diabetes: A systematic review of longitudinal studies.

Derese A, Gebreegzhiabhere Y, Medhin G, Sirgu S, Hanlon C PLoS One. 2024; 19(5):e0302635.

PMID: 38709771 PMC: 11073729. DOI: 10.1371/journal.pone.0302635.

Brain-derived Neurotrophic Factor Level and Gene Polymorphism as Risk Factors for Depression in Patients with type 2 Diabetes Mellitus- A Case-Controlled Study.

Hammad H, Shaltout I, Fawzy M, Rashed L, Adel N, Abdelaziz T Curr Diabetes Rev. 2024; 21(4):13-20.

PMID: 38192135 DOI: 10.2174/0115733998274778231218145449.

Depression and glycaemic control among adult patients with type 2 diabetes: a cross-sectional study in a comprehensive specialised hospital, Jigjiga, Ethiopia.

Ali S, Seid A, Hassen K, Abebe S, Banjaw Z, Ibrahim M BMJ Open. 2023; 13(11):e073123.

PMID: 38030246 PMC: 10689400. DOI: 10.1136/bmjopen-2023-073123.

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