Diabetes Mellitus, Glycemic Control, and Incident Depressive Symptoms Among 70- to 79-Year-Old Persons

Background: People with type 2 diabetes compared to those without seem to have more chances of developing depressive symptoms. Diabetes leads to depression or vice versa, remains an unsolved puzzle. Diabetes and depression together leave deep psychological and physical imprints on their victims leading to functional limitation, poor quality of life and raised mortality rate. Diabetic patients should be warned by the physicians to keep a watch for the development of depressive symptoms in them. The study aimed to investigate the relationship between type 2 diabetes mellitus and depression. Methods: The cross sectional study was conducted at Ziauddin University Hospital over a period of six months. Sample size of 100 was taken. Details of participant’s demographics along with Body Mass Index were recorded. Questionnaires were filled by researchers. SRQ 20 depression scale was used to diagnose depression. Data was entered and analyzed by version 20 of SPSS. Results: Different demographic and social variables were assessed in this study. 100 patients with HbA1c <6.5% were taken and 100 with ≥ 6.5%. 73 (36.5%) patients out of the total sample were depressed, almost from the good glycemic control group. Only a quarter of patients that had normal HbA1c levels became depressed however 48% patients with poor glycemic control suffered depression. Conclusion: Research concludes that co-morbid diabetes and depression is not a rare finding. Risk factors must be ruled out and the chances to develop depression should be identified at an earlier stage before complications worsen the condition.

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Stressors, Depressive Symptoms, and Learned Resourcefulness Among Taiwanese Adults With Diabetes Mellitus

Research and Theory for Nursing Practice ◽

10.1891/088971807780852066 ◽

2007 ◽

Vol 21 (2) ◽

pp. 83-97 ◽

Cited By ~ 14

Author(s):

Chiung-Yu Huang ◽

Valmi D. Sousa ◽

Hisu-Fung Chen ◽

Shu-Yin Tu ◽

Chia-Jen Chang ◽

...

Keyword(s):

Diabetes Mellitus ◽

Depressive Symptoms ◽

Glycemic Control ◽

Depression Scale ◽

Epidemiological Studies ◽

Study Data ◽

Self Control ◽

Learned Resourcefulness ◽

Cross Sectional ◽

Convenience Sample

Learned resourcefulness may be an important and necessary resource for people with diabetes to adequately manage their disease. This study used a cross-sectional, descriptive correlation design to examine the relationships of demographic characteristics, stressors, learned resourcefulness, and depressive symptoms among adult Taiwanese with diabetes mellitus. A convenience sample of 131 individuals recruited from outpatient primary care centers from two major hospitals in Taiwan participated in this study. Data were collected with a demographic questionnaire, blood tests, Rosenbaum’s self-control schedule, and the Center for Epidemiological Studies depression scale. Data analysis consisted of descriptive statistics and regression analysis. Findings suggest that individuals with diabetes who had greater learned resourcefulness and better glycemic control also had fewer depressive symptoms. In addition, learned resourcefulness partially mediated the relationship between glycemic control and depressive symptoms.

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Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control

Revista Portuguesa de Investigação Comportamental e Social ◽

10.31211/rpics.2020.6.1.166 ◽

2020 ◽

Vol 6 (1) ◽

pp. 40-49

Author(s):

Ilda Maria Massano-Cardoso ◽

Fernanda Daniel ◽

Vítor Rodrigues ◽

Ana Galhardo

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Depressive Symptoms ◽

Glycemic Control ◽

Depressive Symptomatology ◽

Survival Strategies ◽

Cross Sectional

Objective: The current study assessed depressive symptoms in Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM) patients and explored whether these symptoms were associated with glycemic control. Methods: A cross-sectional design was used. Patients attending diabetes consultations participated in the study (N = 347). Participants completed the Beck Depression Inventory (BDI), and glycemic control was based on A1C criteria. Results: The mean score on the BDI, for either T1DM or T2DM, was not clinically significant and was not associated with diagnosis duration. The association between depression and glycemic control was significant in both DM types. T2DM participants presenting more depressive symptoms were those with greater glycemic control. T1DM and T2DM differences regarding depressive symptoms were in somatic symptoms. Conclusions: In T2DM depressive symptoms may be confounded with DM physical consequences. There is also the possibility that negative mood plays a mediating role in mobilizing survival strategies that promote glycemic control. Furthermore, the assessment of depressive symptomatology in patients with diabetes could benefit from the availability of a disease-specific measure.

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