Journal Article10.1007/S10865-011-9359-Z
Improvement in glycemic control following a diabetes education intervention is associated with change in diabetes distress but not change in depressive symptoms
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TL;DR: Change in diabetes distress, and not change in depressive symptoms, was associated with both short- and long-term change in glycemic control for patients with poorly controlled T2DM.
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Abstract: In diabetes patients, depression is correlated with diabetes-specific emotional distress, and observational studies have suggested that diabetes distress may have a greater impact on diabetes outcomes than depression itself. To examine the relative effects of change in depressive symptoms and change in diabetes distress on change in glycemic control, we conducted a diabetes self-management education intervention in 234 type 2 diabetes (T2DM) patients, and measured glycemic control (HbA1c), depressive symptoms (CES-D), and diabetes distress (PAID) at baseline and 6 months. In multiple linear regression, change in depressive symptoms was not associated with change in HbA1c (P = 0.23). Change in diabetes distress was significantly associated with change in HbA1c (P < 0.01), such that a 10-point decrease in diabetes distress (which corresponds to the average change in distress in this study population) was associated with a 0.25% reduction in HbA1c. Change in diabetes distress, and not change in depressive symptoms, was associated with both short- and long-term change in glycemic control for patients with poorly controlled T2DM.
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Citations
Diabetes Attitudes, Wishes and Needs second study (DAWN2™): Cross‐national benchmarking of diabetes‐related psychosocial outcomes for people with diabetes
Antonio Nicolucci,K. Kovacs Burns,Richard I. G. Holt,M. Comaschi,Norbert Hermanns,Hitoshi Ishii,Andrzej Kokoszka,Frans Pouwer,Soren E. Skovlund,Heather L. Stuckey,I. Tarkun,Michael Vallis,Johan Wens,Mark Peyrot +13 more
TL;DR: The second Diabetes Attitudes, Wishes and Needs (DAWN2) study aimed to assess psychosocial outcomes in people with diabetes across countries for benchmarking.
705
REDEEM: A Pragmatic Trial to Reduce Diabetes Distress
Lawrence Fisher,Danielle Hessler,Russell E. Glasgow,Patricia A. Areán,Umesh Masharani,Diana Naranjo,Lisa A. Strycker +6 more
TL;DR: DD is malleable and highly responsive to intervention, and Interventions that enhance self-management also reduce DD significantly, but DD-specific interventions may be necessary for patients with high initial levels of DD.
258
Diabetes Burden and Diabetes Distress: the Buffering Effect of Social Support
TL;DR: Findings support the stress-buffering hypothesis and suggest that social support may protect against diabetes distress.
168
The Importance of Addressing Depression and Diabetes Distress in Adults with Type 2 Diabetes
Michelle Owens-Gary,Xuanping Zhang,Shawn Jawanda,Kai McKeever Bullard,Pamela Allweiss,Bryce D. Smith +5 more
TL;DR: Opportunities to increase mental health screenings are highlighted and strategies to help providers address depression and diabetes distress in patients with type 2 diabetes are provided.
What is diabetes distress and how can we measure it? A narrative review and conceptual model.
TL;DR: Across the available measures diabetes distress is seemingly comprehensively assessed and measures should be considered in terms of their focus and scope to ensure the foci of interventions are appropriately targeted.
145
References
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TL;DR: The CES-D scale as discussed by the authors is a short self-report scale designed to measure depressive symptomatology in the general population, which has been used in household interview surveys and in psychiatric settings.
Depression and poor glycemic control: a meta-analytic review of the literature.
Patrick J. Lustman,Ryan J. Anderson,Kenneth E. Freedland,M de Groot,Robert M. Carney,Ray E. Clouse +5 more
TL;DR: Depression is associated with hyperglycemia in patients with type 1 or type 2 diabetes and additional studies are needed to establish the directional nature of this relationship and to determine the effects of depression treatment on glycemic control and the long-term course of diabetes.
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TL;DR: High internal reliability and consistent pattern of correlational findings indicates that the PAID is tapping into relevant aspects of emotional distress and that its particular feature, the measurement of diabetes-related emotional distress, is uniquely associated with diabetes-relevant outcomes.
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TL;DR: In this article, the authors conducted a systematic literature review to estimate the prevalence and odds ratio of clinically relevant depression in adults with Type 2 diabetes compared with those without, and found that the prevalence of depression was significantly higher in patients with type 2 diabetes than those without.
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The Problem Areas in Diabetes Scale: An evaluation of its clinical utility
TL;DR: The study findings provided support for the construct validity of the PAID, including evidence for discriminant validity from its ability to detect differences between IDDM and NIDDM treatment groups expected to differ in the emotional impact of life with diabetes.
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