Associations between Depressive Symptoms and Social Support in Adults with Diabetes: Comparing Directionality Hypotheses with a Longitudinal Cohort

Burns, Rachel J.; Deschênes, Sonya S.; Schmitz, N.

doi:10.1007/s12160-015-9760-x

Cited by 22 publications

(23 citation statements)

References 46 publications

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“…Increased perceived support has been consistently linked with positive diabetes‐related outcomes . Among people with T2D, high perceived support is related to lower hemoglobin A1C (HbA1C) and blood pressure, better treatment adherence, lower depressive symptoms, and lower functional disability . High perceived emotional and diabetes‐specific support have also been associated with increased self‐management behaviours, such as daily exercise and dietary compliance …”

Section: Introductionmentioning

confidence: 99%

Trajectories of social support in adults with type 2 diabetes: Associations with depressive symptoms and functional disability

Levy

Deschênes

Burns

et al. 2018

Int J Geriat Psychiatry

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Objectives:Little is known about temporal trajectories of social support in adults with type 2 diabetes (T2D) and how they are associated with diabetes-related outcomes. This study identified and explored different trajectories of social support in a community sample of adults with T2D, as well as the extent to which different trajectories were prospectively associated with depressive symptoms and functional disability.Methods: Data came from five annual waves of the Evaluation of Diabetes Treatment study (N = 1077). Social support, depressive symptoms, and functional disability were assessed via self-report. Separate analyses were conducted to examine the associations between social support trajectories, depressive symptoms, and functional disability, adjusting for demographic characteristics, diabetes-related covariates, and baseline depressive symptoms and functional disability.Results: Latent class growth modeling identified four distinct social support trajectories. Trajectory Groups 1 and 2 comprised participants with persistently low and persistently moderate-low social support, respectively. Trajectory Groups 3 and 4 included participants with persistently moderate-high and persistently high social support, respectively. People with persistently low social support reported higher functional disability relative to those with persistently moderate-high and persistently high social support. Conclusions:The findings of the present study indicate that temporal patterns of social support are a predictor of future functional disability among adults with T2D.

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Section: Introductionmentioning

confidence: 99%

Trajectories of social support in adults with type 2 diabetes: Associations with depressive symptoms and functional disability

Levy

Deschênes

Burns

et al. 2018

Int J Geriat Psychiatry

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“…Further, evaluation of long-term follow-up data for psychological and pharmacological intervention trials are also needed in order to understand the sustainability of these intervention approaches (Baumeister et al, 2014). The reciprocal impact of social factors (Burns et al, 2015) is also an area with intervention potential—a strength of the field of behavioral medicine.…”

Section: Research Recommendations and Future Directionsmentioning

confidence: 99%

New directions for diabetes prevention and management in behavioral medicine

2016

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Accelerating diabetes rates have resulted in a global public health epidemic. Lifestyle change is a cornerstone of care, yet regimen demands may result in adherence difficulties. Distress, depression, and other psychosocial concerns are higher in those with diabetes. While interventions, such as the Diabetes Prevention Program appear to be effective, further research is needed to support the translation of interventions to prevent diabetes. Studies assessing optimal approaches to promoting effective decision making, coping and adherence are needed. More information is needed to evaluate the influence and potential of emerging technologies on intervention delivery and quality of life in children and adults with diabetes. Theoretically informed, interdisciplinary studies that consider ecological models are needed to develop a roadmap for policies and diabetes management recommendations. Reduction of diabetes-related health disparities is a critical area for future studies. Behavioral medicine scientists and practitioners are poised to address these and other proposed future research directions to advance diabetes prevention and management.

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“…In adult trauma patients, depression at the time of injury predicted worse support and social integration 12 months later . Finally, adults with diabetes assessed annually over a period of 4 years reported worse support at each assessment if they were depressed at the previous assessment …”

Section: Introductionmentioning

confidence: 99%

“…11 In noncancer populations, the epidemiological and psychological literature shows that depression prospectively predicts declines in social support across time. [12][13][14][15][16][17][18] A Canadian study with a nationally representative community sample of 9340 individuals showed that those who had experienced a major depressive episode were more likely to fall within the lowest quartile of perceived affectionate support 2 years later. 12 In a study of depressed patients, those who spent longer time in unremitting major depression were more likely to have lower objective and subjective support 18 months later.…”

mentioning

confidence: 99%

“…17 Finally, adults with diabetes assessed annually over a period of 4 years reported worse support at each assessment if they were depressed at the previous assessment. 18 Despite these data from noncancer populations, the influence of depression on long-term trajectories of social support among patients with breast cancer is largely unexplored. Depression affects roughly 20% of breast cancer patients and is a promising target for clinical intervention.…”

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confidence: 99%

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Depression predicts longitudinal declines in social support among women with newly diagnosed breast cancer

et al. 2019

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Objective Among breast cancer survivors, low social support is associated with adverse clinical and psychosocial outcomes. This study prospectively examined longitudinal trends in perceived social support in women with newly diagnosed breast cancer as a function of depression status prior to initiation of cancer treatment. Methods One hundred ten patients with newly diagnosed breast cancer and 59 age‐matched noncancer controls completed behavioral measures at four assessments: prior to treatment and at 1 month, 1 year, and 2 years post‐treatment. Participants reported their perceived tangible and emotional/informational support using the Medical Outcomes Study Social Support Survey and were categorized as “depressed” or “non‐depressed” based on the Brief Symptom Inventory‐18 (BSI‐18). Analyses first compared longitudinal trends in support between patients and controls and then examined differences in longitudinal trends as a function of depression status in patients only, controlling for key covariates. Results Both tangible and emotional/informational support decreased among breast cancer patients but increased or remained unchanged among noncancer controls across the assessments. Among patients, depressed individuals experienced a significant decline in both tangible (P = 0.004) and emotional/informational support (P = 0.013) between 1 month and 1 year post‐treatment, which remained unchanged between 1 year and 2 years post‐treatment. In contrast, nondepressed individuals had stable levels across all assessments. Depressed patients also had lower levels of both support types compared with nondepressed patients across all assessments. Conclusions Breast cancer patients with depressive symptomatology have an elevated risk for declines in perceived social support over time.

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Associations between Depressive Symptoms and Social Support in Adults with Diabetes: Comparing Directionality Hypotheses with a Longitudinal Cohort

Cited by 22 publications

References 46 publications

Trajectories of social support in adults with type 2 diabetes: Associations with depressive symptoms and functional disability

Trajectories of social support in adults with type 2 diabetes: Associations with depressive symptoms and functional disability

New directions for diabetes prevention and management in behavioral medicine

Depression predicts longitudinal declines in social support among women with newly diagnosed breast cancer

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