Depression and Adherence to Lifestyle Changes in Type 2 Diabetes

Sumlin, Lisa L.; Garcia, Alexandra A.; Brown, Sharon A.; Winter, Mary A.; García, Alexandra; Brown, Adama; Cuevas, Heather

doi:10.1177/0145721714538925

Cited by 82 publications

(71 citation statements)

References 38 publications

(128 reference statements)

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“…Outside of pregnancy, there is a significant bidirectional association between depression and diabetes that has important pathophysiologic and clinical implications (Roy and Lloyd 2012;Sumlin et al 2014). It has been well demonstrated that depression can contribute to poor glycemic control and increased rates of diabetic complications (Sumlin et al 2014), while diabetes may be involved in the pathophysiology of depression either due to the distress from the burden of disease or via intrinsic inflammatory mechanisms (Leonard and Maes 2012;Osborne and Monk 2013).…”

Section: Introductionmentioning

confidence: 99%

“…It has been well demonstrated that depression can contribute to poor glycemic control and increased rates of diabetic complications (Sumlin et al 2014), while diabetes may be involved in the pathophysiology of depression either due to the distress from the burden of disease or via intrinsic inflammatory mechanisms (Leonard and Maes 2012;Osborne and Monk 2013). Prior studies examining this relationship in pregnancy have arrived at conflicting results.…”

Section: Introductionmentioning

confidence: 99%

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The association between diabetes and postpartum depression

Peri

Gossett²

2015

Arch Womens Ment Health

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This study aims to estimate if diabetic women were more likely to experience postpartum depression symptoms than women without diabetes. This was a prospective cohort of women who received prenatal care at a hospital-affiliated prenatal clinic serving low-income women in Chicago, Illinois. For the primary analysis, women were divided by diabetes status (i.e., no diabetes or either gestational diabetes or pre-pregnancy diabetes). Postpartum depression was defined as a positive screen on the Patient Health Questionnaire-9. Rates of postpartum depression were compared, stratified by diabetic status. A multivariable logistic regression was performed to control for potential confounders. A planned secondary analysis compared women with pre-pregnancy diabetes to those without pre-pre-pregnancy diabetes. Three hundred and five women consented to participate of whom 100 (30.5 %) had gestational diabetes mellitus (GDM) and 33 (10.8 %) had pre-pregnancy diabetes. Compared to women without any diabetes, women with diabetes (either GDM or pre-pregnancy diabetes) had similar rates of antenatal [(OR) 0.69, 95 % CI) 0.44-1.08] and postpartum depression (OR 0.74, 95 % CI 0.33-1.66). However, postpartum depression was more common among women with pre-pregnancy diabetes (34.8 %) compared to non-diabetic women (16.7 %) (OR 2.67, 95 % CI 1.05-6.78). This association persisted even after adjusting for potential confounders (aOR 2.67, 95 % CI 1.05-9.79). Gestational diabetes was not associated with increased rates of depression. However, women with pre-pregnancy diabetes are more likely to experience postpartum depression compared to women without pre-pregnancy diabetes, even after adjusting for related comorbidities.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The association between diabetes and postpartum depression

Peri

Gossett²

2015

Arch Womens Ment Health

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“…Psychological variables have been found to play a role in adherence behaviours in a number of health areas, with comorbid depression negatively impacting adherence to self-care behaviours in people with Type-2 diabetes (Sumlin et al, 2014), adherence to dietary weight loss interventions in overweight adults (Somerset, Graham, & Markwell, 2011), reduced dietary and fluid adherence in people with end stage kidney disease (Khalil, Frazier, Lennie, & Sawaya, 2011), and on overall medical adherence in a metaanalysis performed by DiMatteo et al (2000).…”

Section: The Psychosocial Aspects Of Adherencementioning

confidence: 99%

A systematic review of adherence to restricted diets in people with functional bowel disorders

2015

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“…9,10 Evidence shows comorbid depression in diabetes is associated with lower adherence to self-care behaviors such as diet, physical activity, use of medication, and glucose monitoring, as well as poor glycemic control, and microvascular and macrovascular complications. [11][12][13][14][15][16] Comorbid depression in diabetes also represents greater financial burden, as it is associated with higher healthcare costs relative to diabetes only. 17 Given this tendency toward poorer outcomes, it is likely that the simultaneous presence of both depression and diabetes similarly be associated with worse cognitive functioning than is seen in people with diabetes alone.…”

Section: Introductionmentioning

confidence: 99%

Depressive symptoms in type II diabetics of a tertiary care hospital in southern India

Nagaraja

Sharma

2018

Int J Adv Med

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Background: International diabetes federation has highlighted that “the diabetic epidemic is here and threatens to overwhelm health systems if unchecked’’. The global prevalence of diabetes among adults has risen from 4.7% in 1980 to 8.5% in 2014. India unfortunately tops the list of countries with the largest number of people living with diabetes. Diabetes and depression are independent risk factors for one another and both are associated with increased risk of cognitive decline. Prevalence of depression is doubled in Diabetes mellitus, and also appears to vary by type of Diabetes mellitus, race/ethnicity, and duration of diabetes and associated debilitating complications and co-morbidities. Various studies using different methodology have revealed varying prevalence of depression. Data on this association of Diabetes and depression is limited in Indian context.Methods: This is a cross sectional study conducted on type 2 Diabetics attending outpatient department of Victoria and Bowring and Lady Curzon Hospital. Data regarding duration and treatment of diabetes, HbA1c levels and associated comorbidities were collected along with basic particulars of the patient. Becks depression questionnaire were used for analyzing the depressive symptoms.Results: A total of 302 diabetic patients were included in the study, out of which Males were 156 and Females were 146. Severe depressive symptoms were found in 18.21% of diabetics, and moderate depressive symptoms were found in 39.74% of study population. It is also found that the significant predictors of these depressive symptoms are increasing age, longer duration of diabetes, treatment intensity.Conclusions: In conclusion depressive symptoms are more common in diabetic subjects compared to non-diabetic population. Especially this increases with duration of diabetes and uncontrolled sugars. Hence there is a need to screen all diabetes subjects for depression.

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Depression and Adherence to Lifestyle Changes in Type 2 Diabetes

Abstract: Depression was associated with lower adherence to diabetes self-care, as evidenced primarily by descriptive studies; results of intervention studies were conflicting. Future research should focus on the effects of treating depression on diabetes health outcomes.

Cited by 82 publications

References 38 publications

The association between diabetes and postpartum depression

The association between diabetes and postpartum depression

A systematic review of adherence to restricted diets in people with functional bowel disorders

Depressive symptoms in type II diabetics of a tertiary care hospital in southern India

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