The Dialogue on Diabetes and Depression (DDD): Origins and achievements

Sartorius, Norman; Cimino, Larry

doi:10.1016/s0165-0327(12)70003-4

Cited by 13 publications

(9 citation statements)

References 2 publications

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“…The authors prepared this review from literature searches in PubMed and data presented at the International Diabetes and Depression Conference held in Washington, DC in October 2012, which was hosted by the National Institute of Diabetes, Digestive, and Kidney Diseases (NIDDK) of the National Institutes of Health (NIH) in collaboration with the National Institute of Mental Health and the Dialogue on Diabetes and Depression [8, 9]. …”

Section: Methodsmentioning

confidence: 99%

Diabetes and Depression

2014

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Diabetes and depression occur together approximately twice as frequently as would be predicted by chance alone. Comorbid diabetes and depression are a major clinical challenge as the outcomes of both conditions are worsened by the other. Although the psychological burden of diabetes may contribute to depression, this explanation does not fully explain the relationship between these 2 conditions. Both conditions may be driven by shared underlying biological and behavioral mechanisms, such as hypothalamic-pituitary-adrenal axis activation, inflammation, sleep disturbance, inactive lifestyle, poor dietary habits, and environmental and cultural risk factors. Depression is frequently missed in people with diabetes despite effective screening tools being available. Both psychological interventions and antidepressants are effective in treating depressive symptoms in people with diabetes but have mixed effects on glycemic control. Clear care pathways involving a multidisciplinary team are needed to obtain optimal medical and psychiatric outcomes for people with comorbid diabetes and depression.

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Section: Methodsmentioning

confidence: 99%

Diabetes and Depression

2014

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“…Aware of huge problems related to the comorbidity of mental and physical disorders, a Geneva-based nongovernmental organization, the Association for the Improvement of Mental Health Programs (AIMHP), founded the Dialogue on Diabetes and Depression (DDD), an initiative addressing comorbidity of depression and diabetes as a paragon of comorbidity of mental and other diseases. 26 In the framework of this initiative, which brought together a large number of international professional and nongovernmental organizations, the AIMHP in collaboration with the The National Institute of Diabetes and digestive and kidney diseases (NIDDK) organized the international conference Digestive and Kidney Diseases, which reviewed current knowledge and produced a series of specific recommendations concerning research that should be undertaken to facilitate the prevention of comorbidity and the provision of care to people with comorbid diabetes and depression. 13 The recommendations address the development of methods of assessment of depressive disorders in diabetics, the mechanisms and pathogenesis of comorbidity of diabetes and depression, treatment of diabetes and depression and the relevant organization of services, the primary prevention of diabetes and depression, and the training for research and clinical care.…”

Section: Areas For Future Workmentioning

confidence: 99%

Depression and diabetes

Sartorius

2018

Dialogues in Clinical Neuroscience

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187

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The comorbidity of mental and physical disorders is a major challenge for health care worldwide. Its prevalence is increasing and is likely to continue to grow due to the increase in life expectancy and a variety of other reasons. The comorbidity of depression and diabetes can be seen as a prototypical example of mental/physical comorbidity. The prevalence of both conditions is growing, and depression is twice as frequent in people with diabetes compared with those without diabetes. Health services are by and large inadequately prepared to deal with comorbid depression and diabetes, and the increasing specialization (and fragmentation) of medicine will probably make things worse. This paper reviews the epidemiology and risk factors of the comorbidity of depression and diabetes and describes areas that should be given attention in order to reduce problems arising as a result of the comorbidity of these two conditions.

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“…In October 2012, the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (NIH), in collaboration with the National Institute of Mental Health and the Dialogue on Diabetes and Depression (2), convened a meeting of experts from 15 countries for two primary purposes. First, there was an opportunity to present and summarize the current state of the science on the association between depression and diabetes in the areas of basic, clinical, behavioral, and public health research.…”

Section: Introductionmentioning

confidence: 99%

NIDDK International Conference Report on Diabetes and Depression: Current Understanding and Future Directions

et al. 2014

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Comorbid diabetes and depression are a major clinical challenge as the outcomes of each condition are worsened by the other. This article is based on the presentations and discussions during an international meeting on diabetes and depression convened by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) in collaboration with the National Institute of Mental Health and the Dialogue on Diabetes and Depression. While the psychological burden of diabetes may contribute to depression in some cases, this explanation does not sufficiently explain the relationship between these two conditions. Shared biological and behavioral mechanisms, such as hypothalamic-pituitary-adrenal axis activation, inflammation, autonomic dysfunction, sleep disturbance, inactive lifestyle, poor dietary habits, and environmental and cultural risk factors, are important to consider in understanding the link between depression and diabetes. Both individual psychological and pharmacological depression treatments are effective in people with diabetes, but the current range of treatment options is limited and has shown mixed effects on glycemic outcomes. More research is needed to understand what factors contribute to individual differences in vulnerability, treatment response, and resilience to depression and metabolic disorders across the life course and how best to provide care for people with comorbid diabetes and depression in different health care settings. Training programs are needed to create a cross-disciplinary workforce that can work in different models of care for comorbid conditions.

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The Dialogue on Diabetes and Depression (DDD): Origins and achievements

Cited by 13 publications

References 2 publications

Diabetes and Depression

Diabetes and Depression

Depression and diabetes

NIDDK International Conference Report on Diabetes and Depression: Current Understanding and Future Directions

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