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Lin, E.H.B., Heckbert, S.R., Rutter, C.M., Katon, W.J., Ciechanowski, P., Ludman, J., Oliver, M., Young, B.A., McCulloch, D.K. and Von Korff, M. (2009) Depression and Increased Mortality in Diabetes: Unexpected Causes of Death. Annals of Family Medicine, 7, 414-421.
http://dx.doi.org/10.1370/afm.998

has been cited by the following article:

• TITLE: Effects of Depression on Aspects of Self-Care in Type 2 Diabetes

  AUTHORS: Richard Seides

  KEYWORDS: Diabetes, Depression, Compliance, Adherence, HbA1c, Diet, Exercise, Glucose Self-Monitoring

  JOURNAL NAME: Health, Vol.6 No.12, June 27, 2014

  ABSTRACT: Aims and Objectives: Depression is common among patients with chronic medical illnesses. The impact of depressive symptoms in patients with type 2 diabetes on self-care and glycosylated hemoglobin (HbA1c) was explored. Background: Depression is known to decrease compliance with most medical regimens. This study investigated depression’s effects on different aspects of compliance with a diabetic regimen. Design: Cross-sectional, correlational, quantitative study. Methods: A cross-sectional study was conducted using data from 126 patients with type 2 diabetes from a diabetes education class. Participants completed depression and self-care inventories. Regression analyses were performed to determine the impact of depressive symptoms on the dependent variables of compliance to diabetes self-care and HbA1c levels. Results: Levels of depression were significantly and inversely correlated with 1) total self-care scores, accounting for 5.1% of the variance, 2) compliance with glucose self-monitoring accounting for 3.4% of the variance, and 3) compliance with diet accounting for 9.3% of the variance. Levels of depression were not significantly related to HbA1c. Conclusions: Depressive symptoms are associated with poorer total self-care, poorer glucose self-monitoring, and poorer dietary compliance in type 2 diabetes patients. Depression scores help explain variations in patients’ performance with aspects of compliance to diabetes management. Relevance to clinical practice: Administering a personality questionnaire, perhaps on the initial visit could enable the clinical to know which aspects of diabetes self-care are affected by depression, which would enable the clinician to more closely monitor melancholic patients in the effort to improve glycemic control and medical outcomes.