Lifetime depression and diabetes self-management in women with Type 2 diabetes: a case-control study.

Wagner JA, Tennen H, Osborn CY
Diabet Med. 2010 27 (6): 713-7

PMID: 20546294 · PMCID: PMC3086788 · DOI:10.1111/j.1464-5491.2010.02996.x

AIMS - Little is known about the association between lifetime history of major depressive disorder (L-MDD) and diabetes self-management, particularly when depression is remitted. We examined the association between L-MDD and diabetes self-management in women with Type 2 diabetes who were not depressed at the time of assessment.

METHODS - L-MDD was assessed with structured psychiatric interview. Participants completed paper-and-pencil measures of demographics, diabetes-related distress, self-care behaviours, healthcare utilization and diabetes self-efficacy.

RESULTS - One-hundred and fifty-three women participated; 41% had L-MDD. Compared with their never-depressed counterparts, women with L-MDD had more diabetes distress, reported lower overall rates of self-monitoring of blood glucose (SMBG) and greater tendency to skip SMBG, had lower diet adherence and were less likely to have seen a primary care provider in the past year. Diabetes self-efficacy mediated the relationship between L-MDD and self-management.

CONCLUSIONS - Interventions to promote self-management for patients with L-MDD may be warranted.

MeSH Terms (16)

Aged Analysis of Variance Blood Glucose Self-Monitoring Case-Control Studies Depressive Disorder Diabetes Mellitus, Type 2 Female Humans Hypoglycemic Agents Middle Aged Patient Compliance Self Care Self Efficacy Severity of Illness Index Socioeconomic Factors Time Factors

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