Cross‐cultural comparisons of anxiety and depression in adults with type 1 diabetes

Lloyd, Cathy E.; Zgibor, Janice C.; Wilson, Robb R.; Barnett, Anthony; Dyer, Philip; Orchard, Trevor J.

doi:10.1002/dmrr.394

Cited by 21 publications

(12 citation statements)

References 30 publications

(42 reference statements)

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“…These data are cross-sectional, however, and no causal link can be inferred. Similar rates of moderate—severe depressive symptoms and an increased rate among women have been observed previously [1,12,21-23]. Of concern is the relatively low proportion of individuals with high depression scores who reported taking antidepressant medication.…”

Section: Discussionsupporting

confidence: 78%

Does diabetes‐related distress explain the presence of depressive symptoms and/or poor self‐care in individuals with Type 1 diabetes?

2010

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Aims To examine the relationship between depressive symptomatology, diabetes-related distress and aspects of diabetes self-care in a cohort of individuals with Type 1 diabetes. Methods Individuals with Type 1 diabetes taking part in the Pittsburgh Epidemiology of Diabetes Complications Study completed the Beck Depression Inventory (BDI), the Center for Epidemiologic Studies Depression (CES-D) Scale and the Problem Areas in Diabetes (PAID) scale. Self-care was measured by physical activity in the past week and over the previous year, frequency of blood glucose/urine testing, smoking status and alcohol intake. Results Clinically significant levels of depressive symptomatology (i.e. scores ≥ 16) were reported by 14% of the study population on the BDI and by 18% on the CES-D. There were strong correlations between depressive symptoms and diabetes-related distress (PAID scores) and physical activity. Multivariate analyses indicated that depression was independently associated with diabetes-related distress scores and with physical activity, but not with frequency of blood glucose testing. Conclusions These findings have implications for clinical practice and treatment of both psychological morbidity and diabetes. There may be significant effects of depression on aspects of diabetes self-care. Further prospective studies are required to confirm these findings.

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Section: Discussionsupporting

confidence: 78%

Does diabetes‐related distress explain the presence of depressive symptoms and/or poor self‐care in individuals with Type 1 diabetes?

2010

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“…Although the similar prevalence of depression among people with diabetes who are smokers or non-smokers was suggested by Lloyd et al [15], other studies showed a higher prevalence among smokers [12,14,31]. Unlike the present study, none of the previously published studies evaluated only patients with T2D.…”

Section: Discussioncontrasting

confidence: 44%

Difference between the prevalence of symptoms of depression and anxiety in non-diabetic smokers and in patients with type 2 diabetes with and without nicotine dependence

Osme

Ferreira

Jorge

et al. 2012

Diabetol Metab Syndr

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BackgroundIndividuals with diabetes who are smokers have higher risks of cardiovascular disease, premature death, and microvascular complications. The present study aims to determine the prevalence of symptoms of depression and anxiety in smokers with type 2 diabetes mellitus (T2D) and to evaluate if the prevalence of symptoms of depression and anxiety differ between the three groups studied (patients with T2D who smoke; patients with T2D who do not smoke; smokers without T2D), and finally determine if the degree of nicotine dependence is related to symptoms of anxiety and depression in smokers (with or without T2D).MethodsThree study groups were formed: 46 T2D smokers (DS), 46 T2D non-smokers (D), and 46 smokers without diabetes (S), totaling 138 participants. Hospital Anxiety and Depression (HAD) scale and Fagerström Test were applied.ResultsThe prevalence of symptoms of depression and anxiety in smokers with T2D was 30.4% and 50%, respectively. There was no significant difference in the proportion of individuals with symptoms of anxiety (p = 0.072) or depression (p = 0.657) in the DS group compared to group D or S. Among male patients with T2D, the smokers had a higher prevalence of anxiety symptoms (19.6%) than non-smokers (4,3%) (p = 0,025). The prevalence of high nicotine dependence among smokers with and without T2D was 39.1% and 37.1%, respectively (p = 0.999). Fagerström scores showed no significant correlation with the scores obtained on the subscale of anxiety (p = 0,735) or depression (p = 0,364).ConclusionsThe prevalence of depression and anxiety among smokers with and without diabetes and non-smokers T2D is similar. Among male individuals with T2D, the smokers have more symptoms of anxiety than the non-smokers. There is no difference in the prevalence of nicotine dependence among smokers with and without diabetes. The presence of symptoms of anxiety or depression is similar between patients who are dependent and not dependent on nicotine.

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“…Our results also showed that the detection rates of depression and anxiety symptoms were higher in patients with hypertension or diabetes than in those without. Lloyd et al[22] found that diabetes, especially diabetes with multiple complications, can increase the incidence of depression. Sun et al[23] discovered that BMI, glycosylated hemoglobin level, and use of insulin can affect the mood of diabetes patients and result in higher levels of depression and anxiety in diabetes patients than in normal people.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of depression and anxiety in patients with chronic digestive system diseases: A multicenter epidemiological study

Zhang¹,

Wang²,

Huang³

et al. 2016

WJG

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AIMTo investigate the prevalence of depression and anxiety in patients with chronic digestive system diseases.METHODSA total of 1736 patients with chronic digestive system diseases were included in this cross-sectional study, including 871 outpatients and 865 in-patients. A self-designed General Information for Patients of the Department of Gastroenterology of General Hospitals questionnaire was used to collect each patient’s general information, which included demographic data (including age, sex, marital status, and education) and disease characteristics (including major diseases, disease duration, principal symptoms, chronic pain, sleep disorder, and limited daily activities).RESULTSThe overall detection rate was 31.11% (540/1736) for depression symptoms alone, 27.02% (469/1736) for anxiety symptoms alone, 20.68% (359/1736) for both depression and anxiety symptoms, and 37.44% (650/1736) for either depression or anxiety symptoms. Subjects aged 70 years or above had the highest detection rate of depression (44.06%) and anxiety symptoms (33.33%). χ2 trend test showed: the higher the body mass index (BMI), the lower the detection rate of depression and anxiety symptoms (χ2trend = 13.697, P < 0.001; χ2trend = 9.082, P = 0.003); the more severe the limited daily activities, the higher the detection rate of depression and anxiety symptoms (χ2trend = 130.455, P < 0.001, χ2trend = 108.528, P < 0.001); and the poorer the sleep quality, the higher the detection rate of depression and anxiety symptoms (χ2trend = 85.759, P < 0.001; χ2trend = 51.969, P < 0.001). Patients with digestive system tumors had the highest detection rate of depression (57.55%) and anxiety (55.19%), followed by patients with liver cirrhosis (41.35% and 48.08%). Depression and anxiety symptoms were also high in subjects with comorbid hypertension and coronary heart disease.CONCLUSIONDepression and anxiety occur in patients with tumors, liver cirrhosis, functional dyspepsia, and chronic viral hepatitis. Elderly, divorced/widowed, poor sleep quality, and lower BMI are associated with higher risk of depression and anxiety.

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Cross‐cultural comparisons of anxiety and depression in adults with type 1 diabetes

Cited by 21 publications

References 30 publications

Does diabetes‐related distress explain the presence of depressive symptoms and/or poor self‐care in individuals with Type 1 diabetes?

Does diabetes‐related distress explain the presence of depressive symptoms and/or poor self‐care in individuals with Type 1 diabetes?

Difference between the prevalence of symptoms of depression and anxiety in non-diabetic smokers and in patients with type 2 diabetes with and without nicotine dependence

Prevalence of depression and anxiety in patients with chronic digestive system diseases: A multicenter epidemiological study

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