Depression Among Type 2 Diabetes Rural Appalachian Clinic Attendees

Groot, Mary de; Doyle, Todd; Hockman, Erin; Wheeler, Charles; Pinkerman, Brenda; Shubrook, Jay H.; Gotfried, Robert; Schwartz, Frank

doi:10.2337/dc06-1599

Cited by 40 publications

(46 citation statements)

References 15 publications

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“…Moreover, this rate was consistent with cross-sectional rates observed in our prior research at Time 1 (i.e., 31%) [18]. …”

Section: Discussionsupporting

confidence: 90%

“…Our group found that 31% of T2DM patients attending family medicine or endocrinology appointments in this region reported clinically significant depressive symptoms [18]. Poverty (e.g., unemployment, lack of home ownership) significantly predicted the presence and severity of depressive symptoms [18], which is consistent with findings observed in urban ethnic minority samples [19, 20]. …”

Section: Introductionsupporting

confidence: 73%

“…Participants for the current study were recruited from the Psychosocial Aspects of Diabetes among Medical Patients in Appalachia Study [18]. At baseline (Time 1), 201 participants were initially recruited from family medicine and endocrinology practices of participating providers.…”

Section: Methodsmentioning

confidence: 99%

“…Eligibility criteria included: diagnosis of T2DM for 1 year or longer, age 18 or older, and ability to provide informed consent. A description of the recruitment procedures for the baseline panel has been previously presented [18]. …”

Section: Methodsmentioning

confidence: 99%

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Depressive Symptoms and Type 2 Diabetes Mellitus in Rural Appalachia: an 18-Month Follow-Up Study

Groot

Doyle

Averyt

et al. 2014

Int J Psychiatry Med

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Objective Despite high rates of diabetes and depression in rural areas, limited data exists to document patterns and predictors of depressive symptoms in rural patients with type 2 diabetes (T2DM). The purpose of this study was to assess the rates and predictors of co-morbid depressive symptoms over an 18-month period in a cohort of rural Appalachian adults with T2DM. Methods N = 100 adult T2DM patients were recruited from family medicine and endocrinology practices located in the rural Appalachian counties of southeastern Ohio and West Virginia. Data were collected using a longitudinal observational survey design. Results The sample consisted of predominantly White (93%) females (62%) who were married (71%), completed high school or less (48%), and had a mean age of 60 years (SD 11). Mean BDI score was 14.0 (SD 12) with 27% scoring in the moderate/severe range for depressive symptoms. A majority of patients (77%) reported depressive symptoms, at both time points, with 88% of these reporting consistent depressive symptoms in the year prior to study follow-up. Patients with depressive symptoms at Time 1 and Time 2 did not differ from other groups in the number of treatment strategies or medications used. Predictors of depressive symptoms in this group were increased diabetes treatment complexity (OR = 2.3), lack of home ownership (OR = 11.4), and decreased satisfaction with antidepressant medications (OR = 2.0; χ2 = 28.9, p < .0001). Conclusions Rural T2DM patients reported high rates of repeated depressive symptoms without corresponding rates of depression treatment. These patients may benefit from close monitoring and ongoing adjustment of their treatment for depression and diabetes by primary care providers.

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“…Moreover, this rate was consistent with cross-sectional rates observed in our prior research at Time 1 (i.e., 31%) [18]. …”

Section: Discussionsupporting

confidence: 90%

Section: Introductionsupporting

confidence: 73%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Depressive Symptoms and Type 2 Diabetes Mellitus in Rural Appalachia: an 18-Month Follow-Up Study

Groot

Doyle

Averyt

et al. 2014

Int J Psychiatry Med

Self Cite

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“…Despite the culturally specific nature of behaviors surrounding these illnesses, most diabetes management programs assert a single model of therapeutic behavior change that tends to overlook cultural differences (Weaver, forthcoming). Finally, poor access to mental health care contributes to a disproportionately high burden of diabetes-related disability and death among socially disadvantaged groups (de Groot et al 2001(de Groot et al , 2007Lustman et al 2000). This last point is particularly relevant to the emerging call for integrated mental health programs for socially disadvantaged groups around the world Prince et al 2007).…”

mentioning

confidence: 95%

Applying Syndemics and Chronicity: Interpretations from Studies of Poverty, Depression, and Diabetes

Weaver

Mendenhall

2014

Medical Anthropology

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Medical anthropologists working with global health agendas must develop transdisciplinary frameworks to communicate their work. This article explores two similar but underutilized theoretical frameworks in medical anthropology, and discusses how they facilitate new insights about the relationships between epidemiological patterns and individual-level illness experiences. Two cases from our fieldwork in New Delhi and Chicago are presented to illustrate how syndemics and chronicity theories explain the epidemic problems of co-occurring depression and type 2 diabetes. We use these case studies to illustrate how the holistic agendas of syndemics and chronicity theories allow critical scholars to attend to the macrosocial factors contributing to the rise of noncommunicable diseases while still honoring the diversity of experiences that make individual illness experiences, and actual outcomes, unique. Such an approach not only promotes a more integrative medical anthropology, but also contributes to global health dialogues around diabetes, depression, and their overlap.

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Current literature in diabetes

2007

Diabetes Metabolism Res

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of diabetes/metabolism. Each bibliography is divided into 26 sections: 1 Reviews; 2 General; 3 Genetics; 4 Epidemiology; 5 Immunology; 6 Obesity; 7 Prediction and Prevention; 8 Intervention: a) General; b) Care; c) Drug Therapy; d)Economics; e) Gene therapy; f) Nursing; g) Nutrition; h) Surgery; i) Transplantation; 9 Pathology and Complications: a) General; b) Cardiovascular; c) Eye disease; d) Gestational and fetal; e) Neurological; f) Podiatrical; g) Renal; 10 Endocrinology & Metabolism; 11 Experimental Studies; 12 Diagnosis and Techniques. Within each section, articles are listed in alphabetical order with respect to author

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Depression Among Type 2 Diabetes Rural Appalachian Clinic Attendees

Cited by 40 publications

References 15 publications

Depressive Symptoms and Type 2 Diabetes Mellitus in Rural Appalachia: an 18-Month Follow-Up Study

Depressive Symptoms and Type 2 Diabetes Mellitus in Rural Appalachia: an 18-Month Follow-Up Study

Applying Syndemics and Chronicity: Interpretations from Studies of Poverty, Depression, and Diabetes

Current literature in diabetes

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