2010
DOI: 10.1017/s1121189x00000798
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Depression and treatment nonadherence in type 2 diabetes: Assessment issues and an integrative treatment approach

Abstract: Research has found that depression is more common among individuals with diabetes and is associated with worse diabetes outcomes including treatment nonadherence, worse glycemic control, higher risk of diabetes complications, greater functional impairment, and increased risk of mortality. These patterns of association have led to an increase in research investigating the relationship between diabetes and depression. There remain important questions about the relationship between depression and diabetes and an … Show more

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Cited by 11 publications
(7 citation statements)
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“…Similarly, a study by Simson et al (2008) indicated that psychotherapy intervention to reduce depression symptoms in patients with diabetic foot syndrome, while alleviating distress, had no impact of diabetic foot outcomes. GONZALEZ treatment and self-management may therefore be more powerful (Gonzalez and Esbitt, 2010;Gonzalez et al, 2011a). While these interventions have shown promise in successfully reducing the severity of depression, results on diabetes-related targets (i.e., glycemic control and treatment adherence) have been much less promising.…”
Section: The Case For An Integrated Biopsychosocial Approach To Diabementioning
confidence: 99%
“…Similarly, a study by Simson et al (2008) indicated that psychotherapy intervention to reduce depression symptoms in patients with diabetic foot syndrome, while alleviating distress, had no impact of diabetic foot outcomes. GONZALEZ treatment and self-management may therefore be more powerful (Gonzalez and Esbitt, 2010;Gonzalez et al, 2011a). While these interventions have shown promise in successfully reducing the severity of depression, results on diabetes-related targets (i.e., glycemic control and treatment adherence) have been much less promising.…”
Section: The Case For An Integrated Biopsychosocial Approach To Diabementioning
confidence: 99%
“…The focus should be on addressing the following needs: improved control over mood and anxiety disorders, better glycemic control, better compliance with medications, appointments, exercise, and diet. One advantage of an integrated team approach is that it tends to promote an equal focus being placed on biological, environmental/social, and psychological issues [79][80][81][82][83].…”
Section: Treatment Optionsmentioning
confidence: 99%
“…The symptoms of depression and diabetes may exacerbate one another contributing to a disastrous cycle of poor self-care, deteriorating diabetes control and deepening depression [5]. In the same time, depressed patients respond poorly to diabetes treatment and exhibit high rates of treatment non-adherence, jeopardizing efforts to optimize the metabolic control [23]. Finally, depression in diabetics can significantly increase the rate of suicide attempts [12,13], often with medico-legal implications due to the use of antidiabetic medications in these attempts [16][17][18].…”
Section: Discussionmentioning
confidence: 99%