Depressive states among adults with diabetes: Findings from the National Health and Nutrition Examination Survey, 2007–2012

Albertorio-Díaz, Juan R.; Eberhardt, Mark S.; Oquendo, María A.; Mesa‐Frias, Marco; He, Yulei; Jonas, Bruce S.; Kang, Kai

doi:10.1016/j.diabres.2017.02.031

Cited by 24 publications

(14 citation statements)

References 31 publications

(63 reference statements)

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“…Overall prevalence was 0.3% (95% CI: 0.1–0.7%). Based on the five included studies [ 55 , 56 , 57 , 58 , 59 ], the unadjusted pooled odds ratio was 1.85 (95% CI: 0.97–3.52, p -value = 0.061) ( Figure 2 ), with significant heterogeneity ( I 2 = 94.79%, Q = 76.88, p -value < 0.001). Adjusted OR (based on three studies) was 1.39 (95% CI: 0.82–2.35, p -value= 0.225) ( I 2 = 81.66%, Q = 10.90, p -value = 0.004).…”

Section: Resultsmentioning

confidence: 99%

Risk of Depression and Suicidality among Diabetic Patients: A Systematic Review and Meta-Analysis

Elamoshy

Bird

Thorpe

et al. 2018

JCM

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The purpose of this study is to conduct a systematic review and meta-analysis to evaluate the risk of depression and suicidality among diabetic patients. Methods: Medline, PubMed, EMBASE, Cochrane library, and Psych INFO were searched for studies published from 2008 onwards. Meta-analysis was conducted to estimate the pooled effect size. Sources of heterogeneity were investigated by subgroup analysis and meta-regression. Results: In total, 5750 articles were identified and of those, 17 studies on suicidality and 36 on depression were included in this study. Our analysis suggests a positive relationship between diabetes and depression (cohort studies odds ratio (OR) 1.49, 95% confidence interval (CI): 1.36–1.64 and cross-sectional studies OR 2.04, 95% CI, 1.73–2.42). Pooled OR values for suicidal ideation, attempted suicide, and completed suicide were 1.89 (95% CI: 1.36–2.63), 1.45 (95% CI: 1.07–1.96), and 1.85 (95% CI: 0.97–3.52), respectively. All findings were statistically significant except for completed suicide. Conclusions: The increased risk of depression and suicidality in diabetic patients highlights the importance of integrating the evaluation and treatment of depression with diabetes management in primary healthcare settings. Further research in this area is needed.

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Section: Resultsmentioning

confidence: 99%

Risk of Depression and Suicidality among Diabetic Patients: A Systematic Review and Meta-Analysis

Elamoshy

Bird

Thorpe

et al. 2018

JCM

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“…3,4 Depression is present in about one in five adults with type 2 diabetes. [5][6][7] Diabetes distress affects almost one third of adults with type 2 diabetes. 3 Diabetes distress is distinct from depression, as it results from the emotional burden (e.g., worry, frustration, anger, burnout) of managing type 2 diabetes.…”

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confidence: 99%

The Importance of Addressing Depression and Diabetes Distress in Adults with Type 2 Diabetes

et al. 2018

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People with type 2 diabetes often experience two common mental health conditions: depression and diabetes distress. Both increase a patient's risk for mortality, poor disease management, diabetes-related complications, and poor quality of life. The American Diabetes Association and the U.S. Preventive Services Task Force recommend routine evaluations for these conditions in adults for optimal disease management and prevention of lifethreatening complications. However, barriers exist within primary care and specialty settings that make screening for depression and diabetes distress challenging. Depression and diabetes distress influence diabetes self-care and diabetes control and barriers in clinical care practice that can hinder detection and management of psychosocial issues in diabetes care. This paper highlights opportunities to increase mental health screenings and provides strategies to help providers address depression and diabetes distress in patients with type 2 diabetes.

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“…In some studies of people with T2D, the prevalence of subthreshold depression has been reported to be more common than MDD [20][21][22]. Like major depression, subthreshold depression is also associated with a higher rate of diabetes-related complications [11,13], disability [11], and mortality [11,23,24].…”

Section: Introductionmentioning

confidence: 99%

Association between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studies

Shrestha

Al-Ghareeb³

et al. 2020

Syst Rev

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Background: Self-care behaviors in people living with type 2 diabetes are important to achieving optimal glycemic control. Major depression in type 2 diabetes is associated with decreased adherence to self-care behaviors. The association between subthreshold depression and self-care behaviors, however, has not previously been systematically reviewed. The objective of this review is to determine the association between subthreshold depression and self-care behaviors. Methods: A systematic search was performed in five electronic databases that included MEDLINE, EMBASE, PsycINFO, Emcare, and CINAHL. Any observational studies in adults with type 2 diabetes, investigating the association between subthreshold depression and any self-care behaviors, were included in the review. Qualitative studies, review articles, and gray literature were excluded. Two reviewers independently completed the title and abstract and full-text screening, appraised the study quality, and extracted the data. A third reviewer resolved any discrepancies between the reviewers if needed. Included articles were critically appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Meta-analyses were not conducted because criteria for conducting such analyses were not met. Results: A total of 6408 articles were identified through the database searching. After the abstract and full-text review, two articles met the inclusion criteria. One of the included study was cross-sectional while the other was a longitudinal study. Both studies showed inconsistent findings in the association between subthreshold depression and self-care behaviors. Important risks of bias were identified in the included studies. Discussion: The evidence from the two included studies on a possible association between subthreshold depression and self-care behaviors in adults with type 2 diabetes was not consistent and potentially biased. Our review established a gap in knowledge and suggests that further high-quality studies are needed to examine the association between subthreshold depression and self-care behaviors in people with type 2 diabetes. Systematic review registration: PROSPERO CRD42018116373

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Depressive states among adults with diabetes: Findings from the National Health and Nutrition Examination Survey, 2007–2012

Cited by 24 publications

References 31 publications

Risk of Depression and Suicidality among Diabetic Patients: A Systematic Review and Meta-Analysis

Risk of Depression and Suicidality among Diabetic Patients: A Systematic Review and Meta-Analysis

The Importance of Addressing Depression and Diabetes Distress in Adults with Type 2 Diabetes

Association between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studies

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