Diabetes and Depression

Holt, Richard; Groot, Mary de; Golden, Sherita Hill

doi:10.1007/s11892-014-0491-3

Cited by 402 publications

(349 citation statements)

References 91 publications

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“…To emphasize, in our study, none of participants had symptoms of hypoglycemia or acute hyperglycemia during answering the questionnaire. Moreover, depressive symptoms may be perceived as the reaction for the diagnosis of the chronic disease and the demanding treatment of diabetes requiring implementation of many lifestyle modifications [16]. In our study, the percentage of patients with previously diagnosed depressive disorder was lower than expected and Table 2.…”

Section: Discussionmentioning

confidence: 49%

Prevalence of depressive symptoms and diagnosed depression among subjects with longstanding type 1 diabetes and no serious chronic complications, hospitalized due to inadequate metabolic control of diabetes

Duda-Sobczak

Zozulińska‐Ziółkiewicz

Wierusz‐Wysocka

2017

Clinical Diabetology

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Section: Discussionmentioning

confidence: 49%

Prevalence of depressive symptoms and diagnosed depression among subjects with longstanding type 1 diabetes and no serious chronic complications, hospitalized due to inadequate metabolic control of diabetes

Duda-Sobczak

Zozulińska‐Ziółkiewicz

Wierusz‐Wysocka

2017

Clinical Diabetology

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“…Why investigate the impact of general physical activity interventions for mental disorders, and why look at online delivery? First, there is evidence that common mental disorders are associated with increased sedentary behaviour, the development of comorbid chronic physical diseases (e.g., type 2 diabetes, obesity, cardiovascular disease, chronic pain), and even premature mortality (Gan et al, 2014;Holt et al, 2014;Smith et al, 2013). Sedentary behaviour is recognised as a key modifiable risk factor contributing to the premature mortality experienced by those with serious mental disorders (De Hert et al, 2009;Scott and Happell, 2011;Vancampfort et al, 2012a).…”

Section: Contents Lists Available At Sciencedirectmentioning

confidence: 99%

Online physical activity interventions for mental disorders: A systematic review

Rosenbaum

Newby

Steel

et al. 2015

Internet Interventions

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Background: Accumulating evidence indicates that face-to-face physical activity interventions improve the physical and mental health of people with mental disorders. However, it is unclear whether internet-delivered physical activity interventions are also efficacious. Objective: Our aim was to determine the effect of online physical activity interventions on the severity of symptoms of mental illness among people experiencing mental disorders. Methods: A systematic review of major electronic databases was conducted from inception to January 2015. Randomised controlled trials of internet-delivered interventions to increase physical activity participation in adults (N 18 years) with a DSM, ICD, clinician-confirmed diagnosis, and/or those receiving specialist mental health treatment were eligible for inclusion. Outcome data for symptom severity (depression) and physical activity participation was extracted. Results: Two trials (N = 95 participants) met the inclusion criteria, which investigated online clinician-guided interventions of 9-10 week duration. Results were discrepant across studies. One study found a moderate between-groups effect size compared to wait-list control on depression outcomes (d = .67) but no differences in physical activity participation. In the other study, there were no significant differences between an online physical activity intervention versus treatment-as-usual in a university counselling service. Conclusion: The preliminary findings suggest that online physical activity interventions may have positive effects on depression symptoms, but the size of the effects and mechanism of change remain unclear. Further research is critically needed to explore the efficacy and acceptability of online physical interventions for people with mental disorders.

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“…The propensity toward an unhealthy life-style associated with depression-lack of physical activity, diets rich in saturated fats, and refined sugarsand overall non-adherence regarding the necessary selfcare behaviors that accompany a diagnosis of diabetes, leave the non-diabetic person at risk for developing this metabolic disease and the diabetic person at risk for complications and poor outcomes. 20,21 Meta-analysis that has shown depression is associated with missed medical appointments, and non-adherence to diet, exercise, medication use, glucose monitoring, and foot care, 22 while elsewhere it was reported that as depression symptom severity increased there was a dose response increase in the degree of non-adherence to these key elements of diabetic self-care. 23 Pathways involving both autonomic and HPA-axis elements along with inflammation also appear relevant.…”

Section: Mechanisms In Depression and Diabetesmentioning

confidence: 99%

The interface of emotion and biology in myocardial ischemia: Can we progress using the traditional paradigm?

Soufer

Burg

2017

Journal of Nuclear Cardiology

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Programmatic research conducted over the past 30 years has consistently found depression to be common in patients with coronary heart disease (CHD), yet it is often unrecognized. Furthermore, depression in this group has been shown to increase risk for recurrent cardiac events and mortality. The threshold of depression severity at which risk is conferred can be quite low and substantially below the threshold associated with a diagnosis of major depression, and the pathway(s) by which depression confers risk may involve physiologic and/or behavioral factors. A higher than expected prevalence of depression is also characteristic of the patient group with diabetes, and similarly is associated with an elevated risk of medical complications and early mortality. Here too, the pathways linking depression to outcomes in this patient group appear to involve both physiologic and behavioral factors.The current article by Haaf et al. 1 adds to this literature by focusing specifically on incident CHD riskevidenced by a new myocardial perfusion defect-in diabetic patients with depression. In a sub-study of the BARDOT trial, patients with type 2 diabetes and free from coronary disease manifestations or symptoms at baseline underwent assessment that included myocardial perfusion imaging (MPI) with SPECT and either exercise or pharmacologic stress, along with assessment of psychosocial functioning, including depression. These assessments were repeated 2 years later, and the predictors of new onset MPI defect were tested. Of many variables-including both biologic and psychologic-it was only the psychological measures-depression in particular-that predicted new onset MPI defect. While the sample was not large for a population study, and the number of new 'events' small-in part due perhaps to the length of follow-up-the findings of this paper nonetheless raise important questions regarding risk assessment and surveillance in this high-risk patient group. DEPRESSION AND CHDSeveral large, prospective epidemiological studies of initially healthy individuals have shown that a history of major depression disorder (MDD) carries up to a fourfold elevated risk of incident CHD, 2 with metaanalyses 3 showing depression to carry a relative risk of 1.64 for incident CHD, independent of standard risk factors and markers including poor diet, tobacco use, and lack of physical activity. In patients with CHD, defined as chronic, stable coronary disease, unstable angina, or a history of prior acute coronary syndrome (ACS) event, up to 40% evidence clinically meaningful depression symptomatology, and overall, 15% to 20% meet criteria for MDD, 4 a rate three times greater than in the general population.5 Hospitalized ACS patients with depression during hospital admission are highly likely to have had depression prior to their cardiac event, 6 which should not be surprising, as depression is a recurring, remitting disorder. DEPRESSION AND DIABETESOverall, the comorbidity of depression and CHD mirrors that of depression and diabetes. Approximately 25% o...

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Diabetes and Depression

Cited by 402 publications

References 91 publications

Prevalence of depressive symptoms and diagnosed depression among subjects with longstanding type 1 diabetes and no serious chronic complications, hospitalized due to inadequate metabolic control of diabetes

Prevalence of depressive symptoms and diagnosed depression among subjects with longstanding type 1 diabetes and no serious chronic complications, hospitalized due to inadequate metabolic control of diabetes

Online physical activity interventions for mental disorders: A systematic review

The interface of emotion and biology in myocardial ischemia: Can we progress using the traditional paradigm?

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