Psychosocial Factors and Diabetes Mellitus: Evidence-Based Treatment Guidelines

Petrak, Frank; Herpertz, Stephan; Albus, Christian; Hirsch, Axel; Kulzer, Bernhard; Kruse, Johannes

doi:10.2174/157339905774574329

Cited by 47 publications

(34 citation statements)

References 197 publications

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“…La importante influencia de factores socioeconómicos y psicosociales tales como el alto nivel de estrés y depresión, inadecuada relación médico paciente, baja educación e ingreso documentada en nuestro estudio coincide con relaciones similares descritas en estudios previos entre estos factores y otras condiciones mórbidas como la obesidad y diversas entidades patológicas relacionadas con hábitos o estilos de vida desfavorables 25,26 .…”

Section: Discussionunclassified

Influencia de factores psicosociales en la adherencia al tratamiento farmacológico antihipertensivo: Resultados de una cohorte del Programa de Salud Cardiovascular de la Región Metropolitana, Chile

et al. 2014

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Section: Discussionunclassified

Influencia de factores psicosociales en la adherencia al tratamiento farmacológico antihipertensivo: Resultados de una cohorte del Programa de Salud Cardiovascular de la Región Metropolitana, Chile

et al. 2014

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“…In the face of high prevalence rates for depression [11], screening for depression is often recommended [19,20]. This study indicates that the SCA, performed even under favourable clinical circumstances, has limited sensitivity for the detection of clinical as well as subclinical depression.…”

Section: Discussionmentioning

confidence: 99%

“…A prerequisite for the effective treatment of depression is the detection of depressed diabetic patients. Indeed, several guidelines for diabetes care [19,20] recommend screening for depression.…”

Section: Introductionmentioning

confidence: 99%

How to screen for depression and emotional problems in patients with diabetes: comparison of screening characteristics of depression questionnaires, measurement of diabetes-specific emotional problems and standard clinical assessment

et al. 2006

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Aims/hypothesis: We compared the screening performance of different measures of depression: the standard clinical assessment (SCA); the Beck Depression Inventory (BDI); the Center of Epidemiological StudiesDepression Scale (CES-D); and the Problem Areas in Diabetes (PAID) questionnaire, which assesses diabetesspecific distress. We also studied the ability of these measures to detect diabetes-related distress. Materials and methods: A total of 376 diabetic patients (37.2% type 1; 23.9% type 2 without insulin treatment, 38.8% type 2 with insulin) completed the BDI and CES-D; patients who screened positive participated in a diagnostic interview, the Composite International Diagnostic Interview (CIDI). Also, all patients completed the PAID questionnaire. Results of the SCA that related to depression diagnosis were reviewed to correct for false negative screening results. Results: The prevalence of clinical depression was 14.1%, with an additional 18.9% of patients receiving a diagnosis of subclinical depression. Sensitivity for clinical depression in SCA (56%) was moderate, whereas BDI, CES-D and the PAID questionnaire showed satisfactory sensitivity (87, 79 and 81%, respectively). For subclinical depression, the sensitivity of the PAID questionnaire (79%) was sufficient, whereas that of SCA (25%) was poor. All methods showed low sensitivity for the detection of diabetes-specific emotional problems (SCA 19%, CIDI 34%, BDI 60%, CES-D 49%). Conclusions/interpretation: The screening performance of SCA for clinical and subclinical depression was modest. Additional screening for depression using the PAID or another depression questionnaire seems reasonable. The ability of depression screening measures to identify diabetes-related distress is modest, suggesting that the PAID questionnaire could be useful when screening diabetic patients for both depression and emotional problems.

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“…For the PAT 25 to 30 minutes were conducted for each patient during every two visits. For the control group no PAT test was performed 9 .…”

Section: Psychological Aspect Treatmentmentioning

confidence: 99%

Impact of Medication and Psychological Behavior Assessment by Community Pharmacists in Type 2 Diabetes Mellitus Patients After Hospital Stay

Gangwar¹,

Parimalakrishnan²,

Monisha³

et al. 2014

Int. Res. J. Pharm.

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Drug related problem (DRPs) is a key factor which will affect the outcome of therapy and safety. The aim of the present study is to assess the DRPs in T2DM patients and psychological aspects of patients by community pharmacists to observe the rate of DRP. Prospective randomized controlled intervention study involved T2DM patients and conducted in two community pharmacies at Kanpur, Uttar Pradesh, India from January 2012 to December 2012. The assessment of DRPs was based on the PCNE. Changes in HBA1C, LDL, BP, foot examinations, changes medical and medication utilization were studied. Using as control group, received usual care, and interventional group provided, intervened with use of the STG. Researcher provided the knowledge to community pharmacists and patients. Baseline and interventional data were collected at 0,3,6,9 and 12 months. Over 12 month study, participants' average HBA1C reduced from 8.9 % at initial visit to 7.5 %. During this time, the eye examination rate was raised from 31 % to 48 %, and the foot examination rate was raised from 35 % to 50 %. It may be concluded that the intervention of pharmacists showed very less significant influence on any of the intermediate health outcomes in T2DM.

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Psychosocial Factors and Diabetes Mellitus: Evidence-Based Treatment Guidelines

Cited by 47 publications

References 197 publications

Influencia de factores psicosociales en la adherencia al tratamiento farmacológico antihipertensivo: Resultados de una cohorte del Programa de Salud Cardiovascular de la Región Metropolitana, Chile

Influencia de factores psicosociales en la adherencia al tratamiento farmacológico antihipertensivo: Resultados de una cohorte del Programa de Salud Cardiovascular de la Región Metropolitana, Chile

How to screen for depression and emotional problems in patients with diabetes: comparison of screening characteristics of depression questionnaires, measurement of diabetes-specific emotional problems and standard clinical assessment

Impact of Medication and Psychological Behavior Assessment by Community Pharmacists in Type 2 Diabetes Mellitus Patients After Hospital Stay

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