Quality and Outcomes Framework screening questions for depression in patients with diabetes: effective but non‐efficient

Abu-Roomi, S. R.; Mallipedhi, Akhila; Baín, Steve; Price, D. E.; Stephens, J. W.

doi:10.1111/j.1464-5491.2012.03611.x

Cited by 2 publications

(1 citation statement)

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“…Recent systematic reviews have shown depression to be 2–3 times more common in individuals with diabetes than in people who do not have diabetes 4 5. This knowledge spurred the Quality and Outcomes Framework to recommend that people with diabetes are screened for depression by asking two indicatory questions drawn from the Patient Health Questionnaire-2, although this requirement has now been dropped,6 primarily because concern was expressed that this approach resulted in a disproportionately high diagnosis of depression in people with diabetes 7. Fisher and colleagues have shown, in a large sample of people with type 2 diabetes, that 70% of those identified as having depression by the Centre of Epidemiological Studies Depression scale are not clinically depressed, as determined when using the gold standard clinical assessment: the Composite International Diagnostic Interview score 8.…”

Section: Introductionmentioning

confidence: 99%

Diabetes distress: understanding the hidden struggles of living with diabetes and exploring intervention strategies

Berry

Lockhart

Davies

et al. 2015

Postgraduate Medical Journal

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Diabetes Distress is a rational emotional response to the threat of a life-changing illness. Distinct from depression, it is rooted in the demands of diabetes management and is a product of psychological adjustment. Diabetes distress has been found to be significantly associated with HbA1c and self-care, which demonstrates its clinical use in treatment outcomes. Interpersonal factors such as perceived support and protectiveness of partners significantly contribute to elevated distress, suggesting that these are valued areas of focus for interventions. Pioneering large-scale research, DAWN2, gives voices to the families of those with diabetes and reaffirms the need to consider psychosocial factors in routine diabetes care. Structured diabetes education programmes are the most widely used in helping individuals cope with diabetes, but they fail to consider the psychological or interpersonal aspects of diabetes management. Psycho-educational approaches are found to be effective in reducing diabetes distress while also improving HbA1c. Certain limitations in the current literature are discussed, along with future directions. Of utmost importance is the need for health practitioners, irrespective of background, to demonstrate an understanding of diabetes distress and actively engage in discussion with individuals struggling to cope with diabetes; to normalize this and integrate it into routine diabetes practice.

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Section: Introductionmentioning

confidence: 99%