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Lifetime depression and diabetes self‐management in women with Type 2 diabetes: a case–control study
Author(s) -
Wagner J. A.,
Tennen H.,
Osborn C. Y.
Publication year - 2010
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/j.1464-5491.2010.02996.x
Subject(s) - medicine , major depressive disorder , diabetes mellitus , depression (economics) , type 2 diabetes , distress , diabetes management , psychological intervention , management of depression , psychiatry , clinical psychology , primary care , family medicine , endocrinology , cognition , economics , macroeconomics
Diabet. Med. 27, 713–717 (2010) Abstract Aims Little is known about the association between lifetime history of major depressive disorder (L‐MDD) and diabetes self‐management, particularly when depression is remitted. We examined the association between L‐MDD and diabetes self‐management in women with Type 2 diabetes who were not depressed at the time of assessment. Methods L‐MDD was assessed with structured psychiatric interview. Participants completed paper‐and‐pencil measures of demographics, diabetes‐related distress, self‐care behaviours, healthcare utilization and diabetes self‐efficacy. Results One‐hundred and fifty‐three women participated; 41% had L‐MDD. Compared with their never‐depressed counterparts, women with L‐MDD had more diabetes distress, reported lower overall rates of self‐monitoring of blood glucose (SMBG) and greater tendency to skip SMBG, had lower diet adherence and were less likely to have seen a primary care provider in the past year. Diabetes self‐efficacy mediated the relationship between L‐MDD and self‐management. Conclusions Interventions to promote self‐management for patients with L‐MDD may be warranted.