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

doi:10.1007/s11606-018-4705-2

Review

. 2019 Feb;34(2):320-324.

doi: 10.1007/s11606-018-4705-2. Epub 2018 Oct 22.

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

Michelle D Owens-Gary¹, Xuanping Zhang², Shawn Jawanda³, Kai McKeever Bullard², Pamela Allweiss², Bryce D Smith²

Affiliations

¹ Division of Diabetes Translation, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS-F75, Atlanta, GA, 30341, USA. mowens1@cdc.gov.
² Division of Diabetes Translation, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS-F75, Atlanta, GA, 30341, USA.
³ Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.

PMID: 30350030
PMCID: PMC6374277
DOI: 10.1007/s11606-018-4705-2

Review

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

Michelle D Owens-Gary et al. J Gen Intern Med. 2019 Feb.

. 2019 Feb;34(2):320-324.

doi: 10.1007/s11606-018-4705-2. Epub 2018 Oct 22.

Authors

Michelle D Owens-Gary¹, Xuanping Zhang², Shawn Jawanda³, Kai McKeever Bullard², Pamela Allweiss², Bryce D Smith²

Affiliations

¹ Division of Diabetes Translation, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS-F75, Atlanta, GA, 30341, USA. mowens1@cdc.gov.
² Division of Diabetes Translation, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS-F75, Atlanta, GA, 30341, USA.
³ Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.

PMID: 30350030
PMCID: PMC6374277
DOI: 10.1007/s11606-018-4705-2

Abstract

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 life-threatening 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.

Keywords: depression; diabetes; diabetes distress; primary care; providers.

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Conflict of interest statement

The authors declare that they do not have a conflict of interest.

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References

1. CDC. National Diabetes Statistics Report, 2017: Estimates of diabetes and its burden in the United States. Atlanta, GA: CDC, 2017.
1. Stark Casagrande S, Fradkin JE, Saydah SH, Rust KF, Cowie CC. The prevalence of meeting A1C, blood pressure, and LDL goals among people with diabetes, 1988-2010. Diabetes Care. 2013;36(8):2271–2279. doi: 10.2337/dc12-2258. - DOI - PMC - PubMed
1. Perrin NE, Davies MJ, Robertson N, Snoek FJ, Khunti K. The prevalence of diabetes-specific emotional distress in people with type 2 diabetes: a systematic review and meta-analysis. Diabet Med. 2017;34(11):1508–20. doi: 10.1111/dme.13448. - DOI - PubMed
1. Ascher-Svanum H, Zagar A, Jiang D, et al. Associations between glycemic control, depressed mood, clinical depression, and diabetes distress before and after insulin initiation: an exploratory post hoc analysis. Diabetes Ther. 2015;6(3):303–16. doi: 10.1007/s13300-015-0118-y. - DOI - PMC - PubMed
1. Fisher L, Skaff MM, Mullan JT, Arean P, Glasgow R, Masharani U. A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with type 2 diabetes. Diabet Med. 2008;25(9):1096–1101. doi: 10.1111/j.1464-5491.2008.02533.x. - DOI - PMC - PubMed

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[1] CDC. National Diabetes Statistics Report, 2017: Estimates of diabetes and its burden in the United States. Atlanta, GA: CDC, 2017.

[2] CDC. National Diabetes Statistics Report, 2017: Estimates of diabetes and its burden in the United States. Atlanta, GA: CDC, 2017.

[3] Stark Casagrande S, Fradkin JE, Saydah SH, Rust KF, Cowie CC. The prevalence of meeting A1C, blood pressure, and LDL goals among people with diabetes, 1988-2010. Diabetes Care. 2013;36(8):2271–2279. doi: 10.2337/dc12-2258. - DOI - PMC - PubMed

[4] Stark Casagrande S, Fradkin JE, Saydah SH, Rust KF, Cowie CC. The prevalence of meeting A1C, blood pressure, and LDL goals among people with diabetes, 1988-2010. Diabetes Care. 2013;36(8):2271–2279. doi: 10.2337/dc12-2258. - DOI - PMC - PubMed

[5] Perrin NE, Davies MJ, Robertson N, Snoek FJ, Khunti K. The prevalence of diabetes-specific emotional distress in people with type 2 diabetes: a systematic review and meta-analysis. Diabet Med. 2017;34(11):1508–20. doi: 10.1111/dme.13448. - DOI - PubMed

[6] Perrin NE, Davies MJ, Robertson N, Snoek FJ, Khunti K. The prevalence of diabetes-specific emotional distress in people with type 2 diabetes: a systematic review and meta-analysis. Diabet Med. 2017;34(11):1508–20. doi: 10.1111/dme.13448. - DOI - PubMed

[7] Ascher-Svanum H, Zagar A, Jiang D, et al. Associations between glycemic control, depressed mood, clinical depression, and diabetes distress before and after insulin initiation: an exploratory post hoc analysis. Diabetes Ther. 2015;6(3):303–16. doi: 10.1007/s13300-015-0118-y. - DOI - PMC - PubMed

[8] Ascher-Svanum H, Zagar A, Jiang D, et al. Associations between glycemic control, depressed mood, clinical depression, and diabetes distress before and after insulin initiation: an exploratory post hoc analysis. Diabetes Ther. 2015;6(3):303–16. doi: 10.1007/s13300-015-0118-y. - DOI - PMC - PubMed

[9] Fisher L, Skaff MM, Mullan JT, Arean P, Glasgow R, Masharani U. A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with type 2 diabetes. Diabet Med. 2008;25(9):1096–1101. doi: 10.1111/j.1464-5491.2008.02533.x. - DOI - PMC - PubMed

[10] Fisher L, Skaff MM, Mullan JT, Arean P, Glasgow R, Masharani U. A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with type 2 diabetes. Diabet Med. 2008;25(9):1096–1101. doi: 10.1111/j.1464-5491.2008.02533.x. - DOI - PMC - PubMed

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

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

Authors

Affiliations

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