- AutorIn
- Jörg Dirmaier
- Birgit Watzke
- Uwe Koch
- Holger Schulz
- Hendrik Lehnert
- Lars Pieper
- Hans-Ulrich Wittchen
- Titel
- Diabetes in Primary Care: Prospective Associations between Depression, Nonadherence and Glycemic Control
- Zitierfähige Url:
- https://nbn-resolving.org/urn:nbn:de:bsz:14-qucosa-100111
- Quellenangabe
- Psychotherapy and Psychosomatics, 2010, Bd. 79, Nr. 3, S. 172-178, ISSN: 0033-3190, EISSN: 1423-0348
- Erstveröffentlichung
- 2010
- Abstract (EN)
- Background: Findings are inconsistent regarding the degree to which depression may exert a negative impact on glycemic control in patients with type 2 diabetes. We therefore aimed to examine the longitudinal relationship between depression, behavioral factors, and glycemic control. Methods: In a prospective component of a nationally representative sample, 866 patients with type 2 diabetes aged ≧18 years completed a standardized assessment including a laboratory screening, questionnaires, and diagnostic measures. Subsequent to baseline (t0), patients were tracked over a period of 12 months (t1). Depression was assessed according to DSM-IV and ICD-10 criteria. Glycemic control was determined by levels of glycosylated hemoglobin (HbA1c); a level of ≧7% was judged as unsatisfactory. Regression analyses were performed to analyze the prospective relationship between depression, medication adherence, diabetes-related health behavior, and HbA1c. Results: Patients with depression at t0 revealed increased rates of medication nonadherence (adjusted OR: 2.67; CI: 1.38–5.15) at t1. Depression (adjusted regression coefficient: β = 0.96; p = 0.001) and subthreshold depression (β = 1.01; p < 0.001) at t0 also predicted increased problems with diabetes-related health behavior at t1. Adjusted ORs for poor glycemic control (HbA1c ≧7%) at t1 were also increased for patients with baseline depression (2.01; CI: 1.10–3.69). However, problems with medication adherence as well as problems with diabetes-related health behavior at t0 did not predict poor glycemic control at t1. Conclusions: In a prospective representative study of patients with type 2 diabetes, baseline depression predicted problems with medication adherence, problems with health-related behaviors, and unsatisfactory glycemic control at follow-up.
- Andere Ausgabe
- DOI: 10.1159/000296135
- Abstract und Metadaten zu dem Artikel, der zuerst in der Zeitschrift "Psychotherapy and Psychosomatics" des Karger-Verlages erschienen ist.
Link: http://dx.doi.org/10.1159/000296135 - Freie Schlagwörter (DE)
- Diabetes, Blutzuckerspiegel, Nichtbeachtung, Glykämische Index, Blutzuckermessung
- Freie Schlagwörter (EN)
- diabetes, nonadherence, glycemic control
- Klassifikation (DDC)
- 616
- Klassifikation (RVK)
- YC 6400, CU 3200
- Verlag
- Karger, Basel, Schweiz
- URN Qucosa
- urn:nbn:de:bsz:14-qucosa-100111
- Veröffentlichungsdatum Qucosa
- 29.11.2012
- Dokumenttyp
- Artikel
- Sprache des Dokumentes
- Englisch
- Lizenz / Rechtehinweis