Depression, quality of life, and glycemic control in individuals with type 2 diabetes

Hyeon Joo Lee, Deborah Chapa, Chi Wen Kao, Deborah Jones, Jane Kapustin, Jamie Smith, Cathy Krichten, Thomas Donner, Sue A. Thomas, Erika Friedmann

Research output: Contribution to journalArticle

Abstract

Purpose: The purpose of this article is to evaluate the contributions of diabetic complications to depression beyond the contributions of demographic characteristics in patients with type 2 diabetes. Further, this article evaluates the contributions of diabetic complications, depression, and quality of life to A1C (also know as HbA1c) beyond the contributions of demographic characteristics in individuals with type 2 diabetes. Data sources: A cross-sectional survey of 55 individuals with type 2 diabetes attending an inner city diabetes specialty clinic. Patients completed the Beck Depression Inventory - II, the Inventory of Depressive Symptomatology Self-Report, the Medical Outcome Study Short Form-36, and a demographic questionnaire. A1C and diabetes-related comorbidities were obtained from the patients' medical records. Conclusions: Being younger and female were associated with depression in individuals with type 2 diabetes. After controlling for age and gender, neuropathy tended to add to the prediction of depression; other comorbidities did not. Being black was associated with poor diabetic control (A1C > 7). After controlling for race, neuropathy and retinopathy predicted poor diabetes control and depression tended to predict poor diabetes control. Implications for practice: Given the high prevalence of depression, the relationship of depression with poor diabetic self-care and medication adherence, and the increased cost of treatment for patients with depression among individuals with type 2 diabetes, assessment of depression is crucial. Further research is needed to establish effective treatment of depression and its effect on glycemic control in patients with type 2 diabetes.

Original languageEnglish (US)
Pages (from-to)214-224
Number of pages11
JournalJournal of the American Academy of Nurse Practitioners
Volume21
Issue number4
DOIs
StatePublished - Apr 1 2009

Keywords

  • A1C
  • Depression
  • HbA1c
  • Neuropathy
  • Quality of life
  • Retinopathy

ASJC Scopus subject areas

  • Nursing(all)

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    Lee, H. J., Chapa, D., Kao, C. W., Jones, D., Kapustin, J., Smith, J., Krichten, C., Donner, T., Thomas, S. A., & Friedmann, E. (2009). Depression, quality of life, and glycemic control in individuals with type 2 diabetes. Journal of the American Academy of Nurse Practitioners, 21(4), 214-224. https://doi.org/10.1111/j.1745-7599.2009.00396.x