TY - JOUR
T1 - The association of minor and major depression with health problem-solving and diabetes self-care activities in a clinic-based population of adults with type 2 diabetes mellitus
AU - Shin, Na
AU - Hill-Briggs, Felicia
AU - Langan, Susan
AU - Payne, Jennifer L.
AU - Lyketsos, Constantine
AU - Golden, Sherita Hill
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2017/5
Y1 - 2017/5
N2 - Aims We examined whether problem-solving and diabetes self-management behaviors differ by depression diagnosis – major depressive disorder (MDD) and minor depressive disorder (MinDD) – in adults with Type 2 diabetes (T2DM). Methods We screened a clinical sample of 702 adults with T2DM for depression, identified 52 positive and a sample of 51 negative individuals, and performed a structured diagnostic psychiatric interview. MDD (n = 24), MinDD (n = 17), and no depression (n = 62) were diagnosed using Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) Text Revised criteria. Health Problem-Solving Scale (HPSS) and Summary of Diabetes Self-Care Activities (SDSCA) questionnaires determined problem-solving and T2DM self-management skills, respectively. We compared HPSS and SDSCA scores by depression diagnosis, adjusting for age, sex, race, and diabetes duration, using linear regression. Results Total HPSS scores for MDD (β = − 4.38; p < 0.001) and MinDD (β = − 2.77; p < 0.01) were lower than no depression. Total SDSCA score for MDD (β = − 10.1; p < 0.01) was lower than for no depression, and was partially explained by total HPSS. Conclusion MinDD and MDD individuals with T2DM have impaired problem-solving ability. MDD individuals had impaired diabetes self-management, partially explained by impaired problem-solving. Future studies should assess problem-solving therapy to treat T2DM and MinDD and integrated problem-solving with diabetes self-management for those with T2DM and MDD.
AB - Aims We examined whether problem-solving and diabetes self-management behaviors differ by depression diagnosis – major depressive disorder (MDD) and minor depressive disorder (MinDD) – in adults with Type 2 diabetes (T2DM). Methods We screened a clinical sample of 702 adults with T2DM for depression, identified 52 positive and a sample of 51 negative individuals, and performed a structured diagnostic psychiatric interview. MDD (n = 24), MinDD (n = 17), and no depression (n = 62) were diagnosed using Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) Text Revised criteria. Health Problem-Solving Scale (HPSS) and Summary of Diabetes Self-Care Activities (SDSCA) questionnaires determined problem-solving and T2DM self-management skills, respectively. We compared HPSS and SDSCA scores by depression diagnosis, adjusting for age, sex, race, and diabetes duration, using linear regression. Results Total HPSS scores for MDD (β = − 4.38; p < 0.001) and MinDD (β = − 2.77; p < 0.01) were lower than no depression. Total SDSCA score for MDD (β = − 10.1; p < 0.01) was lower than for no depression, and was partially explained by total HPSS. Conclusion MinDD and MDD individuals with T2DM have impaired problem-solving ability. MDD individuals had impaired diabetes self-management, partially explained by impaired problem-solving. Future studies should assess problem-solving therapy to treat T2DM and MinDD and integrated problem-solving with diabetes self-management for those with T2DM and MDD.
KW - Depression
KW - Diabetes self-care activities
KW - Major depressive disorder
KW - Minor depressive disorder
KW - Problem-solving
KW - Type 2 diabetes mellitus
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U2 - 10.1016/j.jdiacomp.2017.01.026
DO - 10.1016/j.jdiacomp.2017.01.026
M3 - Article
C2 - 28256399
AN - SCOPUS:85013956246
SN - 1056-8727
VL - 31
SP - 880
EP - 885
JO - Journal of Diabetes and its Complications
JF - Journal of Diabetes and its Complications
IS - 5
ER -