Recovery from depressive symptoms is associated with improvements in diabetes self-care, glycaemic control, diabetes distress, and quality of life: a prospective study



Professorship/Faculty: Clinical Psychology and Psychotherapy  
Authors: Schmitt, Andreas; Reimer, Andre; Kulzer, Bernhard ; Ehrmann, Dominic; Haak, Thomas; Hermanns, Norbert
Corporate Body: American Diabetes Association 75th ADA Scientific Sessions, 2015, Boston, Massachusetts, U.S.
Publisher Information: Bamberg : OPUS
Year of publication: 2016
Pages / Size: 1 pdf-Datei (1 S.)
Source/Other editions: Ursprünglich in: Diabetes : the journal of the American Diabetes Association 64 (2015) Supplement 1, A221 (876-P)
Year of first publication: 2015
Language(s): English
Licence: German Act on Copyright 
URN: urn:nbn:de:bvb:473-opus4-465135
Document Type: Other
Abstract: 
Depressive symptoms in diabetes are associated with reduced self-care,
glycaemic control and health-related quality of life (hrQOL) and increased
diabetes-specifi c distress. We analysed if the recovery from depressive
symptoms would be associated with improvements in these aspects. 182
diabetes patients (age 46 ± 13 y.; 56% female; BMI 30 ± 7; 62% type 1
diabetes; illness duration 15 ± 10 y.; 95% with insulin; HbA1c 8.7 ± 1.7%)
with subclinical depressive symptoms (CES-D score ≥ 16 without meeting
criteria for clinical depression; mean CES-D score: 23 ± 8) participated in a
prospective study. Recovery was defi ned as CES-D score < 16 at 12-month
follow up. Dependent variables were diabetes self-care (SDSCA), glycaemic
control (HbA1c), diabetes distress (PAID) and hrQOL (SF-36). We
compared baseline-to-follow up changes between recovered versus nonrecovered
patients using ANCOVA (adjusted for baseline values). At follow
up, 85 patients (47%) showed recovery. The mean reduction of depressive
symptoms in this group was -13 ± 9 CES-D scale points; the mean change in
the 97 patients remaining depressed (53%) was +2 ± 9 CES-D scale points.
Recovered patients compared to unrecovered ones showed signifi cantly
greater improvement (baseline-to-follow up change) regarding self-care
(+0.14 ± 1.11 vs. -0.19 ± 1.05 SDSCA scale points, Δ = 0.31, P = 0.014), glycaemic
control (-0.78 ± 2.19 vs. -0.56 ± 1.53 HbA1c %-points, Δ = 0.12, P =
0.042), diabetes distress (-13.6 ± 18.8 vs. -4.4 ± 17.1 PAID scale points, Δ =
0.51, P < 0.01) and hrQOL (physical hrQOL: +2.0 ± 8.7 vs. -1.1 ± 9.6 T scores,
Δ = 0.341, P = 0.005; mental hrQOL: +14.5 ± 11.9 vs. +0.1 ± 12.2 T scores, Δ =
1.19, P < 0.01). This study provides evidence that recovery from depressive
symptoms may have positive impact on diabetes control, diabetes-specifi c
distress and quality of life.
Peer Reviewed: Ja
International Distribution: Ja
URI: https://fis.uni-bamberg.de/handle/uniba/40363
Release Date: 19. April 2016

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