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Depressed mood is a factor in glycemic control in type 1 diabetes.

Publication ,  Journal Article
Van Tilburg, MA; McCaskill, CC; Lane, JD; Edwards, CL; Bethel, A; Feinglos, MN; Surwit, RS
Published in: Psychosom Med
2001

OBJECTIVE: The diabetes literature contains conflicting evidence on the relationship between depression and glycemic control. This may be due, in part, to the fact that past studies failed to distinguish between patients with type 1 and type 2 diabetes. Because these are actually completely different diseases that are often treated differently and consequently make different demands on patients, the relationship between glycemic control and depressed mood in type 1 and type 2 diabetes was examined separately. METHODS: The relationship between Beck Depression Inventory (BDI) scores and HbA1c, as an index of long-term glycemic control, was measured in samples of 30 patients with type 1 and 34 patients with type 2 diabetes. RESULTS: Groups of patients with type 1 and type 2 diabetes did not differ in mean BDI score or HbA1c level. Correlation analysis revealed a significant positive relationship between BDI scores and HbA1c in the type 1 group (r = .44, p < .02) but not in the type 2 group (r = -0.06, p > .05). This relationship was evident throughout the entire range of BDI scores and was not restricted to scores indicative of clinical depression. Patients with type 1 diabetes who had higher HbA1c and BDI scores reported a lower frequency of home blood glucose monitoring. CONCLUSIONS: Variations in depressive mood, below the level of clinical depression, are associated with meaningful differences in glycemic control in type 1 but not type 2 diabetes. Preliminary data analysis suggests that this effect may be mediated, at least in part, by decreased self-care behaviors in patients with more depressed mood.

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Published In

Psychosom Med

DOI

ISSN

0033-3174

Publication Date

2001

Volume

63

Issue

4

Start / End Page

551 / 555

Location

United States

Related Subject Headings

  • Sick Role
  • Psychiatry
  • Personality Inventory
  • Middle Aged
  • Male
  • Humans
  • Glycated Hemoglobin
  • Female
  • Diabetes Mellitus, Type 2
  • Diabetes Mellitus, Type 1
 

Citation

APA
Chicago
ICMJE
MLA
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Van Tilburg, M. A., McCaskill, C. C., Lane, J. D., Edwards, C. L., Bethel, A., Feinglos, M. N., & Surwit, R. S. (2001). Depressed mood is a factor in glycemic control in type 1 diabetes. Psychosom Med, 63(4), 551–555. https://doi.org/10.1097/00006842-200107000-00005
Van Tilburg, M. A., C. C. McCaskill, J. D. Lane, C. L. Edwards, A. Bethel, M. N. Feinglos, and R. S. Surwit. “Depressed mood is a factor in glycemic control in type 1 diabetes.Psychosom Med 63, no. 4 (2001): 551–55. https://doi.org/10.1097/00006842-200107000-00005.
Van Tilburg MA, McCaskill CC, Lane JD, Edwards CL, Bethel A, Feinglos MN, et al. Depressed mood is a factor in glycemic control in type 1 diabetes. Psychosom Med. 2001;63(4):551–5.
Van Tilburg, M. A., et al. “Depressed mood is a factor in glycemic control in type 1 diabetes.Psychosom Med, vol. 63, no. 4, 2001, pp. 551–55. Pubmed, doi:10.1097/00006842-200107000-00005.
Van Tilburg MA, McCaskill CC, Lane JD, Edwards CL, Bethel A, Feinglos MN, Surwit RS. Depressed mood is a factor in glycemic control in type 1 diabetes. Psychosom Med. 2001;63(4):551–555.

Published In

Psychosom Med

DOI

ISSN

0033-3174

Publication Date

2001

Volume

63

Issue

4

Start / End Page

551 / 555

Location

United States

Related Subject Headings

  • Sick Role
  • Psychiatry
  • Personality Inventory
  • Middle Aged
  • Male
  • Humans
  • Glycated Hemoglobin
  • Female
  • Diabetes Mellitus, Type 2
  • Diabetes Mellitus, Type 1