Association between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studies
Abstract Background Self-care behaviors in people living with type 2 diabetes are important to achieving optimal glycemic control. Major depression in type 2 diabetes is associated with decreased adherence to self-care behaviors. The association between subthreshold depression and self-care behavior...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-02-01
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| Series: | Systematic Reviews |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13643-020-01302-z |
| _version_ | 1818515757656440832 |
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| author | Monika Shrestha Ashley Ng Amal Al-Ghareeb Fatimah Alenazi Richard Gray |
| author_facet | Monika Shrestha Ashley Ng Amal Al-Ghareeb Fatimah Alenazi Richard Gray |
| author_sort | Monika Shrestha |
| collection | DOAJ |
| description | Abstract Background Self-care behaviors in people living with type 2 diabetes are important to achieving optimal glycemic control. Major depression in type 2 diabetes is associated with decreased adherence to self-care behaviors. The association between subthreshold depression and self-care behaviors, however, has not previously been systematically reviewed. The objective of this review is to determine the association between subthreshold depression and self-care behaviors. Methods A systematic search was performed in five electronic databases that included MEDLINE, EMBASE, PsycINFO, Emcare, and CINAHL. Any observational studies in adults with type 2 diabetes, investigating the association between subthreshold depression and any self-care behaviors, were included in the review. Qualitative studies, review articles, and gray literature were excluded. Two reviewers independently completed the title and abstract and full-text screening, appraised the study quality, and extracted the data. A third reviewer resolved any discrepancies between the reviewers if needed. Included articles were critically appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Meta-analyses were not conducted because criteria for conducting such analyses were not met. Results A total of 6408 articles were identified through the database searching. After the abstract and full-text review, two articles met the inclusion criteria. One of the included study was cross-sectional while the other was a longitudinal study. Both studies showed inconsistent findings in the association between subthreshold depression and self-care behaviors. Important risks of bias were identified in the included studies. Discussion The evidence from the two included studies on a possible association between subthreshold depression and self-care behaviors in adults with type 2 diabetes was not consistent and potentially biased. Our review established a gap in knowledge and suggests that further high-quality studies are needed to examine the association between subthreshold depression and self-care behaviors in people with type 2 diabetes. Systematic review registration PROSPERO CRD42018116373 |
| first_indexed | 2024-12-11T00:33:03Z |
| format | Article |
| id | doaj.art-1a52d1cd54854725afc9c9ba6b2b280d |
| institution | Directory Open Access Journal |
| issn | 2046-4053 |
| language | English |
| last_indexed | 2024-12-11T00:33:03Z |
| publishDate | 2020-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Systematic Reviews |
| spelling | doaj.art-1a52d1cd54854725afc9c9ba6b2b280d2022-12-22T01:27:15ZengBMCSystematic Reviews2046-40532020-02-01911910.1186/s13643-020-01302-zAssociation between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studiesMonika Shrestha0Ashley Ng1Amal Al-GhareebFatimah Alenazi2Richard Gray3School of Nursing and Midwifery, La Trobe UniversityDepartment of Dietetics, Human Nutrition and Sport, La Trobe UniversitySchool of Nursing and Midwifery, La Trobe UniversitySchool of Nursing and Midwifery, La Trobe UniversityAbstract Background Self-care behaviors in people living with type 2 diabetes are important to achieving optimal glycemic control. Major depression in type 2 diabetes is associated with decreased adherence to self-care behaviors. The association between subthreshold depression and self-care behaviors, however, has not previously been systematically reviewed. The objective of this review is to determine the association between subthreshold depression and self-care behaviors. Methods A systematic search was performed in five electronic databases that included MEDLINE, EMBASE, PsycINFO, Emcare, and CINAHL. Any observational studies in adults with type 2 diabetes, investigating the association between subthreshold depression and any self-care behaviors, were included in the review. Qualitative studies, review articles, and gray literature were excluded. Two reviewers independently completed the title and abstract and full-text screening, appraised the study quality, and extracted the data. A third reviewer resolved any discrepancies between the reviewers if needed. Included articles were critically appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Meta-analyses were not conducted because criteria for conducting such analyses were not met. Results A total of 6408 articles were identified through the database searching. After the abstract and full-text review, two articles met the inclusion criteria. One of the included study was cross-sectional while the other was a longitudinal study. Both studies showed inconsistent findings in the association between subthreshold depression and self-care behaviors. Important risks of bias were identified in the included studies. Discussion The evidence from the two included studies on a possible association between subthreshold depression and self-care behaviors in adults with type 2 diabetes was not consistent and potentially biased. Our review established a gap in knowledge and suggests that further high-quality studies are needed to examine the association between subthreshold depression and self-care behaviors in people with type 2 diabetes. Systematic review registration PROSPERO CRD42018116373http://link.springer.com/article/10.1186/s13643-020-01302-zSubthreshold depressionDepressionSelf-care behaviorSelf-managementType 2 diabetesSystematic review |
| spellingShingle | Monika Shrestha Ashley Ng Amal Al-Ghareeb Fatimah Alenazi Richard Gray Association between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studies Systematic Reviews Subthreshold depression Depression Self-care behavior Self-management Type 2 diabetes Systematic review |
| title | Association between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studies |
| title_full | Association between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studies |
| title_fullStr | Association between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studies |
| title_full_unstemmed | Association between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studies |
| title_short | Association between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studies |
| title_sort | association between subthreshold depression and self care behaviors in people with type 2 diabetes a systematic review of observational studies |
| topic | Subthreshold depression Depression Self-care behavior Self-management Type 2 diabetes Systematic review |
| url | http://link.springer.com/article/10.1186/s13643-020-01302-z |
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