Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control

Objective: The current study assessed depressive symptoms in Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM) patients and explored whether these symptoms were associated with glycemic control. Methods: A cross-sectional design was used. Patients attending diabetes consultations p...

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Main Authors: Ilda Maria Massano-Cardoso, Fernanda Daniel, Vítor Rodrigues, Ana Galhardo
Format: Article
Language:Portuguese
Published: Instituto Superior Miguel Torga 2020-05-01
Series:Revista Portuguesa de Investigação Comportamental e Social
Subjects:
Online Access:https://rpics.ismt.pt/index.php/ISMT/article/view/166
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author Ilda Maria Massano-Cardoso
Fernanda Daniel
Vítor Rodrigues
Ana Galhardo
author_facet Ilda Maria Massano-Cardoso
Fernanda Daniel
Vítor Rodrigues
Ana Galhardo
author_sort Ilda Maria Massano-Cardoso
collection DOAJ
description Objective: The current study assessed depressive symptoms in Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM) patients and explored whether these symptoms were associated with glycemic control. Methods: A cross-sectional design was used. Patients attending diabetes consultations participated in the study (N = 347). Participants completed the Beck Depression Inventory (BDI), and glycemic control was based on A1C criteria. Results: The mean score on the BDI, for either T1DM or T2DM, was not clinically significant and was not associated with diagnosis duration. The association between depression and glycemic control was significant in both DM types. T2DM participants presenting more depressive symptoms were those with greater glycemic control. T1DM and T2DM differences regarding depressive symptoms were in somatic symptoms. Conclusions: In T2DM depressive symptoms may be confounded with DM physical consequences. There is also the possibility that negative mood plays a mediating role in mobilizing survival strategies that promote glycemic control. Furthermore, the assessment of depressive symptomatology in patients with diabetes could benefit from the availability of a disease-specific measure.
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spelling doaj.art-3ea7b293561b43d8babb2496e79d9a8f2022-12-21T23:15:16ZporInstituto Superior Miguel TorgaRevista Portuguesa de Investigação Comportamental e Social2183-49382020-05-016110.31211/rpics.2020.6.1.166166Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic controlIlda Maria Massano-Cardoso0Fernanda Daniel1Vítor Rodrigues2Ana Galhardo3Miguel Torga Higher Education Institute; Faculty of Medicine of University of Coimbra, PortugalMiguel Torga Higher Education Institute; Centre for Health Studies and Research of University of Coimbra, PortugalFaculty of Medicine of the University of Coimbra, PortugalMiguel Torga Higher Education Institute; Center for Research in Neuropsychology and Cognitive and Behavioral Intervention of University of Coimbra, PortugalObjective: The current study assessed depressive symptoms in Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM) patients and explored whether these symptoms were associated with glycemic control. Methods: A cross-sectional design was used. Patients attending diabetes consultations participated in the study (N = 347). Participants completed the Beck Depression Inventory (BDI), and glycemic control was based on A1C criteria. Results: The mean score on the BDI, for either T1DM or T2DM, was not clinically significant and was not associated with diagnosis duration. The association between depression and glycemic control was significant in both DM types. T2DM participants presenting more depressive symptoms were those with greater glycemic control. T1DM and T2DM differences regarding depressive symptoms were in somatic symptoms. Conclusions: In T2DM depressive symptoms may be confounded with DM physical consequences. There is also the possibility that negative mood plays a mediating role in mobilizing survival strategies that promote glycemic control. Furthermore, the assessment of depressive symptomatology in patients with diabetes could benefit from the availability of a disease-specific measure.https://rpics.ismt.pt/index.php/ISMT/article/view/166Diabetes mellitusType 1 diabetesType 2 diabetesDepressive symptomsGlycemic control
spellingShingle Ilda Maria Massano-Cardoso
Fernanda Daniel
Vítor Rodrigues
Ana Galhardo
Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
Revista Portuguesa de Investigação Comportamental e Social
Diabetes mellitus
Type 1 diabetes
Type 2 diabetes
Depressive symptoms
Glycemic control
title Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
title_full Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
title_fullStr Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
title_full_unstemmed Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
title_short Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
title_sort depressive symptoms in type 1 and type 2 diabetes mellitus and its relationship with glycemic control
topic Diabetes mellitus
Type 1 diabetes
Type 2 diabetes
Depressive symptoms
Glycemic control
url https://rpics.ismt.pt/index.php/ISMT/article/view/166
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