Diabetes and Depression: Strategies to Address a Common Comorbidity Within the Primary Care Context
Diabetes and depression represent a prevalent, bidirectional, and impactful comorbidity that affects patient and family quality of life, glycemic self-management, long-term diabetes complications, usage of medical services, medical costs, and early mortality. Primary care providers (PCPs) are freque...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | American Journal of Medicine Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667036423000092 |
| _version_ | 1797812064895369216 |
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| author | Mary de Groot |
| author_facet | Mary de Groot |
| author_sort | Mary de Groot |
| collection | DOAJ |
| description | Diabetes and depression represent a prevalent, bidirectional, and impactful comorbidity that affects patient and family quality of life, glycemic self-management, long-term diabetes complications, usage of medical services, medical costs, and early mortality. Primary care providers (PCPs) are frequently the first medical providers to observe changes in mood and diabetes management, as well as the primary point of contact for making referrals to specialty providers (e.g. endocrinology, psychiatry). PCPs play a critical role in screening, evaluating, and treating these conditions. Critical to fostering and maintaining a position of trust and patient engagement in medication recommendations is the use of person-centered, nonjudgmental language used by the provider within the clinical encounter. Key strategies for the management of these conditions include the following: routine screening for depressive symptoms, securing access to behavioral health professionals, either within or beyond the primary care setting, collaboration with diabetes care and education specialists to support problem-solving of diabetes self-management, and monitoring the use and effectiveness of antidepressant medications. |
| first_indexed | 2024-03-13T07:33:03Z |
| format | Article |
| id | doaj.art-eea9ef65d3bf43e48e52611af73ca54f |
| institution | Directory Open Access Journal |
| issn | 2667-0364 |
| language | English |
| last_indexed | 2024-03-13T07:33:03Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Medicine Open |
| spelling | doaj.art-eea9ef65d3bf43e48e52611af73ca54f2023-06-04T04:24:38ZengElsevierAmerican Journal of Medicine Open2667-03642023-06-019100039Diabetes and Depression: Strategies to Address a Common Comorbidity Within the Primary Care ContextMary de Groot0Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, Indiana University School of Medicine, IndianapolisDiabetes and depression represent a prevalent, bidirectional, and impactful comorbidity that affects patient and family quality of life, glycemic self-management, long-term diabetes complications, usage of medical services, medical costs, and early mortality. Primary care providers (PCPs) are frequently the first medical providers to observe changes in mood and diabetes management, as well as the primary point of contact for making referrals to specialty providers (e.g. endocrinology, psychiatry). PCPs play a critical role in screening, evaluating, and treating these conditions. Critical to fostering and maintaining a position of trust and patient engagement in medication recommendations is the use of person-centered, nonjudgmental language used by the provider within the clinical encounter. Key strategies for the management of these conditions include the following: routine screening for depressive symptoms, securing access to behavioral health professionals, either within or beyond the primary care setting, collaboration with diabetes care and education specialists to support problem-solving of diabetes self-management, and monitoring the use and effectiveness of antidepressant medications.http://www.sciencedirect.com/science/article/pii/S2667036423000092DepressionDiabetesPrimary carePsychosocial |
| spellingShingle | Mary de Groot Diabetes and Depression: Strategies to Address a Common Comorbidity Within the Primary Care Context American Journal of Medicine Open Depression Diabetes Primary care Psychosocial |
| title | Diabetes and Depression: Strategies to Address a Common Comorbidity Within the Primary Care Context |
| title_full | Diabetes and Depression: Strategies to Address a Common Comorbidity Within the Primary Care Context |
| title_fullStr | Diabetes and Depression: Strategies to Address a Common Comorbidity Within the Primary Care Context |
| title_full_unstemmed | Diabetes and Depression: Strategies to Address a Common Comorbidity Within the Primary Care Context |
| title_short | Diabetes and Depression: Strategies to Address a Common Comorbidity Within the Primary Care Context |
| title_sort | diabetes and depression strategies to address a common comorbidity within the primary care context |
| topic | Depression Diabetes Primary care Psychosocial |
| url | http://www.sciencedirect.com/science/article/pii/S2667036423000092 |
| work_keys_str_mv | AT marydegroot diabetesanddepressionstrategiestoaddressacommoncomorbiditywithintheprimarycarecontext |