Intervention Strategies for Prevention of Comorbid Depression Among Individuals With Type 2 Diabetes: A Scoping Review

Background: Type 2 diabetes (T2D)-related depression has a significant impact on quality of life and leads to greater morbidity and mortality. Current educational and treatment programs for T2D rarely include a specific depression-prevention component, focusing largely on remediating depressive symp...

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Main Authors: Eva Guérin, Hamdi Jaafar, Lisa Amrani, Denis Prud'homme, Céline Aguer
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-03-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpubh.2019.00035/full
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author Eva Guérin
Hamdi Jaafar
Hamdi Jaafar
Lisa Amrani
Denis Prud'homme
Denis Prud'homme
Céline Aguer
Céline Aguer
author_facet Eva Guérin
Hamdi Jaafar
Hamdi Jaafar
Lisa Amrani
Denis Prud'homme
Denis Prud'homme
Céline Aguer
Céline Aguer
author_sort Eva Guérin
collection DOAJ
description Background: Type 2 diabetes (T2D)-related depression has a significant impact on quality of life and leads to greater morbidity and mortality. Current educational and treatment programs for T2D rarely include a specific depression-prevention component, focusing largely on remediating depressive symptoms that have reached clinical levels.Objective: Given the vast field of research on the association between T2D and depression, and the unknown status of prevention efforts for the latter, the goal of this scoping review was to conduct a synopsis of intervention strategies specifically targeting the prevention of depression among adults with T2D.Eligibility Criteria: (1) participants aged 18 and over with T2D; (2) experimental and quasi-experimental designs (3) intervention strategies seeking to prevent the onset or worsening of (non-clinical) depressive symptoms; (4) a valid measure of depressive symptoms; (5) full-text articles available in English or French.Sources of Evidence: Databases including Medline, PubMed, and SCOPUS were searched between 2000 and 2018 resulting in 4,219 potential articles.Charting Methods: This review was conducted in-line with the current methodological framework for scoping reviews. Titles, abstract and full text articles were screened independently and in duplicate. A narrative analysis was conducted to synthesize study characteristics and the nature of intervention strategies and components.Results: Twelve studies were identified with the primary aim of preventing the incidence of depressive symptoms or improving non-clinical depression levels. Individual and group-based approaches included educational interventions incorporating diabetes self-management, problem-solving, and resilience-focused approaches, emotion-targeted techniques as well as alternative interventions. Self-monitoring, home practices, and motivational interviewing were common elements.Conclusions: This review lays the groundwork for future studies seeking to develop, validate, and improve prevention strategies targeting the diabetes-depression comorbidity. More studies over longer periods and with larger samples are needed to capture the effects of prevention efforts.
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spelling doaj.art-f118aee7cf344175b6e7282a1efd66b82022-12-22T02:57:29ZengFrontiers Media S.A.Frontiers in Public Health2296-25652019-03-01710.3389/fpubh.2019.00035440060Intervention Strategies for Prevention of Comorbid Depression Among Individuals With Type 2 Diabetes: A Scoping ReviewEva Guérin0Hamdi Jaafar1Hamdi Jaafar2Lisa Amrani3Denis Prud'homme4Denis Prud'homme5Céline Aguer6Céline Aguer7Institut du Savoir Montfort-Recherche, Ottawa, ON, CanadaInstitut du Savoir Montfort-Recherche, Ottawa, ON, CanadaDepartment of Biochemistry, Microbiology, and Immunology, Faculty of Medicine, University of Ottawa, Ottawa, ON, CanadaInstitut du Savoir Montfort-Recherche, Ottawa, ON, CanadaInstitut du Savoir Montfort-Recherche, Ottawa, ON, CanadaFaculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, ON, CanadaInstitut du Savoir Montfort-Recherche, Ottawa, ON, CanadaDepartment of Biochemistry, Microbiology, and Immunology, Faculty of Medicine, University of Ottawa, Ottawa, ON, CanadaBackground: Type 2 diabetes (T2D)-related depression has a significant impact on quality of life and leads to greater morbidity and mortality. Current educational and treatment programs for T2D rarely include a specific depression-prevention component, focusing largely on remediating depressive symptoms that have reached clinical levels.Objective: Given the vast field of research on the association between T2D and depression, and the unknown status of prevention efforts for the latter, the goal of this scoping review was to conduct a synopsis of intervention strategies specifically targeting the prevention of depression among adults with T2D.Eligibility Criteria: (1) participants aged 18 and over with T2D; (2) experimental and quasi-experimental designs (3) intervention strategies seeking to prevent the onset or worsening of (non-clinical) depressive symptoms; (4) a valid measure of depressive symptoms; (5) full-text articles available in English or French.Sources of Evidence: Databases including Medline, PubMed, and SCOPUS were searched between 2000 and 2018 resulting in 4,219 potential articles.Charting Methods: This review was conducted in-line with the current methodological framework for scoping reviews. Titles, abstract and full text articles were screened independently and in duplicate. A narrative analysis was conducted to synthesize study characteristics and the nature of intervention strategies and components.Results: Twelve studies were identified with the primary aim of preventing the incidence of depressive symptoms or improving non-clinical depression levels. Individual and group-based approaches included educational interventions incorporating diabetes self-management, problem-solving, and resilience-focused approaches, emotion-targeted techniques as well as alternative interventions. Self-monitoring, home practices, and motivational interviewing were common elements.Conclusions: This review lays the groundwork for future studies seeking to develop, validate, and improve prevention strategies targeting the diabetes-depression comorbidity. More studies over longer periods and with larger samples are needed to capture the effects of prevention efforts.https://www.frontiersin.org/article/10.3389/fpubh.2019.00035/fulltype 2 diabetesdepressive disorderpreventioncomorbiditydiabetes education program
spellingShingle Eva Guérin
Hamdi Jaafar
Hamdi Jaafar
Lisa Amrani
Denis Prud'homme
Denis Prud'homme
Céline Aguer
Céline Aguer
Intervention Strategies for Prevention of Comorbid Depression Among Individuals With Type 2 Diabetes: A Scoping Review
Frontiers in Public Health
type 2 diabetes
depressive disorder
prevention
comorbidity
diabetes education program
title Intervention Strategies for Prevention of Comorbid Depression Among Individuals With Type 2 Diabetes: A Scoping Review
title_full Intervention Strategies for Prevention of Comorbid Depression Among Individuals With Type 2 Diabetes: A Scoping Review
title_fullStr Intervention Strategies for Prevention of Comorbid Depression Among Individuals With Type 2 Diabetes: A Scoping Review
title_full_unstemmed Intervention Strategies for Prevention of Comorbid Depression Among Individuals With Type 2 Diabetes: A Scoping Review
title_short Intervention Strategies for Prevention of Comorbid Depression Among Individuals With Type 2 Diabetes: A Scoping Review
title_sort intervention strategies for prevention of comorbid depression among individuals with type 2 diabetes a scoping review
topic type 2 diabetes
depressive disorder
prevention
comorbidity
diabetes education program
url https://www.frontiersin.org/article/10.3389/fpubh.2019.00035/full
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