Depressive symptoms in the first year from diagnosis of Type 2 diabetes: results from the DESMOND trial

Timothy Skinner, M.E Carey, Sue Cradock, H.M Dallosso, H Daly, M.J Davies, Y Doherty, S Heller, K Khunti, L Oliver

    Research output: Contribution to journalArticle

    Abstract

    Aims:
    To describe the course of depressive symptoms during the first year after diagnosis of Type 2 diabetes.

    Methods:
    Post hoc analysis of data from a randomized controlled trial of self-management education for 824 individuals newly diagnosed with Type 2 diabetes. Participants completed the Depression scale of the Hospital Anxiety and Depression Scale after diagnosis and at 4, 8 and 12 months follow-up. Participants also completed the Problem Areas in Diabetes scale at 8 and
    12 months follow-up. We present descriptive statistics on prevalence and persistence of depressive symptoms. Logistic regression is used to predict possible depression cases, and multiple regression to predict depressive symptomatology.

    Results:
    The prevalence of depressive symptoms in individuals recently diagnosed with diabetes (18–22% over the year) was
    not significantly different from normative data for the general population (12%) in the UK. Over 20% of participants indicated some degrees of depressive symptoms over the first year of living with Type 2 diabetes ;these were mostly transient episodes,with 5% (1% severe) reporting having depressive symptoms throughout the year. At 12 months post diagnosis, after controlling for
    baseline depressive symptoms, diabetes-specific emotional distress was predictive of depressive symptomatology.

    Conclusions:
    The increased prevalence of depressive symptoms in diabetes is not manifest until at least 1 year post diagnosis in this cohort. However, there are a significant number of people with persistent depressive symptoms in the early stages of diabetes, and diabetes-specific distress may be contributing to subsequent development of depressive symptoms in people with Type 2 diabetes.
    Original languageEnglish
    Pages (from-to)965-967
    Number of pages3
    JournalDiabetic Medicine
    Volume27
    Issue number8
    DOIs
    Publication statusPublished - Aug 2010

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