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Diabet Med. 2010 Jun;27(6):713-7. doi: 10.1111/j.1464-5491.2010.02996.x.

Lifetime depression and diabetes self-management in women with Type 2 diabetes: a case-control study.

Author information

1
Department of Behavioral Sciences and Community Health, Universityof Connecticut Health Center, Farmington, CT 06410, USA. juwagner@uchc.edu

Abstract

AIMS:

Little is known about the association between lifetime history of major depressive disorder (L-MDD) and diabetes self-management, particularly when depression is remitted. We examined the association between L-MDD and diabetes self-management in women with Type 2 diabetes who were not depressed at the time of assessment.

METHODS:

L-MDD was assessed with structured psychiatric interview. Participants completed paper-and-pencil measures of demographics, diabetes-related distress, self-care behaviours, healthcare utilization and diabetes self-efficacy.

RESULTS:

One-hundred and fifty-three women participated; 41% had L-MDD. Compared with their never-depressed counterparts, women with L-MDD had more diabetes distress, reported lower overall rates of self-monitoring of blood glucose (SMBG) and greater tendency to skip SMBG, had lower diet adherence and were less likely to have seen a primary care provider in the past year. Diabetes self-efficacy mediated the relationship between L-MDD and self-management.

CONCLUSIONS:

Interventions to promote self-management for patients with L-MDD may be warranted.

PMID:
20546294
PMCID:
PMC3086788
DOI:
10.1111/j.1464-5491.2010.02996.x
[Indexed for MEDLINE]
Free PMC Article

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