Prevalence and characteristics of depressive disorders in type 1 diabetes

被引：8
作者：
Berge L.I. [1 ,2 ,4 ]
Riise T. [2 ]
Hundal O. [3 ,4 ]
Ødegaard K.J. [1 ,4 ]
Dilsaver S. [5 ]
Lund A. [1 ,4 ]
机构：
[1] Haukeland University Hospital, Division of Psychiatry/Institute of Clinical Medicine, University of Bergen, Bergen
[2] Research Group for Lifestyle Epidemiology, Department of Global Public Health and Primary Health Care, University of Bergen, Kalfarveien 31
[3] Apotekene-Vest, Haukeland University Hospital, Bergen
[4] MoodNet, Psychiatric Division, Haukeland University Hospital, Bergen
[5] Imperial County Behavioral Health Services, El Centro, CA
来源：
BMC Research Notes | / 6卷 / 1期
关键词：
HbA1c; Melancholic depression; Type; 1; diabetes;
D O I：
10.1186/1756-0500-6-543
中图分类号：
学科分类号：
摘要：
Background: Persons with diabetes and depression have increased risk of complications and increased mortality. We aimed to investigate the prevalence, clinical characteristics and impact with regard to glycosylated haemoglobin (HbA1c) of depressive disorders in persons with type 1 diabetes at an outpatient specialist diabetes clinic. Findings. A total of 51 persons with type 1 diabetes were diagnosed according to Mini International Neuropsychiatric Interview (M.I.N.I) with regard to dysthymia and previous or ongoing depressive episodes during spring 2005. HbA1c was measured at the day of the interview, and self-reported information on family history of depressive disorders was obtained. Eight persons (16%; 95% CI: 7%, 29%) were in the midst of a major depressive episode, 4 of these also reported a previous episode of depression. Seven of the 8 persons with an ongoing major depressive episode met the criteria for melancholia. Three persons (6%) met the criteria for dysthymia, and 6 persons (12%) had previous episode(s) of depression, without being currently depressed. The 17 (33%; 95% CI: 21%, 48%) persons with ongoing and/or previous depressive disorder had increased HbA1c (8.5%; 95% CI: 7.6%, 9.4%) compared to those without depressive disorders (7.9%; 95% CI: 7.5%, 8.3%), although the difference did not reach statistical significance. Conclusions: Persons with type 1 diabetes had a high prevalence of depressive disorders, mainly depressive episodes that also met the criteria for melancholia, a subtype often considered a more serious and biologic" form of depression. We were not able to demonstrate that persons with depressive disorders had poorer regulated diabetes compared to those without depressive disorders. © 2013 Berge et al.; licensee BioMed Central Ltd."
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  • [1] Berge L.I., Riise T., Fasmer O.B., Lund A., Odegaard K.J., Hundal O, Risk of depression in diabetes is highest for young persons using oral anti-diabetic agents, Diabet Med, 29, pp. 509-514, (2012)
  • [2] Moussavi S., Chatterji S., Verdes E., Tandon A., Patel V., Ustun B., Depression, chronic diseases, and decrements in health: Results from the world health surveys, Lancet, 370, 9590, pp. 851-858, (2007)
  • [3] Ciechanowski P., Katon W., Russo J., Depression and diabetes: Impact of depressive symptoms on adherence, function and costs, Arch Intern Med, 160, pp. 3278-3285, (2000)
  • [4] Richardson L., Egede K., Mueller M., Echols C.L., Gebregziabher M., Longitudinal effects of depression on glycemic control in veterans with Type 2 diabetes, Gen Hosp Psychiatry, 30, pp. 509-514, (2008)
  • [5] Black S.A., Markides K.S., Ray L.A., Depression predicts increased incidence of adverse health outcomes in older Mexican Americans with type 2 diabetes, Diabetes Care, 26, 10, pp. 2822-2828, (2003)
  • [6] Lin E.H.B., Rutter C.M., Katon W., Heckbert S.R., Ciechanowski O., Oliver M.M., Ludman E.J., Young B.A., Williams L.H., McCulloch D.K., Von Korff M., Depression and advanced complications of diabetes, Diabetes Care, 33, pp. 264-269, (2010)
  • [7] Van Dooren F.E.P., Nefs G., Schram M.T., Verhey F.R., Denollet J., Puower F., Depression and risk of mortality in people with diabetes mellitus: A systematic review and meta-analysis, Plos One, 8, (2013)
  • [8] Summary E., Standards of medical care in diabetes, Diabetes Care, 34, SUPPL.EMENT 1, pp. 11-61, (2011)
  • [9] Shaban M.C., Fosbury J., Kerr D., Cavan D.A., The prevalence of depression and anxiety in adults with Type 1 diabetes, Diabetic Medicine, 23, 12, pp. 1381-1384, (2006)
  • [10] Gendelman N., Snell-Bergeon J., McFann K., Kinney G., Paul Wadwa R., Bishop F., Rewers M., Maahs D.M., Prevalence and correlates of depression in individuals with and without type 1 diabetes, Diabetes Care, 32, pp. 575-579, (2009)
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