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The effect of depression on self-care behaviors and quality of care in a national sample of adults with diabetes. Gen Hosp Psychiatry 2009 Sep-Oct;31(5):422-7 PMID: 19703635

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OBJECTIVE: To examine the effect of minor and major depression on self-care behaviors and quality of care among adults with diabetes.

METHODS: Data from 16,754 participants with diabetes in the 2006 Behavioral Risk Factor Surveillance Survey were examined. Multiple logistic regression was used to assess the independent association between depression status and indices of (1) self-care behaviors and (2) quality of diabetes care received, after accounting for confounders.

RESULTS: Individuals with minor (OR 0.69, 95% CI 0.57-0.84) and major (OR 0.50, 95% CI 0.39-0.64) depression were less likely to engage in leisure-time physical activity. Individuals with minor (OR 1.51, 95% CI 1.18-1.94) and major (OR 1.66, 95% CI 1.28-2.15) depression were more likely to be current smokers. With regard to quality of care, individuals with minor (OR 0.81, 95% CI 0.66-0.99) and major (OR 0.70, 95% CI 0.54-0.89) depression were less likely to receive an annual dilated eye exam. Additionally, individuals with minor (OR 0.79, 95% CI 0.65-0.95), but not major (OR 0.85, 95% CI 0.67-1.09) depression, were less likely to receive a flu shot in the past 12 months.

CONCLUSIONS: In adults with diabetes, both minor and major depression are associated with decreased self-care behavior and quality of care.

Author List

Egede LE, Ellis C, Grubaugh AL


Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of Wisconsin


2-s2.0-68949156365   69 Citations

MESH terms used to index this publication - Major topics in bold

Behavioral Risk Factor Surveillance System
Diabetes Mellitus
Logistic Models
Middle Aged
Quality of Health Care
Self Care
Young Adult
jenkins-FCD Prod-353 9ccd8489072cb19f5b9f808bb23ed672c582f41e