Recognizing and treating depression in patients with diabetes. Curr Diab Rep 2004 Apr;4(2):119-25
Date
03/24/2004Pubmed ID
15035972DOI
10.1007/s11892-004-0067-8Scopus ID
2-s2.0-3042578044 (requires institutional sign-in at Scopus site) 90 CitationsAbstract
Diabetes doubles the risk for depression, which in turn may interfere with effective diabetes self-management, and is associated with hyperglycemia and with increased risk for diabetes complications. Despite its relevance to the course of diabetes and its chronic character, depression is recognized and treated appropriately in fewer than 25% of depressed diabetic patients. The authors discuss the use of screening tools to assist primary care providers in identifying depressed diabetic patients, as well as the application of a chronic care model of depression management. Data from controlled trials are limited but promising. They suggest that pharmacologic and psychological approaches are effective in the face of diabetes, and that successful treatment also produces improvements in glycemic control, overall functioning, and quality of life.
Author List
Rubin RR, Ciechanowski P, Egede LE, Lin EH, Lustman PJAuthor
Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AnimalsAntidepressive Agents
Depression
Diabetes Mellitus
Humans