期刊
AMERICAN JOURNAL OF MEDICINE
卷 121, 期 11, 页码 8-15出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.amjmed.2008.09.008
关键词
Antidepressants; Collaborative care; Depression; Diabetes; Diabetes self-care
资金
- NIMH NIH HHS [R01 MH041739-20, K24 MH069471, K24 MH069471-05, R01 MH041739] Funding Source: Medline
Several factors, including sedentary lifestyle, obesity, and an aging population, contribute to epidemic rates of type 2 diabetes mellitus. Depression frequently occurs comorbidly with diabetes although it is unrecognized and untreated in approximately two thirds of patients with both conditions. The course of depression in patients with both diabetes and depression is chronic and severe. Up to 80% of patients with diabetes and depression will experience a relapse of depressive symptoms over a 5-year period. Depression is associated with nonadherence to diabetes self-care - including following dietary restrictions, medication compliance, and blood glucose monitoring - resulting in worse overall clinical outcomes. Due to potential negative health consequences associated with comorbid diabetes and depression, both conditions should be optimally treated to maximize patient outcomes. (C) 2008 Elsevier Inc. All rights reserved. The American Journal of Medicine (2008) 121, S8-S15
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