Diabetes Patients with Depression More Likely to Have Poor Self-Care Behaviors
According to the study, individuals with major depression are less committed to their recommended diets, spend less time exercising, and pay less attention to their glucose self-monitoring regimens than those not suffering from depression.
Self-Care Suffers
A correlation was also found between moderate and minor depression and poor self-care. A depression severity of 6 out of 10 was associated with a half-day less of weekly exercise than a score of one. Those who experienced a one point increase in the depression symptom severity score were 10 percent more likely to hve missed one dose of prescribed medication over the prior week.
By showing a consistent relationship between the stages of depression and non-adherence to diabetes self-care, the findings challenge prior conclusions that only major depression causes non-adherence to diabetes self-care. In total, the study found that approximately 20 percent of those with type 2 diabetes suffered from major depression. Additionally, another two-thirds of those with diabetes suffered from minor depression.
For more information see: "Depression, Self-care, and Medication Adherence in Type 2 Diabetes," by Jeffrey S. Gonzalez, Ph.D., Steven A. Safren, Ph.D., Enrico Cagliero, M.D., et al, Diabetes Care, vol 30, no 9, September 2007, pp. 27.