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Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 1/2009

01-02-2009 | Original Paper

Depressive Symptoms and Diabetes Control in African Americans

Authors: Julie A. Wagner, Gina L. Abbott, Alicia Heapy, Lynne Yong

Published in: Journal of Immigrant and Minority Health | Issue 1/2009

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Abstract

This study of African Americans with diabetes investigated: (1) the relationship between depressive symptoms and glycemic control; (2) the relationship between depressive symptoms and long-term diabetes complications; (3) the relationship between depressive symptoms and medication usage; and (4) the effects of demographic and diabetes variables on these relationships. One-hundred twenty five African American diabetic adults who were attending health fairs reported demographic and medical history and provided blood samples for A1c assessment of glycemic control. They also completed the Centers for Epidemiological Studies Depression questionnaire, and the Diabetes Self-Care Inventory. After controlling for confounders, higher depressive symptoms were associated with higher A1c, more long-term diabetes complications, and more diabetes medications. Diabetes self-care did not fully account for these relationships. The relationship between depression and poor diabetes control exists in African Americans as it does in Whites. Providers are encouraged to attend to depression in their African American patients with diabetes.
Literature
1.
Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. The prevalence of comorbid depression in adults with diabetes: a meta-analytic review of the literature. Diabetes Care. 2001;24:1069–78.PubMedCrossRef
2.
Centers for Disease Control and Prevention. National diabetes fact sheet: general information and national estimates on diabetes in the United States, 2002. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2003.
3.
Wagner J, Tsimikas J, Heapy A, de Groot M, Abbott G. Ethnic and racial differences in diabetic patients’ depressive symptoms, diagnosis, and treatment. Racial and ethnic differences in diabetic patient-reported depression symptoms, diagnosis, and treatment. Diabetes Res Clin Pract. 2007;75(1):119–22.PubMedCrossRef
4.
Lustman PJ, Anderson RJ, Freedland KE, de Groot M, Carney RM, Clouse RE. Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care. 2000;23:934–942.PubMedCrossRef
5.
de Groot M, Anderson R, Freedland KE, Clouse RE, Lustman PJ. Association of depression and diabetes complications: a meta-analysis. Psychosom Med. 2001;63:619–30.PubMed
6.
Katon WJ, Rutter C, Simon G, Lin EH, Ludman E, Ciechanowski P, Kinder L, Young B, Von Korff M. The association of comorbid depression with mortality in patients with type 2 diabetes. Diabetes Care. 2005;28(11):2668–72.PubMedCrossRef
7.
Trief PM, Moin PC, Izquierdo R, Teresi JA, Eimicke JP, Goalnd R, Starren J, Shea S, Weinstock RS. Depression and glycemic control in elderly ethnically diverse patients with diabetes. Diabetes Care. 2006;29:830–5.PubMedCrossRef
8.
Gary TL, Crum RM, Cooper-Patrick L, Ford D, Brancati FL. Depressive symptoms and metabolic control in African Americans with type 2 diabetes. Diabetes Care. 2000;23:23–9.PubMedCrossRef
9.
Bell RA, Smith SL, Arcury TA, Snively BM, Stafford JM, Quandt SA. Prevalence and correlates of depressive symptoms among rural older African Americans, Native Americans, and Whites with diabetes. Diabetes Care. 2005;28:823–9.PubMedCrossRef
10.
Husaini BA, Hull PC, Sherkat DE, Emerson JS, Overton MT, Craun C, Cain VA, Levine RS. Diabetes, depression, and healthcare utilization among African Americans in primary care. J Natl Med Assoc. 2004;96(4):476–84.PubMed
11.
Kirk JK, D’Agostino RB Jr, Bell RA, Passmore LV, Bonds DE, Karter AJ, Narayan KM. Disparities in HbA1c levels between African-American and non-Hispanic white adults with diabetes: a meta-analysis. Diabetes Care. 2006;29(9):2130–6.PubMedCrossRef
12.
Bayer DCA2000+ Analyzer Operating Manual. Bayer HealthCare LLC, Elkhart, IN 2004.
13.
Radloff LS. The CES-D Scale: a self-report depression scale for research in the general population. J Appl Psychol Meas. 1977;1:385–401.CrossRef
14.
Zich JM, Attkisson CC, Greenfield TK. Screening for depression in primary care clinics: the CES-D and the BDI. Int J Psychiatry Med. 1990;20:259–77.PubMed
15.
Weinger K, Butler HA, Welch GW, La Greca AM. Measuring diabetes self-care: a psychometric analysis of the Self-Care Inventory-Revised with adults. Diabetes Care. 2005;28:1346–52.PubMedCrossRef
16.
Lustman PJ, Griffith LS, Freedland KE, Kissel SS, Clouse RE. Cognitive behavior therapy for depression in type 2 diabetes mellitus. Ann Intern Med. 1998;129:613–21.PubMed
17.
Lustman PJ, Griffith LS, Freedland KE, Clouse RE. Fluoxetine for depression in diabetes: A randomized double-blind placebo-controlled trial. Diabetes Care. 2000;23:618–23.PubMedCrossRef
18.
Katon WJ, Von Korff M, Lin EH, Simon G, Ludman E, Russo J, Ciechanowski P, Walker E, Bush T. The Pathways Study: a randomized trial of collaborative care in patients with diabetes and depression. Arch Gen Psychiatry. 2004;61(10):1042–9.PubMedCrossRef
19.
Egede LE. Beliefs and attitudes of African Americans with type 2 diabetes toward depression. Diabetes Educ. 2002;28:258–68.PubMedCrossRef
20.
Wagner J, Abbott G. Depression and depression care in diabetes: Relationship to perceived discrimination in African Americans. Diabetes Care. 2007;30:364–6.PubMedCrossRef
21.
de Groot M, Pinkerman B, Wagner J, Hockman E. Depression treatment and satisfaction in a multicultural sample of type 1 and type 2 diabetic patients. Diabetes Care. 2006;29:549–53.PubMedCrossRef
22.
Cowie C, Harris M. Ambulatory medical care for non-Hispanic Whites, African Americans and Mexican Americans in the US. Diabetes Care. 1997;20:142–7.PubMedCrossRef
Metadata
Title
Depressive Symptoms and Diabetes Control in African Americans
Authors
Julie A. Wagner
Gina L. Abbott
Alicia Heapy
Lynne Yong
Publication date
01-02-2009
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 1/2009
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-008-9147-1

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