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Annals of General Psychiatry
Published in: Annals of General Psychiatry 1/2019

Open Access 01-12-2019 | Affective Disorder | Primary research

Coping behaviors and depressive status in individuals with type 2 diabetes mellitus

Authors: Norio Yasui-Furukori, Hiroshi Murakami, Hideyuki Otaka, Hirofumi Nakayama, Masaya Murabayashi, Satoru Mizushiri, Koki Matsumura, Jutaro Tanabe, Yuki Matsuhashi, Miyuki Yanagimachi, Kazuhiko Nakamura, Makoto Daimon, Norio Sugawara

Published in: Annals of General Psychiatry | Issue 1/2019

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Abstract

Objective

Type 2 diabetes mellitus (T2DM) is associated with a high prevalence of depression, which is influenced by personality traits and coping style. However, these psychological factors have not been well studied in individuals with T2DM. The association between coping behaviors and the reported levels of depressive symptoms was examined in individuals with T2DM.

Methods

The subjects were 435 T2DM patients (mean age 63.1 ± 12.6 years). Depressive status, personality traits and coping behaviors were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D) and the Brief Scale for Coping Profile (BSCP). Lifestyle factors and glycated hemoglobin A1c (HbA1c) levels in the patients were also included in the analyses.

Results

Among the 435 subjects with T2DM, 130 (29.9%) exhibited possible depression, and 68 (15.6%) displayed probable depression. After adjustment for confounders, logistic and multiple regression analyses revealed that certain coping profile scores, such as Changing one’s point of view, Emotional expression involving others and Avoidance and suppression, were consistently and significantly associated with the presence and severity of depression. No relationship was found between depression and HbA1c.

Conclusion

These findings indicate that Maladaptive emotion-focused coping strategies, such as Emotional expression involving others and Avoidance and suppression, are protective factors and that Adaptive emotion-focused coping, such as Changing one’s point of view, is a risk factor for depression in T2DM patients. Psychological intervention focusing on the coping profile may reduce depressive symptoms. Additional studies are needed to examine the relationships between psychological factors and depressive symptoms using a longitudinal study design.
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Metadata
Title
Coping behaviors and depressive status in individuals with type 2 diabetes mellitus
Authors
Norio Yasui-Furukori
Hiroshi Murakami
Hideyuki Otaka
Hirofumi Nakayama
Masaya Murabayashi
Satoru Mizushiri
Koki Matsumura
Jutaro Tanabe
Yuki Matsuhashi
Miyuki Yanagimachi
Kazuhiko Nakamura
Makoto Daimon
Norio Sugawara
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Annals of General Psychiatry / Issue 1/2019
Electronic ISSN: 1744-859X
DOI
https://doi.org/10.1186/s12991-019-0235-5

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