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Published in: Journal of General Internal Medicine 2/2019

01-02-2019 | Perspective

The Importance of Addressing Depression and Diabetes Distress in Adults with Type 2 Diabetes

Authors: Michelle D. Owens-Gary, PhD, Xuanping Zhang, PhD, Shawn Jawanda, MD, Kai McKeever Bullard, PhD, Pamela Allweiss, MD, Bryce D. Smith, PhD

Published in: Journal of General Internal Medicine | Issue 2/2019

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Abstract

People with type 2 diabetes often experience two common mental health conditions: depression and diabetes distress. Both increase a patient’s risk for mortality, poor disease management, diabetes-related complications, and poor quality of life. The American Diabetes Association and the U.S. Preventive Services Task Force recommend routine evaluations for these conditions in adults for optimal disease management and prevention of life-threatening complications. However, barriers exist within primary care and specialty settings that make screening for depression and diabetes distress challenging. Depression and diabetes distress influence diabetes self-care and diabetes control and barriers in clinical care practice that can hinder detection and management of psychosocial issues in diabetes care. This paper highlights opportunities to increase mental health screenings and provides strategies to help providers address depression and diabetes distress in patients with type 2 diabetes.
Literature
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go back to reference CDC. National Diabetes Statistics Report, 2017: Estimates of diabetes and its burden in the United States. Atlanta, GA: CDC, 2017. CDC. National Diabetes Statistics Report, 2017: Estimates of diabetes and its burden in the United States. Atlanta, GA: CDC, 2017.
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go back to reference Powers MA, Bardsley J, Cypress M, et al. Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care 2015; 38(7):1372–82. https://doi.org/10.2337/dc15-0730.CrossRefPubMed Powers MA, Bardsley J, Cypress M, et al. Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care 2015; 38(7):1372–82. https://​doi.​org/​10.​2337/​dc15-0730.CrossRefPubMed
Metadata
Title
The Importance of Addressing Depression and Diabetes Distress in Adults with Type 2 Diabetes
Authors
Michelle D. Owens-Gary, PhD
Xuanping Zhang, PhD
Shawn Jawanda, MD
Kai McKeever Bullard, PhD
Pamela Allweiss, MD
Bryce D. Smith, PhD
Publication date
01-02-2019
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 2/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-018-4705-2

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