Awareness of Prediabetes and Diabetes among Persons with Clinical Depression
Background. Major depressive disorder (MDD) is highly comorbid with diabetes, a relationship underappreciated by clinicians. Purpose. Examine the proportion of nonpregnant individuals ≥20 years with MDD and elevated glucose and the demographic and clinical characteristics associated with unrecognize...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2015/839152 |
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| author | Mary Rosedale Shiela M. Strauss Candice Knight Dolores Malaspina |
| author_facet | Mary Rosedale Shiela M. Strauss Candice Knight Dolores Malaspina |
| author_sort | Mary Rosedale |
| collection | DOAJ |
| description | Background. Major depressive disorder (MDD) is highly comorbid with diabetes, a relationship underappreciated by clinicians. Purpose. Examine the proportion of nonpregnant individuals ≥20 years with MDD and elevated glucose and the demographic and clinical characteristics associated with unrecognized elevated glucose. Methods. 14,373 subjects who participated in the National Health and Nutrition Examination Survey (2007–2012) completed the PHQ-9 depression screen and had hemoglobin A1C (HbA1c) measured. PHQ-9 scores ≥10 and HbA1c scores ≥5.7% were defined as MDD and elevated HbA1c, respectively. Data were analyzed using complex survey sampling software. Results. 38.4% of the sample with MDD had elevated HbA1c readings. Compared with nondepressed subjects, they were significantly more likely to have elevated glucose readings (P=0.003) and to be aware of their elevated glucose levels if they had a higher body mass index, family history of diabetes, more doctor visits in the past year, a usual care source, health insurance, or were taking hypertension or hypercholesterolemia medications. Conclusions. Many adults with MDD have elevated HbA1c levels, have never been advised of elevated HbA1c, have not received diabetes screening, and have minimal contact with a healthcare provider. Additional opportunities for diabetes risk screening in people with MDD are needed. |
| format | Article |
| id | doaj-art-b7f7ff7e328e41a4ac5275a642bb8aaf |
| institution | DOAJ |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-b7f7ff7e328e41a4ac5275a642bb8aaf2025-08-20T03:22:45ZengWileyInternational Journal of Endocrinology1687-83371687-83452015-01-01201510.1155/2015/839152839152Awareness of Prediabetes and Diabetes among Persons with Clinical DepressionMary Rosedale0Shiela M. Strauss1Candice Knight2Dolores Malaspina3New York University College of Nursing, New York, NY 10010, USANew York University College of Nursing, New York, NY 10010, USANew York University College of Nursing, New York, NY 10010, USANYU Langone Medical Center, New York, NY 10016, USABackground. Major depressive disorder (MDD) is highly comorbid with diabetes, a relationship underappreciated by clinicians. Purpose. Examine the proportion of nonpregnant individuals ≥20 years with MDD and elevated glucose and the demographic and clinical characteristics associated with unrecognized elevated glucose. Methods. 14,373 subjects who participated in the National Health and Nutrition Examination Survey (2007–2012) completed the PHQ-9 depression screen and had hemoglobin A1C (HbA1c) measured. PHQ-9 scores ≥10 and HbA1c scores ≥5.7% were defined as MDD and elevated HbA1c, respectively. Data were analyzed using complex survey sampling software. Results. 38.4% of the sample with MDD had elevated HbA1c readings. Compared with nondepressed subjects, they were significantly more likely to have elevated glucose readings (P=0.003) and to be aware of their elevated glucose levels if they had a higher body mass index, family history of diabetes, more doctor visits in the past year, a usual care source, health insurance, or were taking hypertension or hypercholesterolemia medications. Conclusions. Many adults with MDD have elevated HbA1c levels, have never been advised of elevated HbA1c, have not received diabetes screening, and have minimal contact with a healthcare provider. Additional opportunities for diabetes risk screening in people with MDD are needed.http://dx.doi.org/10.1155/2015/839152 |
| spellingShingle | Mary Rosedale Shiela M. Strauss Candice Knight Dolores Malaspina Awareness of Prediabetes and Diabetes among Persons with Clinical Depression International Journal of Endocrinology |
| title | Awareness of Prediabetes and Diabetes among Persons with Clinical Depression |
| title_full | Awareness of Prediabetes and Diabetes among Persons with Clinical Depression |
| title_fullStr | Awareness of Prediabetes and Diabetes among Persons with Clinical Depression |
| title_full_unstemmed | Awareness of Prediabetes and Diabetes among Persons with Clinical Depression |
| title_short | Awareness of Prediabetes and Diabetes among Persons with Clinical Depression |
| title_sort | awareness of prediabetes and diabetes among persons with clinical depression |
| url | http://dx.doi.org/10.1155/2015/839152 |
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