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Associations between Depression and Diabetes in the Community: Do Symptom Dimensions Matter? Results from the Gutenberg Health Study

OBJECTIVES: While a bidirectional relationship between diabetes and depression has been established, there is little knowledge if the associations are due to somatic-affective or cognitive-affective dimensions of depression. RESEARCH DESIGN AND METHODS: In a population-based, representative survey o...

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Autores principales: Wiltink, Jörg, Michal, Matthias, Wild, Philipp S., Schneider, Astrid, König, Jochem, Blettner, Maria, Münzel, Thomas, Schulz, Andreas, Weber, Matthias, Fottner, Christian, Pfeiffer, Norbert, Lackner, Karl, Beutel, Manfred E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134314/
https://www.ncbi.nlm.nih.gov/pubmed/25127227
http://dx.doi.org/10.1371/journal.pone.0105499
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author Wiltink, Jörg
Michal, Matthias
Wild, Philipp S.
Schneider, Astrid
König, Jochem
Blettner, Maria
Münzel, Thomas
Schulz, Andreas
Weber, Matthias
Fottner, Christian
Pfeiffer, Norbert
Lackner, Karl
Beutel, Manfred E.
author_facet Wiltink, Jörg
Michal, Matthias
Wild, Philipp S.
Schneider, Astrid
König, Jochem
Blettner, Maria
Münzel, Thomas
Schulz, Andreas
Weber, Matthias
Fottner, Christian
Pfeiffer, Norbert
Lackner, Karl
Beutel, Manfred E.
author_sort Wiltink, Jörg
collection PubMed
description OBJECTIVES: While a bidirectional relationship between diabetes and depression has been established, there is little knowledge if the associations are due to somatic-affective or cognitive-affective dimensions of depression. RESEARCH DESIGN AND METHODS: In a population-based, representative survey of 15.010 participants we therefore studied the associations of the two dimensions of depression with diabetes and health care utilization among depressed and diabetic participants. Depression was assessed by the Patient Health Questionnaire PHQ-9. RESULTS: We found a linear and consistent association between the intensity of depression and the presence of diabetes increasing from 6.9% in no or minimal depression to 7.6% in mild, 9% in moderate and 10.5% in severe depression. There was a strong positive association between somatic-affective symptoms but not with cognitive-affective symptoms and diabetes. Depression and diabetes were both independently related to somatic health care utilisation. CONCLUSIONS: Diabetes and depression are associated, and the association is primarily driven by the somatic-affective component of depression. The main limitation of our study pertains to the cross-sectional data acquisition. Further longitudinal work on the relationship of obesity and diabetes should differentiate the somatic and the cognitive symptoms of depression.
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spelling pubmed-41343142014-08-19 Associations between Depression and Diabetes in the Community: Do Symptom Dimensions Matter? Results from the Gutenberg Health Study Wiltink, Jörg Michal, Matthias Wild, Philipp S. Schneider, Astrid König, Jochem Blettner, Maria Münzel, Thomas Schulz, Andreas Weber, Matthias Fottner, Christian Pfeiffer, Norbert Lackner, Karl Beutel, Manfred E. PLoS One Research Article OBJECTIVES: While a bidirectional relationship between diabetes and depression has been established, there is little knowledge if the associations are due to somatic-affective or cognitive-affective dimensions of depression. RESEARCH DESIGN AND METHODS: In a population-based, representative survey of 15.010 participants we therefore studied the associations of the two dimensions of depression with diabetes and health care utilization among depressed and diabetic participants. Depression was assessed by the Patient Health Questionnaire PHQ-9. RESULTS: We found a linear and consistent association between the intensity of depression and the presence of diabetes increasing from 6.9% in no or minimal depression to 7.6% in mild, 9% in moderate and 10.5% in severe depression. There was a strong positive association between somatic-affective symptoms but not with cognitive-affective symptoms and diabetes. Depression and diabetes were both independently related to somatic health care utilisation. CONCLUSIONS: Diabetes and depression are associated, and the association is primarily driven by the somatic-affective component of depression. The main limitation of our study pertains to the cross-sectional data acquisition. Further longitudinal work on the relationship of obesity and diabetes should differentiate the somatic and the cognitive symptoms of depression. Public Library of Science 2014-08-15 /pmc/articles/PMC4134314/ /pubmed/25127227 http://dx.doi.org/10.1371/journal.pone.0105499 Text en © 2014 Wiltink et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Wiltink, Jörg
Michal, Matthias
Wild, Philipp S.
Schneider, Astrid
König, Jochem
Blettner, Maria
Münzel, Thomas
Schulz, Andreas
Weber, Matthias
Fottner, Christian
Pfeiffer, Norbert
Lackner, Karl
Beutel, Manfred E.
Associations between Depression and Diabetes in the Community: Do Symptom Dimensions Matter? Results from the Gutenberg Health Study
title Associations between Depression and Diabetes in the Community: Do Symptom Dimensions Matter? Results from the Gutenberg Health Study
title_full Associations between Depression and Diabetes in the Community: Do Symptom Dimensions Matter? Results from the Gutenberg Health Study
title_fullStr Associations between Depression and Diabetes in the Community: Do Symptom Dimensions Matter? Results from the Gutenberg Health Study
title_full_unstemmed Associations between Depression and Diabetes in the Community: Do Symptom Dimensions Matter? Results from the Gutenberg Health Study
title_short Associations between Depression and Diabetes in the Community: Do Symptom Dimensions Matter? Results from the Gutenberg Health Study
title_sort associations between depression and diabetes in the community: do symptom dimensions matter? results from the gutenberg health study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134314/
https://www.ncbi.nlm.nih.gov/pubmed/25127227
http://dx.doi.org/10.1371/journal.pone.0105499
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