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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...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2014
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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. |
format | Online Article Text |
id | pubmed-4134314 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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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