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

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 report...

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Autores principales: Yasui-Furukori, Norio, Murakami, Hiroshi, Otaka, Hideyuki, Nakayama, Hirofumi, Murabayashi, Masaya, Mizushiri, Satoru, Matsumura, Koki, Tanabe, Jutaro, Matsuhashi, Yuki, Yanagimachi, Miyuki, Nakamura, Kazuhiko, Daimon, Makoto, Sugawara, Norio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636138/
https://www.ncbi.nlm.nih.gov/pubmed/31346344
http://dx.doi.org/10.1186/s12991-019-0235-5
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author Yasui-Furukori, Norio
Murakami, Hiroshi
Otaka, Hideyuki
Nakayama, Hirofumi
Murabayashi, Masaya
Mizushiri, Satoru
Matsumura, Koki
Tanabe, Jutaro
Matsuhashi, Yuki
Yanagimachi, Miyuki
Nakamura, Kazuhiko
Daimon, Makoto
Sugawara, Norio
author_facet Yasui-Furukori, Norio
Murakami, Hiroshi
Otaka, Hideyuki
Nakayama, Hirofumi
Murabayashi, Masaya
Mizushiri, Satoru
Matsumura, Koki
Tanabe, Jutaro
Matsuhashi, Yuki
Yanagimachi, Miyuki
Nakamura, Kazuhiko
Daimon, Makoto
Sugawara, Norio
author_sort Yasui-Furukori, Norio
collection PubMed
description 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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spelling pubmed-66361382019-07-25 Coping behaviors and depressive status in individuals with type 2 diabetes mellitus Yasui-Furukori, Norio Murakami, Hiroshi Otaka, Hideyuki Nakayama, Hirofumi Murabayashi, Masaya Mizushiri, Satoru Matsumura, Koki Tanabe, Jutaro Matsuhashi, Yuki Yanagimachi, Miyuki Nakamura, Kazuhiko Daimon, Makoto Sugawara, Norio Ann Gen Psychiatry Primary Research 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. BioMed Central 2019-07-17 /pmc/articles/PMC6636138/ /pubmed/31346344 http://dx.doi.org/10.1186/s12991-019-0235-5 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Primary Research
Yasui-Furukori, Norio
Murakami, Hiroshi
Otaka, Hideyuki
Nakayama, Hirofumi
Murabayashi, Masaya
Mizushiri, Satoru
Matsumura, Koki
Tanabe, Jutaro
Matsuhashi, Yuki
Yanagimachi, Miyuki
Nakamura, Kazuhiko
Daimon, Makoto
Sugawara, Norio
Coping behaviors and depressive status in individuals with type 2 diabetes mellitus
title Coping behaviors and depressive status in individuals with type 2 diabetes mellitus
title_full Coping behaviors and depressive status in individuals with type 2 diabetes mellitus
title_fullStr Coping behaviors and depressive status in individuals with type 2 diabetes mellitus
title_full_unstemmed Coping behaviors and depressive status in individuals with type 2 diabetes mellitus
title_short Coping behaviors and depressive status in individuals with type 2 diabetes mellitus
title_sort coping behaviors and depressive status in individuals with type 2 diabetes mellitus
topic Primary Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636138/
https://www.ncbi.nlm.nih.gov/pubmed/31346344
http://dx.doi.org/10.1186/s12991-019-0235-5
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