The association between depressive symptoms and glycemic control in the patients with diabetes mellitus.
- Author:
Hye Sook PARK
1
;
Young Sun HONG
;
Hye Jin LEE
;
Eun Hee HA
;
Yeon Ah SUNG
Author Information
1. Department of Preventive Medicine, College of Medicine, Ewha Womans University, Seoul, Korea. hpark@ewha.ac.kr
- Publication Type:Original Article
- Keywords:
Depression;
Glycemic control;
Diabetes mellitus
- MeSH:
Case-Control Studies;
Depression*;
Depressive Disorder;
Diabetes Mellitus*;
Education;
Humans;
Logistic Models;
Occupations;
Odds Ratio;
Surveys and Questionnaires
- From:Korean Journal of Medicine
2003;64(2):204-210
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Depressive disorders have been found to occur as an increased rates among the patients with diabetes mellitus. Some studies indicated that depression has an impact on glycemic control in the diabetic patients. However, there was no data about the depressive symptoms in Korean diabetic patients. This study aims to evaluate whether diabetic patients have higher depressive symptoms than healthy people and to know their effects on glycemic control. METHODS: We constructed a case-control study design, and surveyed depressive symptoms using self-reported questionnaires in 156 diabetic patients and 57 controls. The severity of depressive symptoms was measured using CES-D score. RESULTS: The CES-D score in the diabetic patients (7.6+/-5.5) was slightly higher than in the controls (6.4+/-5.8) without statistical significance. The CES-D score was significantly related to sex, marital state, education, occupation, income and general health. Using a multiple logistic regression model, we found that the odds ratio for the uncontrolled diabetic group with HbA1c more than 10% was 2.20 (95% confidence interval, 0.72-6.73) compared with the controls. CONCLUSION: We could not found that overall diabetic patients have statistically higher depression symptom score than healthy people. But, uncontrolled diabetic patients were twice more likely to have depressive symptoms.
