Importance of Depression in Diabetes.

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Bibliographic Details
Title: Importance of Depression in Diabetes.
Language: English
Authors: Lustman, Patrick J., Clouse, Ray E., Anderson, Ryan J.
Peer Reviewed: N
Page Count: 21
Publication Date: 2002
Intended Audience: Practitioners; Researchers
Document Type: Information Analyses
Descriptors: Depression (Psychology), Diabetes, Drug Therapy, Outcomes of Treatment, Psychotherapy
Abstract: Depression doubles the likelihood of comorbid depression, which presents as major depression in 11% and subsyndromal depression in 31% of patients with the medical illness. The course of depression is chronic, and afflicted patients suffer an average of one episode annually. Depression has unique importance in diabetes because of its association with poor glycemic control, treatment nonadherence, and increased risk for complications of the metabolic disorder. Linkage with coronary heart disease is particularly strong--an association established in prospective and cross-sectional studies and most pronounced in diabetic women. While the number of available controlled depression treatment trials in diabetic patients is small, both pharmacological and psychotherapeutic approaches appear effective. Relief of depression also produces clinically significant improvements in glycemic control. Extant diabetes complications and hyperglycemia diminish responsiveness to antidepressant treatment and increase the risk for recurrence of depression. These observations suggest that concurrent management of both diabetes and depression is needed to optimize outcomes from depression treatment. (Contains 43 references and 3 figures.) (Author)
Entry Date: 2003
Accession Number: ED471450
Database: ERIC
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  – Url: https://eric.ed.gov/contentdelivery/servlet/ERICServlet?accno=ED471450
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PubType: Report
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  Data: Importance of Depression in Diabetes.
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Lustman%2C+Patrick+J%2E%22">Lustman, Patrick J.</searchLink><br /><searchLink fieldCode="AR" term="%22Clouse%2C+Ray+E%2E%22">Clouse, Ray E.</searchLink><br /><searchLink fieldCode="AR" term="%22Anderson%2C+Ryan+J%2E%22">Anderson, Ryan J.</searchLink>
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  Data: N
– Name: Pages
  Label: Page Count
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  Data: 21
– Name: DatePubCY
  Label: Publication Date
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  Data: 2002
– Name: Audience
  Label: Intended Audience
  Group: Audnce
  Data: Practitioners; Researchers
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  Data: Information Analyses
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  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Depression+%28Psychology%29%22">Depression (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Diabetes%22">Diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Therapy%22">Drug Therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Outcomes+of+Treatment%22">Outcomes of Treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Depression doubles the likelihood of comorbid depression, which presents as major depression in 11% and subsyndromal depression in 31% of patients with the medical illness. The course of depression is chronic, and afflicted patients suffer an average of one episode annually. Depression has unique importance in diabetes because of its association with poor glycemic control, treatment nonadherence, and increased risk for complications of the metabolic disorder. Linkage with coronary heart disease is particularly strong--an association established in prospective and cross-sectional studies and most pronounced in diabetic women. While the number of available controlled depression treatment trials in diabetic patients is small, both pharmacological and psychotherapeutic approaches appear effective. Relief of depression also produces clinically significant improvements in glycemic control. Extant diabetes complications and hyperglycemia diminish responsiveness to antidepressant treatment and increase the risk for recurrence of depression. These observations suggest that concurrent management of both diabetes and depression is needed to optimize outcomes from depression treatment. (Contains 43 references and 3 figures.) (Author)
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  Data: 2003
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  Data: ED471450
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RecordInfo BibRecord:
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    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 21
    Subjects:
      – SubjectFull: Depression (Psychology)
        Type: general
      – SubjectFull: Diabetes
        Type: general
      – SubjectFull: Drug Therapy
        Type: general
      – SubjectFull: Outcomes of Treatment
        Type: general
      – SubjectFull: Psychotherapy
        Type: general
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      – TitleFull: Importance of Depression in Diabetes.
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            NameFull: Lustman, Patrick J.
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            NameFull: Clouse, Ray E.
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            NameFull: Anderson, Ryan J.
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              Y: 2002
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