How 25 years of psychosocial research has contributed to a better understanding of the links between depression and diabetes

Pouwer, F., Schram, M. T., Iversen, M. M., Nouwen, Arie ORCID: https://orcid.org/0000-0002-0609-4082 and Holt, R. I. G. (2020) How 25 years of psychosocial research has contributed to a better understanding of the links between depression and diabetes. Diabetic Medicine . pp. 1-10. ISSN 0742-3071 [Article] (Published online first) (doi:10.1111/dme.14227)

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Abstract

This narrative review of the literature provides a summary and discussion of 25 years of research into the complex links between depression and diabetes. Systematic reviews have shown that depression occurs more frequently in people with type 1 or type 2 diabetes compared with people without diabetes. Currently, it remains unclear whether depression is also more common in people with impaired glucose metabolism or undiagnosed type 2 diabetes compared with people without diabetes. More prospective epidemiological research into the course of depression and an exploration of mechanisms in individuals with diabetes are needed.Depression in diabetes is associated with less optimal self-care behaviours, suboptimal glycaemic control, impaired quality of life, incident micro- and macrovascular diseases, and elevated mortality rates. Randomized controlled trails concluded that depression in diabetes can be treated with antidepressant medication, cognitive–behavioural therapy (individual, group-based or web-based), mindfulness-based cognitive therapy and stepped care. Although big strides forward have been made in the past 25 years, scientific evidence about depression in diabetes remains incomplete. Future studies should investigate mechanisms that link both conditions and test new diabetes-specific web- or app-based interventions for depression in diabetes. It is important to determine whether treatment or prevention of depression prevents future diabetes complications and lowers mortality rates.

Item Type: Article
Additional Information: PSAD Special Issue Paper
Keywords (uncontrolled): Internal medicine, endocrinology, diabetes and metabolism, endocrinology
Research Areas: A. > School of Science and Technology > Psychology > Applied Health Psychology group
Item ID: 28862
Notes on copyright: This is the peer reviewed version of the following article: How 25 years of psychosocial research has contributed to a better understanding of the links between depression and diabetes. F. Pouwer M. T. Schram M. M. Iversen A. Nouwen R. I. G. Holt, which has been published in final form at https://doi.org/10.1111/dme.14227. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
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Depositing User: Jisc Publications Router
Date Deposited: 27 Jan 2020 14:37
Last Modified: 03 Feb 2020 19:12
URI: https://eprints.mdx.ac.uk/id/eprint/28862

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