The case for screening for diabetes distress, depression, and anxiety

Author:

Michot Allen P1,Evans Tracy L123,Vasudevan Madhuri M12,Bradford Andrea12,Hundt Natalie E12,Christie Israel C12,True Gala45,Kunik Mark E12ORCID

Affiliation:

1. Michael E. DeBakey Veterans Affairs Medical Center, USA

2. Baylor College of Medicine, USA

3. UTHealth School of Public Health, USA

4. Southeast Louisiana Veterans Health Care System, USA

5. Louisiana State University Health Sciences Center, USA

Abstract

Our goal was to determine the prevalence of anxiety and depression in a sample of U.S. military veterans with type 2 diabetes and elevated diabetes distress (DD). Cross-sectional analyses were conducted. The association between DD and anxiety and depression was assessed with logistic regression. Almost 80% of persons with elevated DD had clinically significant anxiety or depression symptoms. The odds of depression and anxiety increased with DD severity. Given the large overlap of depression and anxiety with elevated DD, we recommend providers screen for all three conditions and, if positive, connect to resources for diabetes self-management and/or clinical treatment.

Funder

US Department of Veterans Affairs Health Services Research & Development

Houston Center for Innovations in Quality, Effectiveness and Safety

South Central Mental Illness Research, Education and Clinical Center

Publisher

SAGE Publications

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