Symptoms of anxiety and depression in type 2 diabetes: Associations with clinical diabetes measures and self-management outcomes in the norwegian HUNT study

2.50
Hdl Handle:
http://hdl.handle.net/10757/622500
Title:
Symptoms of anxiety and depression in type 2 diabetes: Associations with clinical diabetes measures and self-management outcomes in the norwegian HUNT study
Authors:
Arteaga-Zarate, Guadalupe; Demarini-Olivares, Gina; Torres-Slimming, Paola Alejandra
Citation:
Symptoms of anxiety and depression in type 2 diabetes: Associations with clinical diabetes measures and self-management outcomes in the norwegian HUNT study 2017 Psychoneuroendocrinology
Publisher:
Elsevier Ltd
Journal:
Psychoneuroendocrinology
Issue Date:
Dec-2017
URI:
http://hdl.handle.net/10757/622500
DOI:
10.1016/j.psyneuen.2017.11.012
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S0306453017315342
Abstract:
OBJECTIVE: To determine if symptoms of depression and anxiety are differentially associated with clinical diabetes measures and self-management behaviours in individuals with Type 2 diabetes, and whether these associations vary by patient sex. RESEARCH DESIGN AND METHODS: A cross-sectional analysis using data from 2035 adults with Type 2 diabetes in the Nord-Trøndelag Health Study. Multivariate logistic regression was used to explore associations between symptoms of depression and anxiety and waist girth, HDL cholesterol, systolic blood pressure, triglycerides, c-reactive protein, glycemic control, diet adherence, exercise, glucose monitoring, foot checks for ulcers, and the subjective patient experience. Analyses were stratified by sex. RESULTS: Depression was associated with a lower likelihood of avoiding saturated fats (OR=0.20 [95% CI: 0.06, 0.68]) and increased odds of physical inactivity (OR=1.69 [95% CI: 1.37, 2.72]). Anxiety was associated with increased odds of eating vegetables (OR=1.66 [95% CI: 1.02, 2.73]), and an over two-fold increase of feeling that having diabetes is difficult. In women, anxiety was associated with elevated c-reactive protein levels (OR=1.57 [95% CI: 1.05, 2.34]). In men, depressive symptoms were associated with elevated HbA1c (OR=5.00 [95% CI: 1.15, 8.23). CONCLUSIONS: Symptoms of depression and anxiety were differentially associated with some key diabetes-related measures. Our results suggest sex-specific differences with respect to two important clinical outcomes (i.e., anxiety and CRP in women and depression and glycemic control in men). These findings should alert practitioners to the importance of detection and management of psychological symptoms in individuals with Type 2 diabetes.
Type:
info:eu-repo/semantics/article
Rights:
info:eu-repo/semantics/restrictedAccess
Language:
eng
Description:
El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
Keywords:
Anxiety; Depression; Diabetes self-management; Metabolic control; Type 2 diabetes
ISSN:
03064530

Full metadata record

DC FieldValue Language
dc.contributor.authorArteaga-Zarate, Guadalupees
dc.contributor.authorDemarini-Olivares, Ginaes
dc.contributor.authorTorres-Slimming, Paola Alejandraes
dc.date.accessioned2018-01-09T16:35:31Z-
dc.date.available2018-01-09T16:35:31Z-
dc.date.issued2017-12-
dc.identifier.citationSymptoms of anxiety and depression in type 2 diabetes: Associations with clinical diabetes measures and self-management outcomes in the norwegian HUNT study 2017 Psychoneuroendocrinologyes
dc.identifier.issn03064530-
dc.identifier.doi10.1016/j.psyneuen.2017.11.012-
dc.identifier.urihttp://hdl.handle.net/10757/622500-
dc.descriptionEl texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.es_PE
dc.description.abstractOBJECTIVE: To determine if symptoms of depression and anxiety are differentially associated with clinical diabetes measures and self-management behaviours in individuals with Type 2 diabetes, and whether these associations vary by patient sex. RESEARCH DESIGN AND METHODS: A cross-sectional analysis using data from 2035 adults with Type 2 diabetes in the Nord-Trøndelag Health Study. Multivariate logistic regression was used to explore associations between symptoms of depression and anxiety and waist girth, HDL cholesterol, systolic blood pressure, triglycerides, c-reactive protein, glycemic control, diet adherence, exercise, glucose monitoring, foot checks for ulcers, and the subjective patient experience. Analyses were stratified by sex. RESULTS: Depression was associated with a lower likelihood of avoiding saturated fats (OR=0.20 [95% CI: 0.06, 0.68]) and increased odds of physical inactivity (OR=1.69 [95% CI: 1.37, 2.72]). Anxiety was associated with increased odds of eating vegetables (OR=1.66 [95% CI: 1.02, 2.73]), and an over two-fold increase of feeling that having diabetes is difficult. In women, anxiety was associated with elevated c-reactive protein levels (OR=1.57 [95% CI: 1.05, 2.34]). In men, depressive symptoms were associated with elevated HbA1c (OR=5.00 [95% CI: 1.15, 8.23). CONCLUSIONS: Symptoms of depression and anxiety were differentially associated with some key diabetes-related measures. Our results suggest sex-specific differences with respect to two important clinical outcomes (i.e., anxiety and CRP in women and depression and glycemic control in men). These findings should alert practitioners to the importance of detection and management of psychological symptoms in individuals with Type 2 diabetes.es
dc.formatapplication/pdfes
dc.language.isoenges
dc.publisherElsevier Ltdes
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S0306453017315342es
dc.rightsinfo:eu-repo/semantics/restrictedAccesses
dc.subjectAnxietyes
dc.subjectDepressiones
dc.subjectDiabetes self-managementes
dc.subjectMetabolic controles
dc.subjectType 2 diabeteses
dc.titleSymptoms of anxiety and depression in type 2 diabetes: Associations with clinical diabetes measures and self-management outcomes in the norwegian HUNT studyes
dc.typeinfo:eu-repo/semantics/articlees
dc.identifier.journalPsychoneuroendocrinologyes
dc.description.peerreviewRevisión por pareses_PE
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