Primary care diabetes · 2010
Correlates of depression among people with diabetes: The Translating Research Into Action for Diabetes (TRIAD) study.
СтатьяМногоцентровое исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Waitzfelder Beth, Gerzoff Robert B, Karter Andrew J, Crystal Stephen, Bair Mathew J, Ettner Susan L, Brown Arleen F, Subramanian Usha, Lu Shou-En, Marrero David, Herman William H, Selby Joseph V, Dudley R Adams
Аннотация
AIM: The broad objective of this study was to examine multiple dimensions of depression in a large, diverse population of adults with diabetes. Specific aims were to measure the association of depression with: (1) patient characteristics; (2) outcomes; and (3) diabetes-related quality of care.
METHODS: Cross-sectional analyses were performed using survey and chart data from the Translating Research Into Action for Diabetes (TRIAD) study, including 8790 adults with diabetes, enrolled in 10 managed care health plans in 7 states. Depression was measured using the Patient Health Questionnaire (PHQ-8). Patient characteristics, outcomes and quality of care were measured using validated survey items and chart data.
RESULTS: Nearly 18% of patients had major depression, with prevalence 2-3 times higher among patients with low socioeconomic status. Pain and limited mobility were strongly associated with depression, controlling for other patient characteristics. Depression was associated with slightly worse glycemic control, but not other intermediate clinical outcomes. Depressed patients received slightly fewer recommended diabetes-related processes of care.
CONCLUSIONS: In a large, diverse cohort of patients with diabetes, depression was most prevalent among patients with low socioeconomic status and those with pain, and was associated with slightly worse glycemic control and quality of care.
METHODS: Cross-sectional analyses were performed using survey and chart data from the Translating Research Into Action for Diabetes (TRIAD) study, including 8790 adults with diabetes, enrolled in 10 managed care health plans in 7 states. Depression was measured using the Patient Health Questionnaire (PHQ-8). Patient characteristics, outcomes and quality of care were measured using validated survey items and chart data.
RESULTS: Nearly 18% of patients had major depression, with prevalence 2-3 times higher among patients with low socioeconomic status. Pain and limited mobility were strongly associated with depression, controlling for other patient characteristics. Depression was associated with slightly worse glycemic control, but not other intermediate clinical outcomes. Depressed patients received slightly fewer recommended diabetes-related processes of care.
CONCLUSIONS: In a large, diverse cohort of patients with diabetes, depression was most prevalent among patients with low socioeconomic status and those with pain, and was associated with slightly worse glycemic control and quality of care.
Предметные рубрики MeSH
AdolescentAdultAgedCluster AnalysisComorbidityCross-Sectional StudiesDepressionDiabetes MellitusFemaleGlycated HemoglobinHealth Care SurveysHumansLeast-Squares AnalysisLinear ModelsLogistic ModelsMaleManaged Care ProgramsMiddle AgedMobility LimitationOutcome and Process Assessment, Health CarePainPrevalenceRisk AssessmentRisk FactorsSelf CareSocioeconomic FactorsSurveys and QuestionnairesTime FactorsTreatment OutcomeUnited StatesYoung Adult