Longitudinal relationships between depression and functioning in people with type 2 diabetes.

TitleLongitudinal relationships between depression and functioning in people with type 2 diabetes.
Publication TypeJournal Article
Year of Publication2014
AuthorsSchmitz N, Gariépy G, Smith KJ, Malla A, Boyer R, Strychar I, Lesage A, Wang JL
JournalAnn Behav Med
Volume47
Issue2
Pagination172-9
Date Published2014 Apr
ISSN1532-4796
KeywordsAdaptation, Psychological, Adolescent, Adult, Aged, Aged, 80 and over, Depression, Diabetes Mellitus, Type 2, Disability Evaluation, Disabled Persons, Female, Health Status, Humans, Longitudinal Studies, Male, Middle Aged, Models, Psychological, Surveys and Questionnaires, Young Adult
Abstract

BACKGROUND: The reciprocal relationship between depression and functioning in people with chronic conditions is poorly understood.PURPOSE: The aim of the present study was to analyze the dynamic relationship between depression and functioning in a community sample of people with diabetes.METHODS: Participants with diabetes were assessed at baseline and three yearly follow-up assessments (n = 1,403). Depression was assessed using the Patient Health Questionnaire. Global functioning was assessed using the World Health Organization Disability Assessment Schedule II.RESULTS: Path analysis suggested a reciprocal relationship between depression and functioning. Baseline depression was associated with functioning at 3 years follow-up through depression and functioning at 1 and 2 years follow-up assessments.CONCLUSIONS: Depression and functioning might interact with each other in a dynamic way: depression at one assessment point might predict poor functioning at the next assessment point, which in turn might predict depression at the next assessment point. This should be taken into account in both treatment and research programs.

DOI10.1007/s12160-013-9534-2
Alternate JournalAnn Behav Med
PubMed ID24046149
Grant ListMOP-84574 / / Canadian Institutes of Health Research / Canada

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