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Effects of Mindfulness Training Combined with Tai Chi in Patients with Diabetic Peripheral Neuropathy

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Depression and diabetes: a potentially lethal combination.

Wayne Katon¹, Ming-Yu Fan, Jürgen Unützer

¹Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98195, USA. wkaton@u.washington.edu

Journal of General Internal Medicine

|July 24, 2008

Summary

This summary is machine-generated.

Medicare beneficiaries with diabetes and depression had a 36-38% higher mortality risk over two years. This study highlights the significant impact of comorbid depression on mortality in this population.

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Area of Science:

Gerontology
Public Health
Clinical Medicine

Background:

Comorbid depression is prevalent among individuals with diabetes.
Diabetes management programs aim to improve health outcomes for beneficiaries.
Understanding the impact of depression on mortality in diabetic populations is crucial for public health initiatives.

Purpose of the Study:

To determine if Medicare fee-for-service beneficiaries with both depression and diabetes experience higher mortality rates compared to those with diabetes alone.
To quantify the excess mortality risk associated with comorbid depression in a large cohort of diabetic Medicare beneficiaries.

Main Methods:

A cohort of 10,704 Medicare beneficiaries with diabetes in a disease management program were surveyed.
Depression was identified through physician diagnosis, antidepressant prescription, or validated screening tools.
Mortality was tracked over two years using Medicare claims and eligibility data, analyzed with Cox proportional hazard regression.

Main Results:

Comorbid depression was associated with a 36% to 38% increased risk of all-cause mortality over two years in diabetic Medicare beneficiaries.
No significant increase in cause-specific mortality from macrovascular disease was observed between depressed and non-depressed groups.

Conclusions:

Comorbid depression significantly increases all-cause mortality risk in Medicare fee-for-service beneficiaries with diabetes.
Further research is needed to elucidate the mechanisms linking depression to increased mortality, including behavioral and physiological factors.