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Depression and diabetes.

N Robinson1, J H Fuller, S P Edmeades

  • 1Department of Community Medicine, University College, London, UK.

Diabetic Medicine : a Journal of the British Diabetic Association
|April 1, 1988
PubMed
Summary
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Depression affects diabetic patients similarly to the general population in the UK. However, psychiatric symptoms in diabetics may correlate with an increased frequency of diabetic complications.

Area of Science:

  • Psychiatry
  • Endocrinology
  • Public Health

Background:

  • Depression is a common comorbidity with diabetes mellitus.
  • The impact of depression on blood glucose control and diabetic complications is a significant concern.
  • Prevalence data for depression in UK diabetic populations were previously lacking.

Purpose of the Study:

  • To determine the prevalence of depression among adult diabetic patients in the United Kingdom.
  • To explore the relationship between depression and various demographic, clinical, and social factors in diabetes.
  • To investigate the association between depression and the presence of diabetic complications.

Main Methods:

  • A comparative study design was employed, including Caucasian and West Indian adults with insulin-dependent diabetes mellitus (IDDM) and non-insulin-dependent diabetes mellitus (NIDDM), alongside a non-diabetic control group.

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  • Prevalence of depression and borderline depression was assessed using standardized measures.
  • Statistical analyses were conducted to identify factors associated with depression and its relation to complications.

    • Main Results:

    • The prevalence of depression was comparable between diabetic and non-diabetic groups (8.5%).
    • Borderline depression was observed in 19.2% of diabetics and 14.6% of controls.
    • Depression was not associated with sex, ethnicity, diabetes duration, or type (IDDM/NIDDM), but was linked to accommodation, marital status, and social contact. Diabetics with psychiatric symptoms had more complications.

    Conclusions:

    • Diabetic patients in the UK experience depression at rates similar to the general population.
    • Social factors, rather than diabetes-specific characteristics, were associated with depression.
    • Psychiatric symptoms in diabetics may be linked to a higher incidence of diabetic complications, highlighting the need for integrated care.