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[Depression and coping strategies in the elderly with type 2 diabetes]
L'Encephale
|March 20, 2019
Summary
A study found 34% of elderly patients with type 2 diabetes experience depressive symptoms, often linked to smoking, psychiatric history, and poor daily living activities. Emotion-focused coping strategies were more common in those with depression.
Area of Science:
- Geriatrics
- Endocrinology
- Psychiatry
Background:
- Elderly individuals with diabetes face higher risks of complications and comorbidities like depression.
- Diabetes and depression comorbidity negatively impacts daily functioning and quality of life.
- Understanding coping strategies is crucial for managing these intertwined conditions in the elderly.
Purpose of the Study:
- To determine the prevalence of depressive symptoms in elderly type 2 diabetes patients.
- To identify factors associated with depressive symptoms in this population.
- To investigate the coping strategies employed by elderly diabetic patients.
Main Methods:
- A cross-sectional study involving 50 elderly patients (≥65 years) with type 2 diabetes.
- Utilized the Geriatric Depression Scale, Activity of Daily Living scale, and Brief Coping with Problems Experienced questionnaire.
- Analyzed associations between depressive symptoms, patient characteristics, and coping mechanisms.
Main Results:
- 34% of elderly diabetic patients screened positive for depressive symptoms.
- Depressive symptoms were correlated with smoking, psychiatric history, lack of leisure activity, functional dependence, longer diabetes duration, and suicidal ideation.
- Problem-focused coping was most common (44%), but depressed patients more frequently used emotion-focused strategies (38%).
Conclusions:
- A significant prevalence of depressive symptoms exists in elderly patients with diabetes.
- The relationship between diabetes and depression is likely bidirectional, worsening prognosis and quality of life.
- Regular depression screening and psychological support are vital alongside medical management for improved patient well-being and diabetes control.
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