Associations between depression and diabetes in the community: do symptom dimensions matter? Results from the Gutenberg Health Study.

<h4>Objectives</h4>While a bidirectional relationship between diabetes and depression has been established, there is little knowledge if the associations are due to somatic-affective or cognitive-affective dimensions of depression.<h4>Research design and methods</h4>In a popu...

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Autores principales:	Jörg Wiltink, Matthias Michal, Philipp S Wild, Astrid Schneider, Jochem König, Maria Blettner, Thomas Münzel, Andreas Schulz, Matthias Weber, Christian Fottner, Norbert Pfeiffer, Karl Lackner, Manfred E Beutel
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/543b77828ec0491b9fd195b6c1a8f8cc
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spelling	oai:doaj.org-article:543b77828ec0491b9fd195b6c1a8f8cc2021-11-25T06:04:33ZAssociations between depression and diabetes in the community: do symptom dimensions matter? Results from the Gutenberg Health Study.1932-620310.1371/journal.pone.0105499https://doaj.org/article/543b77828ec0491b9fd195b6c1a8f8cc2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25127227/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objectives</h4>While a bidirectional relationship between diabetes and depression has been established, there is little knowledge if the associations are due to somatic-affective or cognitive-affective dimensions of depression.<h4>Research design and methods</h4>In a population-based, representative survey of 15.010 participants we therefore studied the associations of the two dimensions of depression with diabetes and health care utilization among depressed and diabetic participants. Depression was assessed by the Patient Health Questionnaire PHQ-9.<h4>Results</h4>We found a linear and consistent association between the intensity of depression and the presence of diabetes increasing from 6.9% in no or minimal depression to 7.6% in mild, 9% in moderate and 10.5% in severe depression. There was a strong positive association between somatic-affective symptoms but not with cognitive-affective symptoms and diabetes. Depression and diabetes were both independently related to somatic health care utilisation.<h4>Conclusions</h4>Diabetes and depression are associated, and the association is primarily driven by the somatic-affective component of depression. The main limitation of our study pertains to the cross-sectional data acquisition. Further longitudinal work on the relationship of obesity and diabetes should differentiate the somatic and the cognitive symptoms of depression.Jörg WiltinkMatthias MichalPhilipp S WildAstrid SchneiderJochem KönigMaria BlettnerThomas MünzelAndreas SchulzMatthias WeberChristian FottnerNorbert PfeifferKarl LacknerManfred E BeutelPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 8, p e105499 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jörg Wiltink Matthias Michal Philipp S Wild Astrid Schneider Jochem König Maria Blettner Thomas Münzel Andreas Schulz Matthias Weber Christian Fottner Norbert Pfeiffer Karl Lackner Manfred E Beutel Associations between depression and diabetes in the community: do symptom dimensions matter? Results from the Gutenberg Health Study.
description	<h4>Objectives</h4>While a bidirectional relationship between diabetes and depression has been established, there is little knowledge if the associations are due to somatic-affective or cognitive-affective dimensions of depression.<h4>Research design and methods</h4>In a population-based, representative survey of 15.010 participants we therefore studied the associations of the two dimensions of depression with diabetes and health care utilization among depressed and diabetic participants. Depression was assessed by the Patient Health Questionnaire PHQ-9.<h4>Results</h4>We found a linear and consistent association between the intensity of depression and the presence of diabetes increasing from 6.9% in no or minimal depression to 7.6% in mild, 9% in moderate and 10.5% in severe depression. There was a strong positive association between somatic-affective symptoms but not with cognitive-affective symptoms and diabetes. Depression and diabetes were both independently related to somatic health care utilisation.<h4>Conclusions</h4>Diabetes and depression are associated, and the association is primarily driven by the somatic-affective component of depression. The main limitation of our study pertains to the cross-sectional data acquisition. Further longitudinal work on the relationship of obesity and diabetes should differentiate the somatic and the cognitive symptoms of depression.
format	article
author	Jörg Wiltink Matthias Michal Philipp S Wild Astrid Schneider Jochem König Maria Blettner Thomas Münzel Andreas Schulz Matthias Weber Christian Fottner Norbert Pfeiffer Karl Lackner Manfred E Beutel
author_facet	Jörg Wiltink Matthias Michal Philipp S Wild Astrid Schneider Jochem König Maria Blettner Thomas Münzel Andreas Schulz Matthias Weber Christian Fottner Norbert Pfeiffer Karl Lackner Manfred E Beutel
author_sort	Jörg Wiltink
title	Associations between depression and diabetes in the community: do symptom dimensions matter? Results from the Gutenberg Health Study.
title_short	Associations between depression and diabetes in the community: do symptom dimensions matter? Results from the Gutenberg Health Study.
title_full	Associations between depression and diabetes in the community: do symptom dimensions matter? Results from the Gutenberg Health Study.
title_fullStr	Associations between depression and diabetes in the community: do symptom dimensions matter? Results from the Gutenberg Health Study.
title_full_unstemmed	Associations between depression and diabetes in the community: do symptom dimensions matter? Results from the Gutenberg Health Study.
title_sort	associations between depression and diabetes in the community: do symptom dimensions matter? results from the gutenberg health study.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/543b77828ec0491b9fd195b6c1a8f8cc
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Associations between depression and diabetes in the community: do symptom dimensions matter? Results from the Gutenberg Health Study.

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