Skip to main content
Erschienen in: International Journal of Diabetes in Developing Countries 2/2015

01.09.2015 | Original Article

Depressive symptoms and clustering of cardiovascular disease risk factors in diabetes patients

verfasst von: Reema A. Karasneh, Sayer I. Al-Azzam, Karem H. Alzoubi, Jaafar A. Abu Abeeleh, Yousef S. Khader

Erschienen in: International Journal of Diabetes in Developing Countries | Sonderheft 2/2015

Einloggen, um Zugang zu erhalten

Abstract

Depressive symptoms may be related to the development of coronary heart disease (CHD) in patients with diabetes mellitus. The objective of the present study was to investigate the relationship between cardiovascular disease risk factors and depressive symptoms in patients with type 2 diabetes. A total of 179 patients with type 2 diabetes completed a questionnaire and gave a blood sample. The questionnaire consisted of demographics, the medication adherence questionnaire, the summary of diabetes self-care activities questionnaire, and the Beck Depression Inventory II questionnaire. Blood samples were analyzed for glucose and lipid profile. Elevated depression Beck score had a significant relation with female gender, numbness or pain in peripheries, younger age group ≤50 years, and elevated triglycerides (TG). Diabetes complications also had a significant relation with depression and more specifically with performance impairment and depression-nonspecific items. A significant relation was found between uncontrolled diabetes and somatic disturbance. Under-adherence to medications was significantly related to depression-specific items. Obesity was significantly related to depression-nonspecific items. Several factors are correlated with depression symptoms in diabetes patients. Additionally, control of somatic disturbance and performance impairment of depression should be regarded as important components of appropriate diabetes care to ensure diabetes control and medication adherence.
Literatur
2.
Zurück zum Zitat Kesteloot H. On the relative importance of cardiovascular disease and cancer as causes of death: the effect of age and sex. Acta Cardiol. 2008;63(3):293–5.CrossRefPubMed Kesteloot H. On the relative importance of cardiovascular disease and cancer as causes of death: the effect of age and sex. Acta Cardiol. 2008;63(3):293–5.CrossRefPubMed
3.
Zurück zum Zitat Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047–53.CrossRefPubMed Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047–53.CrossRefPubMed
4.
Zurück zum Zitat Bonow RO, Smaha LA, Smith Jr SC, Mensah GA, Lenfant C. World Heart Day 2002: the international burden of cardiovascular disease: responding to the emerging global epidemic. Circulation. 2002;106(13):1602–5.CrossRefPubMed Bonow RO, Smaha LA, Smith Jr SC, Mensah GA, Lenfant C. World Heart Day 2002: the international burden of cardiovascular disease: responding to the emerging global epidemic. Circulation. 2002;106(13):1602–5.CrossRefPubMed
8.
Zurück zum Zitat Joynt KE, Whellan DJ, O’Connor CM. Depression and cardiovascular disease: mechanisms of interaction. Biol Psychiatry. 2003;54(3):248–61.CrossRefPubMed Joynt KE, Whellan DJ, O’Connor CM. Depression and cardiovascular disease: mechanisms of interaction. Biol Psychiatry. 2003;54(3):248–61.CrossRefPubMed
10.
Zurück zum Zitat Lichtman JH, Bigger Jr JT, Blumenthal JA, Frasure-Smith N, Kaufmann PG, Lesperance F, et al. Depression and coronary heart disease: recommendations for screening, referral, and treatment: a science advisory from the American Heart Association Prevention Committee of the Council on Cardiovascular Nursing, Council on Clinical Cardiology, Council on Epidemiology and Prevention, and Interdisciplinary Council on Quality of Care and Outcomes Research: endorsed by the American Psychiatric Association. Circulation. 2008;118(17):1768–75. doi:10.1161/CIRCULATIONAHA.108.190769.CrossRefPubMed Lichtman JH, Bigger Jr JT, Blumenthal JA, Frasure-Smith N, Kaufmann PG, Lesperance F, et al. Depression and coronary heart disease: recommendations for screening, referral, and treatment: a science advisory from the American Heart Association Prevention Committee of the Council on Cardiovascular Nursing, Council on Clinical Cardiology, Council on Epidemiology and Prevention, and Interdisciplinary Council on Quality of Care and Outcomes Research: endorsed by the American Psychiatric Association. Circulation. 2008;118(17):1768–75. doi:10.​1161/​CIRCULATIONAHA.​108.​190769.CrossRefPubMed
11.
12.
Zurück zum Zitat Labad J, Price JF, Strachan MW, Fowkes FG, Ding J, Deary IJ, et al. Symptoms of depression but not anxiety are associated with central obesity and cardiovascular disease in people with type 2 diabetes: the Edinburgh Type 2 Diabetes Study. Diabetologia. 2010;53(3):467–71. doi:10.1007/s00125-009-1628-9.PubMedCentralCrossRefPubMed Labad J, Price JF, Strachan MW, Fowkes FG, Ding J, Deary IJ, et al. Symptoms of depression but not anxiety are associated with central obesity and cardiovascular disease in people with type 2 diabetes: the Edinburgh Type 2 Diabetes Study. Diabetologia. 2010;53(3):467–71. doi:10.​1007/​s00125-009-1628-9.PubMedCentralCrossRefPubMed
13.
Zurück zum Zitat Rubin RR, Gaussoin SA, Peyrot M, DiLillo V, Miller K, Wadden TA, et al. Cardiovascular disease risk factors, depression symptoms and antidepressant medicine use in the Look AHEAD (Action for Health in Diabetes) clinical trial of weight loss in diabetes. Diabetologia. 2010;53(8):1581–9. doi:10.1007/s00125-010-1765-1.PubMedCentralCrossRefPubMed Rubin RR, Gaussoin SA, Peyrot M, DiLillo V, Miller K, Wadden TA, et al. Cardiovascular disease risk factors, depression symptoms and antidepressant medicine use in the Look AHEAD (Action for Health in Diabetes) clinical trial of weight loss in diabetes. Diabetologia. 2010;53(8):1581–9. doi:10.​1007/​s00125-010-1765-1.PubMedCentralCrossRefPubMed
15.
Zurück zum Zitat Huang CY, Chi SC, Sousa VD, Wang CP, Pan KC. Depression, coronary artery disease, type 2 diabetes, metabolic syndrome and quality of life in Taiwanese adults from a cardiovascular department of a major hospital in Southern Taiwan. J Clin Nurs. 2011;20(9-10):1293–302. doi:10.1111/j.1365-2702.2010.03451.x.CrossRefPubMed Huang CY, Chi SC, Sousa VD, Wang CP, Pan KC. Depression, coronary artery disease, type 2 diabetes, metabolic syndrome and quality of life in Taiwanese adults from a cardiovascular department of a major hospital in Southern Taiwan. J Clin Nurs. 2011;20(9-10):1293–302. doi:10.​1111/​j.​1365-2702.​2010.​03451.​x.CrossRefPubMed
16.
Zurück zum Zitat Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002;106(25):3143-421. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002;106(25):3143-421.
17.
Zurück zum Zitat Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. 1986;24(1):67–74.CrossRefPubMed Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. 1986;24(1):67–74.CrossRefPubMed
18.
Zurück zum Zitat Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care. 2000;23(7):943–50.CrossRefPubMed Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care. 2000;23(7):943–50.CrossRefPubMed
19.
Zurück zum Zitat Lustman PJ, Clouse RE, Griffith LS, Carney RM, Freedland KE. Screening for depression in diabetes using the Beck Depression Inventory. Psychosom Med. 1997;59(1):24–31.CrossRefPubMed Lustman PJ, Clouse RE, Griffith LS, Carney RM, Freedland KE. Screening for depression in diabetes using the Beck Depression Inventory. Psychosom Med. 1997;59(1):24–31.CrossRefPubMed
20.
Zurück zum Zitat Uslu RI, Kapci EG, Oncu B, Ugurlu M, Turkcapar H. Psychometric properties and cut-off scores of the Beck Depression Inventory-II in Turkish adolescents. J Clin Psychol Med Settings. 2008;15(3):225–33. doi:10.1007/s10880-008-9122-y.CrossRefPubMed Uslu RI, Kapci EG, Oncu B, Ugurlu M, Turkcapar H. Psychometric properties and cut-off scores of the Beck Depression Inventory-II in Turkish adolescents. J Clin Psychol Med Settings. 2008;15(3):225–33. doi:10.​1007/​s10880-008-9122-y.CrossRefPubMed
22.
Zurück zum Zitat Morley S, Williams AC, Black S. A confirmatory factor analysis of the Beck Depression Inventory in chronic pain. Pain. 2002;99(1-2):289–98.CrossRefPubMed Morley S, Williams AC, Black S. A confirmatory factor analysis of the Beck Depression Inventory in chronic pain. Pain. 2002;99(1-2):289–98.CrossRefPubMed
23.
24.
Zurück zum Zitat Gorenstein C, Andrade L, Zanolo E, Artes R. Expression of depressive symptoms in a nonclinical Brazilian adolescent sample. Can J Psychiatry. 2005;50(3):129–36.PubMed Gorenstein C, Andrade L, Zanolo E, Artes R. Expression of depressive symptoms in a nonclinical Brazilian adolescent sample. Can J Psychiatry. 2005;50(3):129–36.PubMed
29.
Zurück zum Zitat Katon WJ, Russo JE, Heckbert SR, Lin EH, Ciechanowski P, Ludman E, et al. The relationship between changes in depression symptoms and changes in health risk behaviors in patients with diabetes. Int J Geriatr Psychiatry. 2010;25(5):466–75. doi:10.1002/gps.2363.CrossRefPubMed Katon WJ, Russo JE, Heckbert SR, Lin EH, Ciechanowski P, Ludman E, et al. The relationship between changes in depression symptoms and changes in health risk behaviors in patients with diabetes. Int J Geriatr Psychiatry. 2010;25(5):466–75. doi:10.​1002/​gps.​2363.CrossRefPubMed
32.
Zurück zum Zitat de Groot M, Anderson R, Freedland KE, Clouse RE, Lustman PJ. Association of depression and diabetes complications: a meta-analysis. Psychosom Med. 2001;63(4):619–30.CrossRefPubMed de Groot M, Anderson R, Freedland KE, Clouse RE, Lustman PJ. Association of depression and diabetes complications: a meta-analysis. Psychosom Med. 2001;63(4):619–30.CrossRefPubMed
Metadaten
Titel
Depressive symptoms and clustering of cardiovascular disease risk factors in diabetes patients
verfasst von
Reema A. Karasneh
Sayer I. Al-Azzam
Karem H. Alzoubi
Jaafar A. Abu Abeeleh
Yousef S. Khader
Publikationsdatum
01.09.2015
Verlag
Springer India
Erschienen in
International Journal of Diabetes in Developing Countries / Ausgabe Sonderheft 2/2015
Print ISSN: 0973-3930
Elektronische ISSN: 1998-3832
DOI
https://doi.org/10.1007/s13410-015-0382-4

Weitere Artikel der Sonderheft 2/2015

International Journal of Diabetes in Developing Countries 2/2015 Zur Ausgabe