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Titolo:
Contributors to depression in Latino and European-American patients with type 2 diabetes
Autore:
Fisher, L; Chesla, CA; Mullan, JT; Skaff, MM; Kanter, RA;
Indirizzi:
Univ Calif San Francisco, Dept Family & Community Med, San Francisco, CA 94143 USA Univ Calif San Francisco San Francisco CA USA 94143 ancisco, CA 94143 USA No Calif Kaiser Permanente, San Francisco, CA USA No Calif Kaiser Permanente San Francisco CA USA e, San Francisco, CA USA
Titolo Testata:
DIABETES CARE
fascicolo: 10, volume: 24, anno: 2001,
pagine: 1751 - 1757
SICI:
0149-5992(200110)24:10<1751:CTDILA>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; GLYCEMIC CONTROL; DISEASE MANAGEMENT; METABOLIC CONTROL; SYMPTOMS; ADULTS; MELLITUS; PREVALENCE; POPULATION; ANXIETY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
57
Recensione:
Indirizzi per estratti:
Indirizzo: Fisher, L Univ Calif San Francisco, Dept Family & Community Med, Box 0900,San Francisco, CA 94143 USA Univ Calif San Francisco Box 0900 San Francisco CA USA 94143 USA
Citazione:
L. Fisher et al., "Contributors to depression in Latino and European-American patients with type 2 diabetes", DIABET CARE, 24(10), 2001, pp. 1751-1757

Abstract

OBJECTIVE - To deter-mine the independent and cumulative contributions of diabetes and other life stresses on depression and anxiety in Latino and European-American (EA) patients with diabetes. RESEARCH DESIGN AND METHODS - A total of 75 Latino and 113 EA patients with type 2 diabetes, recruited from managed care settings, were assessed regarding three groups of potential Stresses: demographics (age, sex, and education), disease status (functional impact, time since diagnosis, comorbidities, HbA(1c) and BMI), an family stress (financial stress, spouse conflict resolution, and family closeness). Dependent variables were depression (Center for Epidemiological Studies-Depression scale [CES-D]) and anxiety (Symptom Checklist [SCL-90]). Multiple regression equations assessed the independent contribution of each predictor on depression and anxiety. RESULTS - For both ethnic groups, education, functional impact, and financial stress significantly and independently predicted depression; poor spouse conflict resolution was a fourth significant predictor for EA patients only. The equations accounted for a high percentage of variance (43-55%). Excluding education, the same variables predicted anxiety for both ethnic groups. The disease status and family Stress variable groups significantly predicted outcomes independently. The relationships among these variables an occurred for all patients, not only for those classified as likely depressed. CONCLUSIONS - The findings suggest the utility of considering many life stresses, not just diabetes alone, that combine to affect depression and anxiety. We suggest that these effects are experienced cumulatively as general psychological distress for all patients with diabetes, not just those classified as likely depressed. Taken together, the findings emphasize a life-centered, patient-focused approach to the treatment of depression, rather than an exclusive disease-related perspective.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 08/07/20 alle ore 07:27:53