Correlates of depression among people with diabetes

The Translating Research into Action for Diabetes (TRIAD) study

Beth Waitzfelder, Robert B. Gerzoff, Andrew J. Karter, Stephen Crystal, Matthew Bair, Susan L. Ettner, Arleen F. Brown, Usha Subramanian, Shou En Lu, David Marrero, William H. Herman, Joseph V. Selby, R. Adams Dudley

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Aim: The broad objective of this study was to examine multiple dimensions of depression in a large, diverse population of adults with diabetes. Specific aims were to measure the association of depression with: (1) patient characteristics; (2) outcomes; and (3) diabetes-related quality of care. Methods: Cross-sectional analyses were performed using survey and chart data from the Translating Research Into Action for Diabetes (TRIAD) study, including 8790 adults with diabetes, enrolled in 10 managed care health plans in 7 states. Depression was measured using the Patient Health Questionnaire (PHQ-8). Patient characteristics, outcomes and quality of care were measured using validated survey items and chart data. Results: Nearly 18% of patients had major depression, with prevalence 2-3 times higher among patients with low socioeconomic status. Pain and limited mobility were strongly associated with depression, controlling for other patient characteristics. Depression was associated with slightly worse glycemic control, but not other intermediate clinical outcomes. Depressed patients received slightly fewer recommended diabetes-related processes of care. Conclusions: In a large, diverse cohort of patients with diabetes, depression was most prevalent among patients with low socioeconomic status and those with pain, and was associated with slightly worse glycemic control and quality of care.

Original languageEnglish
Pages (from-to)215-222
Number of pages8
JournalPrimary Care Diabetes
Volume4
Issue number4
DOIs
StatePublished - Dec 2010

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Depression
Research
Quality of Health Care
Social Class
Pain
Health
Managed Care Programs
Cross-Sectional Studies
Population
Surveys and Questionnaires

Keywords

  • Depression
  • Diabetes
  • Socioeconomic status

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Correlates of depression among people with diabetes : The Translating Research into Action for Diabetes (TRIAD) study. / Waitzfelder, Beth; Gerzoff, Robert B.; Karter, Andrew J.; Crystal, Stephen; Bair, Matthew; Ettner, Susan L.; Brown, Arleen F.; Subramanian, Usha; Lu, Shou En; Marrero, David; Herman, William H.; Selby, Joseph V.; Dudley, R. Adams.

In: Primary Care Diabetes, Vol. 4, No. 4, 12.2010, p. 215-222.

Research output: Contribution to journalArticle

Waitzfelder, B, Gerzoff, RB, Karter, AJ, Crystal, S, Bair, M, Ettner, SL, Brown, AF, Subramanian, U, Lu, SE, Marrero, D, Herman, WH, Selby, JV & Dudley, RA 2010, 'Correlates of depression among people with diabetes: The Translating Research into Action for Diabetes (TRIAD) study', Primary Care Diabetes, vol. 4, no. 4, pp. 215-222. https://doi.org/10.1016/j.pcd.2010.07.002
Waitzfelder, Beth ; Gerzoff, Robert B. ; Karter, Andrew J. ; Crystal, Stephen ; Bair, Matthew ; Ettner, Susan L. ; Brown, Arleen F. ; Subramanian, Usha ; Lu, Shou En ; Marrero, David ; Herman, William H. ; Selby, Joseph V. ; Dudley, R. Adams. / Correlates of depression among people with diabetes : The Translating Research into Action for Diabetes (TRIAD) study. In: Primary Care Diabetes. 2010 ; Vol. 4, No. 4. pp. 215-222.
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