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Reduction of diabetes-related distress predicts improved depressive symptoms: A secondary analysis of the DIAMOS study

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  • André Reimer
  • Andreas Schmitt
  • Dominic Ehrmann
  • Bernhard Kulzer
  • Norbert Hermanns

Abstract

Objective: Depressive symptoms in people with diabetes are associated with increased risk of adverse outcomes. Although successful psychosocial treatment options are available, little is known about factors that facilitate treatment response for depression in diabetes. This prospective study aims to examine the impact of known risk factors on improvement of depressive symptoms with a special interest in the role of diabetes-related distress. Methods: 181 people with diabetes participated in a randomized controlled trial. Diabetes-related distress was assessed using the Problem Areas In Diabetes (PAID) scale; depressive symptoms were assessed using the Center for Epidemiologic Studies Depression (CES-D) scale. Multiple logistic and linear regression analyses were used to assess associations between risk factors for depression (independent variables) and improvement of depressive symptoms (dependent variable). Reliable change indices were established as criteria of meaningful reductions in diabetes distress and depressive symptoms. Results: A reliable reduction of diabetes-related distress (15.43 points in the PAID) was significantly associated with fourfold increased odds for reliable improvement of depressive symptoms (OR = 4.25, 95% CI: 2.05–8.79; P

Suggested Citation

  • André Reimer & Andreas Schmitt & Dominic Ehrmann & Bernhard Kulzer & Norbert Hermanns, 2017. "Reduction of diabetes-related distress predicts improved depressive symptoms: A secondary analysis of the DIAMOS study," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-10, July.
    • Handle: RePEc:plo:pone00:0181218
    DOI: 10.1371/journal.pone.0181218
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    References listed on IDEAS

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    1. Shevaun D. Neupert & David M. Almeida & Susan Turk Charles, 2007. "Age Differences in Reactivity to Daily Stressors: The Role of Personal Control," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(4), pages 216-225.
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    1. Ewelina Cichoń & Andrzej Kiejna & Andrzej Kokoszka & Tomasz M Gondek & Rafał Radzio & Adam Jastrzębski & Beata E Andrzejewska & Fahad D Alosaimi & Cathy E Lloyd & Norman Sartorius, 2020. "People with diabetes need a lower cut-off than others for depression screening with PHQ-9," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-20, October.

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