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Gepubliceerd in:

01-06-2012

Improvement in glycemic control following a diabetes education intervention is associated with change in diabetes distress but not change in depressive symptoms

Auteurs: Sofija E. Zagarins, Nancy A. Allen, Jane L. Garb, Garry Welch

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2012

Abstract

In diabetes patients, depression is correlated with diabetes-specific emotional distress, and observational studies have suggested that diabetes distress may have a greater impact on diabetes outcomes than depression itself. To examine the relative effects of change in depressive symptoms and change in diabetes distress on change in glycemic control, we conducted a diabetes self-management education intervention in 234 type 2 diabetes (T2DM) patients, and measured glycemic control (HbA1c), depressive symptoms (CES-D), and diabetes distress (PAID) at baseline and 6 months. In multiple linear regression, change in depressive symptoms was not associated with change in HbA1c (P = 0.23). Change in diabetes distress was significantly associated with change in HbA1c (P < 0.01), such that a 10-point decrease in diabetes distress (which corresponds to the average change in distress in this study population) was associated with a 0.25% reduction in HbA1c. Change in diabetes distress, and not change in depressive symptoms, was associated with both short- and long-term change in glycemic control for patients with poorly controlled T2DM.

vorige artikel Communication strategies for enhancing understanding of the behavioral implications of genetic and biomarker tests for disease risk: The role of coherence

volgende artikel The interplay of dyadic and individual planning of pelvic-floor exercise in prostate-cancer patients following radical prostatectomy

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Titel: Improvement in glycemic control following a diabetes education intervention is associated with change in diabetes distress but not change in depressive symptoms
Auteurs: Sofija E. Zagarins
Nancy A. Allen
Jane L. Garb
Garry Welch
Publicatiedatum: 01-06-2012
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 3/2012
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-011-9359-z

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Improvement in glycemic control following a diabetes education intervention is associated with change in diabetes distress but not change in depressive symptoms

Abstract

Andere artikelen Uitgave 3/2012

The interplay of dyadic and individual planning of pelvic-floor exercise in prostate-cancer patients following radical prostatectomy

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Bohn Stafleu van Loghum

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

Registreer

Login

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A longitudinal analysis of intimacy processes and psychological distress among couples coping with head and neck or lung cancers

Avoidant coping moderates the association between anxiety and patient-rated physical functioning in heart failure patients

The effectiveness of a motivational interviewing primary-care based intervention on physical activity and predictors of change in a disadvantaged community

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