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Diabetes Management and Decline in Depression

Diabetes Care; ePub 2018 Mar 27; Oh, Ell

Decline in depressive symptoms is a reliable predictor of improvement in self-efficacy and adherence to diabetes management, according to a study that examined predominately Hispanic patients with probable depression in patient-centered medical homes at safety-net clinics in East Los Angeles, CA. Data were collected from 251 patients enrolled in a randomized clinical trial testing the effectiveness of a promotora-assisted self-management intervention. Cross-lagged analyses examined associations between changes in depression symptoms and social support between baseline and 6-month follow-up and self-efficacy and adherence to diabetes management at the 6- and 12-month follow-ups. Researchers found:

  • Changes in depressive symptoms predicted self-efficacy and level of adherence at the 6- and 12-month follow-ups.
  • Changes in total social support and emotional social support were correlated only with self-efficacy regarding diabetes management at 6-month follow-up.

Citation:

Oh H, Ell K. Associations between changes in depressive symptoms and social support and diabetes management among low-income, predominantly Hispanic patients in patient-centered care. [Published online ahead of print March 27, 2018]. Diabetes Care. doi:10.2337/dc17-2000.

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