Advanced

Burden of illness, metabolic control, and complications in relation to depressive symptoms in IDDM patients

Karlson, Björn LU and Agardh, Carl-David LU (1997) In Diabetic Medicine 14(12). p.1066-1072
Abstract
Relationships between demographic-, treatment-, and sickness-related factors, metabolic control (HbA1c), perceived burden of illness, and degree of depressive symptoms were examined in a group of 155 insulin-dependent diabetic patients, aged 35.3 +/- 8.9 years. The patients completed a questionnaire measuring depressive symptoms and three aspects of perceived burden of illness. No gender differences in HbA1c level or occurrence of late diabetic complications were found. Both men and women showed a modestly elevated degree of depression compared with norm groups. Self-reported burden of illness was strongly related to depression but was largely unrelated to objective disease-related measures. Level of depression was correlated neither with... (More)
Relationships between demographic-, treatment-, and sickness-related factors, metabolic control (HbA1c), perceived burden of illness, and degree of depressive symptoms were examined in a group of 155 insulin-dependent diabetic patients, aged 35.3 +/- 8.9 years. The patients completed a questionnaire measuring depressive symptoms and three aspects of perceived burden of illness. No gender differences in HbA1c level or occurrence of late diabetic complications were found. Both men and women showed a modestly elevated degree of depression compared with norm groups. Self-reported burden of illness was strongly related to depression but was largely unrelated to objective disease-related measures. Level of depression was correlated neither with degree of metabolic control nor with the presence of such late diabetic complications as retinopathy and nephropathy. Some 44% of the variance in depression could be explained by worries about complications in those patients with the lowest HbA1c levels, by perceived restrictions in everyday life in patients with intermediate metabolic control, and by problems of glycaemic regulation in patients with poor metabolic control. Degree of depression was largely unrelated to disease severity, but was found to be related to the perceived daily burden of living with the disease, the specific worries and concerns associated with a depressed mood varying with degree of metabolic control. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
psychosocial adaptation, depression, disease perception, type 1 diabetes mellitus
in
Diabetic Medicine
volume
14
issue
12
pages
1066 - 1072
publisher
Wiley-Blackwell
external identifiers
  • pmid:9455935
  • scopus:0031441566
ISSN
1464-5491
DOI
10.1002/(SICI)1096-9136(199712)14:12<1066::AID-DIA462>3.0.CO;2-M
language
English
LU publication?
yes
id
ad5bdeac-b059-4995-96ee-1fc502546f4e (old id 1111186)
date added to LUP
2008-07-16 16:57:46
date last changed
2017-01-01 06:43:57
@article{ad5bdeac-b059-4995-96ee-1fc502546f4e,
  abstract     = {Relationships between demographic-, treatment-, and sickness-related factors, metabolic control (HbA1c), perceived burden of illness, and degree of depressive symptoms were examined in a group of 155 insulin-dependent diabetic patients, aged 35.3 +/- 8.9 years. The patients completed a questionnaire measuring depressive symptoms and three aspects of perceived burden of illness. No gender differences in HbA1c level or occurrence of late diabetic complications were found. Both men and women showed a modestly elevated degree of depression compared with norm groups. Self-reported burden of illness was strongly related to depression but was largely unrelated to objective disease-related measures. Level of depression was correlated neither with degree of metabolic control nor with the presence of such late diabetic complications as retinopathy and nephropathy. Some 44% of the variance in depression could be explained by worries about complications in those patients with the lowest HbA1c levels, by perceived restrictions in everyday life in patients with intermediate metabolic control, and by problems of glycaemic regulation in patients with poor metabolic control. Degree of depression was largely unrelated to disease severity, but was found to be related to the perceived daily burden of living with the disease, the specific worries and concerns associated with a depressed mood varying with degree of metabolic control.},
  author       = {Karlson, Björn and Agardh, Carl-David},
  issn         = {1464-5491},
  keyword      = {psychosocial adaptation,depression,disease perception,type 1 diabetes mellitus},
  language     = {eng},
  number       = {12},
  pages        = {1066--1072},
  publisher    = {Wiley-Blackwell},
  series       = {Diabetic Medicine},
  title        = {Burden of illness, metabolic control, and complications in relation to depressive symptoms in IDDM patients},
  url          = {http://dx.doi.org/10.1002/(SICI)1096-9136(199712)14:12<1066::AID-DIA462>3.0.CO;2-M},
  volume       = {14},
  year         = {1997},
}