Comorbid elevated symptoms of anxiety and depression in adults with type 1 or type 2 diabetes: Results from the International Diabetes MILES Study

Giesje Nefs*, Christel Hendrieckx, Prasuna Reddy, Jessica L. Browne, Mariska Bot, John Dixon, Michael Kyrios, Jane Speight, Francois Pouwer

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Aims: 

We examined: (a) the prevalence of comorbid elevated symptoms of anxiety/depression; (b) its demographic/clinical correlates; (c) associations with self-care behaviors, by diabetes type.

Methods: 

Cross-sectional self-report data of 6590 adults with diabetes (42% type 1; 58% type 2) from the Australian and Dutch Diabetes MILES studies were used. Elevated symptoms of anxiety/depression were defined as GAD-7 >= 10/PHQ-9 >= 10.

Results: 

In both diabetes types, comorbid elevated symptoms of anxiety/depression were present in 9% and symptoms of anxiety alone in 2%; symptoms of depression alone were present in 8% of adults with type 1 diabetes and 11% with type 2 diabetes. Shorter diabetes duration (type 1 only) was the only characteristic that distinguished those with comorbid elevated symptoms of anxiety/depression but not those with symptoms of anxiety/depression alone from the reference group (no/minimal symptoms of anxiety/depression). Those with comorbid elevated symptoms of anxiety/depression had increased odds of sub-optimal diabetes self-care behaviors compared with the reference group, with higher odds than those with symptoms of anxiety or depression alone.

Conclusions: 

Comorbid elevated symptoms of anxiety/depression affected one in ten respondents, who also had increased odds of suboptimal diabetes self-care. Those with shorter type 1 diabetes duration may be at increased risk. (C) 2019 Elsevier Inc. All rights reserved.

Original languageEnglish
Pages (from-to)523-529
JournalJournal of Diabetes and its Complications
Volume33
Issue number8
DOIs
Publication statusPublished - 2019

Keywords

  • Anxiety
  • Depression
  • Comorbidity
  • Self-care
  • Health behavior
  • POOR GLYCEMIC CONTROL
  • PRIMARY-CARE
  • OUTCOMES
  • PEOPLE
  • INTERVENTION
  • ASSOCIATIONS
  • PREVALENCE
  • DISORDER
  • IMPACT
  • PRIORITIZATION

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