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Serious Psychological
Distress More Common in Diabetics
posted December
09, 2004
The prevalence of serious
psychological distress was 10.4% among people with diabetes.
Adults with diabetes are considerable more likely to experience depression,
anxiety and other disorders that cause (SPD) than those without diabetes.
Dr. K. H. McVeigh, of the New York City Department of Health and Mental Hygiene,
and colleagues queried 9,590 people as part of the 2003 New York City Community
Health Survey. Responses to six questions regarding sadness, nervousness and
other feelings were the basis for classification as having SPD.
The authors found that the age-adjusted prevalence of diabetes was 9.0% and that
of SPD was 5.0%. The prevalence of SPD was 10.4% among people with diabetes.
Even after controlling for age, gender, ethnicity, marital status and income,
the odds ratio for SPD was 1.9 among diabetics.
Having SPD along with diabetes was accompanied by a host of problems. Dr.
McVeigh's group found that these individuals were more likely to be divorced,
separated or widowed, report a household income below $25,000 per year, or lack
private insurance. They were also more likely to not fill prescriptions or see a
doctor because of cost.
Only 11.6% of those with diabetes and SPD had private insurance compared to
41.6% of those with diabetes alone.
An accompanying editorial points out that "persons with comorbid diabetes and
SPD face formidable economic and social obstacles to receiving appropriate
health care." Thus "increased use of more effective methods for detecting and
managing depression and other mental disorders might be particularly beneficial
for persons with diabetes."
Source: Diabetes n Control.com: Mor
Mortal Wkly Rep CDC Surveill Summ 2004;53:1089-1092.
December 2004 News Article Index
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