Depression among older adults with diabetes mellitus
Identifieur interne : 004143 ( Ncbi/Merge ); précédent : 004142; suivant : 004144Depression among older adults with diabetes mellitus
Auteurs : Mijung Park ; Charles F. ReynoldsSource :
- Clinics in geriatric medicine [ 0749-0690 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Trouble dépressif.
- psychologie : Diabète de type 2.
- épidémiologie : Trouble dépressif.
- Diabète de type 2, Facteurs de l'âge, Facteurs de risque, Humains, Sujet âgé, Trouble dépressif.
English descriptors
- KwdEn :
- MESH :
- complications : Diabetes Mellitus, Type 2.
- diagnosis : Depressive Disorder.
- epidemiology : Depressive Disorder.
- psychology : Diabetes Mellitus, Type 2.
- therapy : Depressive Disorder, Diabetes Mellitus, Type 2.
- Age Factors, Aged, Humans, Risk Factors.
Abstract
Depression is among the leading causes of decreased disability-adjusted life years in the world
Url:
DOI: 10.1016/j.cger.2014.08.022
PubMed: 25453305
PubMed Central: 4254540
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PMC:4254540Le document en format XML
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<front><div type="abstract" xml:lang="en"><title>Synopsis</title>
<p id="P1">Depression is among the leading causes of decreased disability-adjusted life years in the world<sup><xref rid="R1" ref-type="bibr">1</xref>
</sup>
and a serious public health problem.<sup><xref rid="R2" ref-type="bibr">2</xref>
</sup>
Older adults with DM experience greater risk for comorbid depression compared to those who do not have DM.<sup><xref rid="R3" ref-type="bibr">3</xref>
</sup>
Having DM increases the risk of subsequent development or recurrence of depression. Conversely, history of depression increases the risk for new onset DM.<sup><xref rid="R4" ref-type="bibr">4</xref>
</sup>
As an unwanted co-traveler of DM, undetected, untreated or undertreated depression impinges an individual’s ability to manage their DM successfully, hindering their adherence to treatment regime.<sup><xref rid="R5" ref-type="bibr">5</xref>
</sup>
It also undermines the effectiveness of provider-patient communication and decays therapeutic relationships. Thus, in the context of caring for older adults with DM, comorbid depression presents special challenges and opportunities for clinicians. Moreover, recent studies have suggested that co-occurring depression and DM may accelerate cognitive decline, highlighting the importance of treating depression and DM. Several treatment modalities are available, which can be used to treat and manage depression in primary care settings: pharmaceutical, brief psychotherapeutic, behavioral and life style interventions, and combination therapies. An evidence-based health care delivery model is also available for treating depression in primary care settings. In this article, we summarize the clinical presentation of late-life depression, potential mechanisms of comorbidity of depression and DM, importance of depression in the successful management of DM, and available best practice models for depression treatment.</p>
</div>
</front>
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<p id="P1">Depression is among the leading causes of decreased disability-adjusted life years in the world<sup><xref rid="R1" ref-type="bibr">1</xref>
</sup>
and a serious public health problem.<sup><xref rid="R2" ref-type="bibr">2</xref>
</sup>
Older adults with DM experience greater risk for comorbid depression compared to those who do not have DM.<sup><xref rid="R3" ref-type="bibr">3</xref>
</sup>
Having DM increases the risk of subsequent development or recurrence of depression. Conversely, history of depression increases the risk for new onset DM.<sup><xref rid="R4" ref-type="bibr">4</xref>
</sup>
As an unwanted co-traveler of DM, undetected, untreated or undertreated depression impinges an individual’s ability to manage their DM successfully, hindering their adherence to treatment regime.<sup><xref rid="R5" ref-type="bibr">5</xref>
</sup>
It also undermines the effectiveness of provider-patient communication and decays therapeutic relationships. Thus, in the context of caring for older adults with DM, comorbid depression presents special challenges and opportunities for clinicians. Moreover, recent studies have suggested that co-occurring depression and DM may accelerate cognitive decline, highlighting the importance of treating depression and DM. Several treatment modalities are available, which can be used to treat and manage depression in primary care settings: pharmaceutical, brief psychotherapeutic, behavioral and life style interventions, and combination therapies. An evidence-based health care delivery model is also available for treating depression in primary care settings. In this article, we summarize the clinical presentation of late-life depression, potential mechanisms of comorbidity of depression and DM, importance of depression in the successful management of DM, and available best practice models for depression treatment.</p>
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<term>Depressive Disorder (therapy)</term>
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<term>Facteurs de risque</term>
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<term>Trouble dépressif (diagnostic)</term>
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<front><div type="abstract" xml:lang="en">Older adults with Diabetes Mellitus (DM) experience greater risk for comorbid depression compared to those who do not have DM. Undetected, untreated or under-treated depression impinges an individual's ability to manage their DM successfully, hinders their adherence to treatment regime, and undermines provider-patient relationships. Thus, in the context of caring for older adults with DM, comorbid depression presents special challenges and opportunities for clinicians. In this article, we summarize the clinical presentation of late-life depression, potential mechanisms of comorbidity of depression and DM, importance of depression in the successful management of DM, and available best practice models for depression treatment.</div>
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