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Depression in Older Adults with Diabetes: Measurement and Implications for Care

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Screening for Depression and Other Psychological Problems in Diabetes

Abstract

Older patients with diabetes are at increased risk for multiple chronic conditions, including depression. Depression can impact on aspects of diabetes self-care including dietary self-management, exercise, and medication regimens and lead to poor glycemic control. Furthermore, depression is a major concern in older patients given that this population has the highest suicide rate of any age group. Thus, screening and treating depression in older diabetes patients is critical to improve health outcomes and reduce the risk of suicide. Despite increased awareness of comorbid depression and diabetes, diagnosis and treatment of depression in older diabetes patients remains a considerable challenge. Depression is frequently under-recognized and under-treated, with less than 25% of diabetes patients’ depression successfully identified and treated in clinical practice. For older patients, depression may present with a variety of symptoms that vary from those observed in younger adults. Healthcare professionals have an important role in screening older diabetes patients at risk for depression and in identifying the number and severity of depressive symptoms. Several screening instruments have been developed that target depression in older patients or have been validated in this population; however, the validity of these instruments in older patients with diabetes requires further examination.

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Authors and Affiliations

  1. Department of Clinical, Behavioral and Outcomes Research, Joslin Diabetes Center, Boston, MA, USA

    Elizabeth A. Beverly Ph.D. & Katie Weinger EdD, RN

  2. Harvard Medical School, Boston, MA, USA

    Elizabeth A. Beverly Ph.D. & Katie Weinger EdD, RN

Authors
  1. Elizabeth A. Beverly Ph.D.
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  2. Katie Weinger EdD, RN
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Correspondence to Elizabeth A. Beverly Ph.D. .

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Editors and Affiliations

  1. , Faculty of Health & Social Care, Open University, Milton Keynes, MK7 6AA, United Kingdom

    Cathy E. Lloyd

  2. Tilburg University, Tilburg, 5000 LE, Netherlands

    Frans Pouwer

  3. Wuerzburg, Germany

    Norbert Hermanns

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Beverly, E.A., Weinger, K. (2013). Depression in Older Adults with Diabetes: Measurement and Implications for Care. In: Lloyd, C., Pouwer, F., Hermanns, N. (eds) Screening for Depression and Other Psychological Problems in Diabetes. Springer, London. https://doi.org/10.1007/978-0-85729-751-8_7

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