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The Importance of Addressing Depression and Diabetes Distress in Adults with Type 2 Diabetes

  • Michelle D. Owens-Gary
  • Xuanping Zhang
  • Shawn Jawanda
  • Kai McKeever Bullard
  • Pamela Allweiss
  • Bryce D. Smith
Perspective

Abstract

People with type 2 diabetes often experience two common mental health conditions: depression and diabetes distress. Both increase a patient’s risk for mortality, poor disease management, diabetes-related complications, and poor quality of life. The American Diabetes Association and the U.S. Preventive Services Task Force recommend routine evaluations for these conditions in adults for optimal disease management and prevention of life-threatening complications. However, barriers exist within primary care and specialty settings that make screening for depression and diabetes distress challenging. Depression and diabetes distress influence diabetes self-care and diabetes control and barriers in clinical care practice that can hinder detection and management of psychosocial issues in diabetes care. This paper highlights opportunities to increase mental health screenings and provides strategies to help providers address depression and diabetes distress in patients with type 2 diabetes.

KEY WORDS

diabetes depression diabetes distress primary care providers 

Notes

Acknowledgements

The authors are grateful for comments and suggestions from Clarice Conley on earlier drafts of this article.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.

Disclaimer

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

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Copyright information

© Society of General Internal Medicine (This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply)  2018

Authors and Affiliations

  • Michelle D. Owens-Gary
    • 1
  • Xuanping Zhang
    • 1
  • Shawn Jawanda
    • 2
  • Kai McKeever Bullard
    • 1
  • Pamela Allweiss
    • 1
  • Bryce D. Smith
    • 1
  1. 1.Division of Diabetes Translation Centers for Disease Control and PreventionAtlantaUSA
  2. 2.Oak Ridge Institute for Science and EducationOak RidgeUSA

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