Is type of depressive symptoms associated with patient-perceived need for professional psychological care in depressed individuals with diabetes?
Adolescent
Adult
Affective Symptoms
/ psychology
Aged
Depressive Disorder
/ etiology
Diabetes Mellitus, Type 1
/ complications
Diabetes Mellitus, Type 2
/ complications
Female
Humans
Interviews as Topic
Logistic Models
Male
Middle Aged
Psychiatric Status Rating Scales
Severity of Illness Index
Young Adult
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2019
2019
Historique:
received:
13
12
2017
accepted:
31
01
2019
entrez:
15
2
2019
pubmed:
15
2
2019
medline:
21
11
2019
Statut:
epublish
Résumé
The objective of this study is to investigate whether type of depressive symptoms (i.e. cognitive-affective or somatic) is related to a patient-perceived need for professional psychological care in individuals with diabetes. In total 2266 participants were recruited as part of the screening procedure for a multi-center randomized controlled trial on the treatment of depressive symptoms among individuals with diabetes. Individuals were invited to complete Beck Depression Inventory-II (BDI-II). Patients with elevated depressive symptoms (BDI-II ≥14) were interviewed about their psychological care need. Based on their care needs patients were categorized into: unmet need, no need, met need and unclear need. These groups were compared on type of depressive symptoms, as categorized into cognitive-affective symptoms and somatic symptoms. 568 eligible individuals had elevated depressive symptoms, of whom 519 were reached. Among these depressed individuals, 19.7% (102 of 519) had an unmet need for psychological care. Participants with an unmet need were younger (p<0.001) and had higher total depression scores compared to the group with no need (p<0.001). They also scored higher on cognitive-affective symptoms (p<0.001), whereas somatic symptoms did not significantly differ (p = 0.232). Logistic regression revealed that cognitive-affective symptoms predicted an unmet need (p = 0.001). However, overall predictive capacity of type of depressive symptoms on care needs was weak. Cognitive-affective symptoms of depression-but not somatic symptoms-were associated with an unmet need for psychological care among depressed individuals with diabetes. Future research is needed to reveal better predictors explaining the discrepancy between distress and low care needs in order to optimize screening procedures.
Identifiants
pubmed: 30763396
doi: 10.1371/journal.pone.0212304
pii: PONE-D-17-43496
pmc: PMC6375619
doi:
Types de publication
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0212304Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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