Key result
Maladaptive emotion-focused coping strategies were associated with a lower risk of depression in patients with type 2 diabetes mellitus.
Why the study?
Type 2 diabetes mellitus is associated with a high prevalence of depression influenced by personality traits and coping style, but these psychological factors have not been well studied in these individuals.
Are coping behaviors associated with depressive symptoms in individuals with type 2 diabetes mellitus?
Cross-Sectional (n=435)
No
Are coping behaviors associated with depressive symptoms in individuals with type 2 diabetes mellitus?
In Japanese patients with type 2 diabetes, maladaptive emotion-focused coping strategies were surprisingly protective against depression, while adaptive emotion-focused coping was a risk factor, highlighting potential cultural differences in coping mechanisms.
This is the authors' abstract. We don't add key points for this paper.
OBJECTIVE: Type 2 diabetes mellitus (T2DM) is associated with a high prevalence of depression, which is influenced by personality traits and coping style. However, these psychological factors have not been well studied in individuals with T2DM. The association between coping behaviors and the reported levels of depressive symptoms was examined in individuals with T2DM. METHODS: The subjects were 435 T2DM patients (mean age 63.1 ± 12.6 years). Depressive status, personality traits and coping behaviors were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D) and the Brief Scale for Coping Profile (BSCP). Lifestyle factors and glycated hemoglobin A1c (HbA1c) levels in the patients were also included in the analyses. RESULTS: Among the 435 subjects with T2DM, 130 (29.9%) exhibited possible depression, and 68 (15.6%) displayed probable depression. After adjustment for confounders, logistic and multiple regression analyses revealed that certain coping profile scores, such as Changing one's point of view, Emotional expression involving others and Avoidance and suppression, were consistently and significantly associated with the presence and severity of depression. No relationship was found between depression and HbA1c. CONCLUSION: These findings indicate that Maladaptive emotion-focused coping strategies, such as Emotional expression involving others and Avoidance and suppression, are protective factors and that Adaptive emotion-focused coping, such as Changing one's point of view, is a risk factor for depression in T2DM patients. Psychological intervention focusing on the coping profile may reduce depressive symptoms. Additional studies are needed to examine the relationships between psychological factors and depressive symptoms using a longitudinal study design.
Answers are grounded in this paper and cite their sources.
Coping-depression associations in T2DM warrant clinical caution; leaves open cultural influences and requires prospective validation.
No takes yet. Share an insight, caveat, or question.
Yasui‐Furukori et al. (2019) conducted a cross-sectional in Type 2 diabetes mellitus (n=435). Coping behaviors (e.g., Maladaptive emotion-focused coping) vs. Lower scores on coping behavior scales was evaluated on Presence of depression (CES-D score ≥ 21) (OR 0.77, 95% CI 0.70-0.84, p=<0.001). Maladaptive emotion-focused coping strategies were associated with a lower risk of depression in patients with type 2 diabetes mellitus.
Synapse has enriched 10 related papers. Consider them for comparative context: