July 17, 2019Annals of General PsychiatryOpen Access

Coping behaviors and depressive status in individuals with type 2 diabetes mellitus

Q: What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Type 2 diabetes mellitus (n=435). Intervention: Coping behaviors (e.g., Maladaptive emotion-focused coping) vs. Lower scores on coping behavior scales. Primary outcome: Presence of depression (CES-D score ≥ 21) (OR 0.77, 95% CI 0.70-0.84, p=<0.001).

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Key result

Maladaptive emotion-focused coping strategies were associated with a lower risk of depression (OR 0.77) 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?

Population

435 T2DM patients (mean age 63.1 ± 12.6 years)

Comparison

Different coping profile scores and behaviors

Design

Cross-sectional study

Authors

NYNorio Yasui‐Furukori HMHiroshi Murakami HOHideyuki Otaka

Discussion

Member takes

Overview

Coping-depression associations in T2DM warrant clinical caution; leaves open cultural influences and requires prospective validation.

Study Design

Type

Cross-Sectional (n=435)

Multicenter

Structured PICO

Are coping behaviors associated with depressive symptoms in individuals with type 2 diabetes mellitus?

Population

435 Japanese adults with type 2 diabetes mellitus treated for at least 1 year at a single center, assessed cross-sectionally for coping behaviors and depressive symptoms.

Outcome

Depressive status assessed using the Center for Epidemiologic Studies Depression Scale (CES-D)patient reported

Main Result

Odds Ratio: 0.77 (95% CI 0.7–0.84)

p-value: p=<0.001

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.

Limitations

Assessment of depressive symptoms was based only on the CES-D rather than structured diagnostic interviews.
Recruitment from a single institute and exclusion of patients with severe mental illness.
Lack of data on potential confounding factors such as life events, economics, traumatic experiences, and T2DM complications.
Cross-sectional design precludes determining a causal relationship between coping behaviors and depressive symptoms.
40% of the patients who responded to the questionnaire were excluded from the analysis, potentially introducing bias.
Assessment of depressive symptoms was based only on the CES-D rather than clinician-administered structured diagnostic interviews.
Lack of data on confounding factors such as life events, economics, traumatic experiences, and T2DM complications.
40% of the patients who responded to the questionnaire were excluded from the analysis, introducing potential bias.
Cross-sectional design cannot determine a causal relationship between coping behaviors and the onset of depressive symptoms.

Cite This Study

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 (OR 0.77) in patients with type 2 diabetes mellitus.

synapsesocial.com/papers/6a9ce5aec6168cc7c697a295 https://doi.org/10.1186/s12991-019-0235-5

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July 17, 2019Annals of General PsychiatryOpen Access

Coping behaviors and depressive status in individuals with type 2 diabetes mellitus

View Full Paper

Ask AI

Bookmark

Key result

Maladaptive emotion-focused coping strategies were associated with a lower risk of depression (OR 0.77) in patients with type 2 diabetes mellitus.

Why the study?

Are coping behaviors associated with depressive symptoms in individuals with type 2 diabetes mellitus?

Population

435 T2DM patients (mean age 63.1 ± 12.6 years)

Comparison

Different coping profile scores and behaviors

Design

Cross-sectional study

Authors

NYNorio Yasui‐Furukori HMHiroshi Murakami HOHideyuki Otaka

Discussion

Member takes

Overview

Coping-depression associations in T2DM warrant clinical caution; leaves open cultural influences and requires prospective validation.

Study Design

Type

Cross-Sectional (n=435)

Multicenter

Structured PICO

Are coping behaviors associated with depressive symptoms in individuals with type 2 diabetes mellitus?

Population

435 Japanese adults with type 2 diabetes mellitus treated for at least 1 year at a single center, assessed cross-sectionally for coping behaviors and depressive symptoms.

Outcome

Depressive status assessed using the Center for Epidemiologic Studies Depression Scale (CES-D)patient reported

Main Result

Odds Ratio: 0.77 (95% CI 0.7–0.84)

p-value: p=<0.001

Limitations

Assessment of depressive symptoms was based only on the CES-D rather than structured diagnostic interviews.
Recruitment from a single institute and exclusion of patients with severe mental illness.
Lack of data on potential confounding factors such as life events, economics, traumatic experiences, and T2DM complications.
Cross-sectional design precludes determining a causal relationship between coping behaviors and depressive symptoms.
40% of the patients who responded to the questionnaire were excluded from the analysis, potentially introducing bias.
Assessment of depressive symptoms was based only on the CES-D rather than clinician-administered structured diagnostic interviews.
Lack of data on confounding factors such as life events, economics, traumatic experiences, and T2DM complications.
40% of the patients who responded to the questionnaire were excluded from the analysis, introducing potential bias.
Cross-sectional design cannot determine a causal relationship between coping behaviors and the onset of depressive symptoms.

Cite This Study

synapsesocial.com/papers/6a9ce5aec6168cc7c697a295 https://doi.org/10.1186/s12991-019-0235-5

Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

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