Key result
Type II diabetes is linked to higher depressive symptoms in obese adults versus nondiabetic spouses.
Why the study?
Differences in depressive symptomatology between obese adults with type II diabetes and their obese nondiabetic spouses were not well characterized.
Cross-Sectional (n=64)
Absolute Event Rate: 10.6% vs 7.5%
p-value: p=<0.04
Obese adults with type II diabetes exhibit significantly higher depressive symptomatology compared to their obese nondiabetic spouses.
Higher depressive symptoms in obese type 2 diabetes versus spouses are hypothesis-generating; leaves open diabetes-specific effects beyond shared obesity.
This study compared depressive symptomatology in 32 obese subjects with type II (non-insulin-dependent) diabetes (16 men, 16 women) and their obese nondiabetic spouses. All subjects completed the Beck Depression Inventory (BDI) before participation in a behavioral weight-loss program. Diabetic subjects reported significantly more depressive symptomatology than their overweight nondiabetic spouses (10.6 +/- 6.4 vs. 7.5 +/- 6.2, P less than 0.04). Diabetic subjects scored higher than their spouses on 15 of 20 BDI items, with significant differences in feelings of being punished, perceived appearance, and interest in sex. Mean BDI score in the diabetic spouses was similar to that observed in the first 123 diabetic subjects to enter the weight-loss program (BDI 11.2 +/- 6.9). Further studies are needed to determine whether diabetic subjects differ from age-, sex-, and weight-matched nondiabetic individuals in clinical depression and depressive symptomatology.
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Wing et al. (1990) conducted a cross-sectional in Type II diabetes and obesity (n=64). Type II diabetes vs. Obese nondiabetic spouses was evaluated on Beck Depression Inventory (BDI) score (p=<0.04). Obese adults with type II diabetes reported significantly higher depressive symptomatology than their obese nondiabetic spouses (mean BDI score 10.6 vs 7.5; P<0.04).
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