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Guil Sun Kim  (Kim GS) 1 Article
Depression and Self-care Behavior in Patients with Diabetes Mellitus.
Su Yoen Kim, Jae Ho Lee, Ha Neul Kim, Dong Kyu Kim, Young Na, Guil Sun Kim, Mee Kyoung Kim, Ki Hyun Baek, Moo IL Kang, Kwang Woo Lee, Ki Ho Song
Korean Diabetes J. 2009;33(5):432-438.   Published online October 1, 2009
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AbstractAbstract PDF
Depression is known to be a risk factor for type 2 diabetes mellitus. Conversely, diabetes is also a risk factor for depression, and patients with diabetes have nearly twice the risk of comorbid depression as the general population. Depression in patients with diabetes may cause poor clinical outcomes through lower adherence to self-care activities such as exercise, diet control, and glucose monitoring. Furthermore, diabetic patients with depression are more likely to suffer from microvascular or macrovascular complications. We explored the prevalence of major depressive disorder in Korean diabetic patients and its impact on self-care activities and glucose control. METHODS: We surveyed depressive symptoms and self-care activities in 191 type 2 diabetic patients from the outpatient clinic of the St. Mary's hospital. Two questionnaires were used for assessment, the Harvard Department of Psychiatry/National Depression Screening Day Scale (HANDS) and the Summary of Diabetes Self-Care Activities (SDSCA). RESULTS: Of the 191 respondents who completed questionnaires, 39 (20.4%) patients were categorized as having major depressive disorder. Among the depressed patients, only six (15.3%) had been previously evaluated and managed for their psychiatric problems. The incidence of depression was significantly higher in female diabetic patients compared to patients without depression (74.4% vs. 45.4%, P<0.001). Patients with depression showed significantly poorer diet control (18.5 vs. 15.9, P = 0.046) and less glucose monitoring (4.1 vs. 2.7, P = 0.047). However, there were no differences in exercise, foot care, or smoking status between the two groups. Additionally, metabolic parameters such as HbA1C and lipid profile were not significantly different between the two groups. CONCLUSION: Many diabetic patients are suffering from depression and exhibit poorer self-care activities than patients without depression. Identifying and managing depressed diabetic patients may help improve their self-care activities.


Citations to this article as recorded by  
  • The Effects of the 2030 Diabetes Camp Program on Depression, Anxiety, and Stress in Diabetic Patients
    Jin Hee Jung, Jung Hwa Lee
    The Journal of Korean Diabetes.2019; 20(3): 194.     CrossRef
  • Association of Resilience and Depression with Self-care Competence in Adult Patients with Diabetes Mellitus
    Youngrye Park, Eun Hee Jang, Ji Ok Kim
    Korean Journal of Adult Nursing.2018; 30(5): 555.     CrossRef
  • Health-Related Quality-of-Life and Diabetes Self-Care Activity in Elderly Patients with Diabetes in Korea
    Hacksun Kim, Kisook Kim
    Journal of Community Health.2017; 42(5): 998.     CrossRef
  • Associations between Smoking, Drinking and Depression among Korean Adults: The 5th Korea National Health and Nutrition Examination Survey
    Sun Mi Park, Mi Ah Han, Jong Park, So Yeon Ryu, Seong Woo Choi, Hwan Ho Shin, Mi Hyun Joo
    Korean Journal of Health Promotion.2016; 16(2): 111.     CrossRef
  • Diabetes and Depressive Symptoms in Korean Women: The Fifth Korean National Health and Nutrition Examination Survey (2010-2011)
    Han Na Sung, Hong Seok Chae, Eung Soo Kim, Jong Sung Kim
    Korean Journal of Family Medicine.2014; 35(3): 127.     CrossRef
  • Effects of Abdominal Circumference, Blood Lipids and Blood Pressure according to Diabetes with VO2peak
    Sang-Nam Nam, Jung-Beom Park, Hyoung-Ju Lee
    The Journal of the Korea Contents Association.2012; 12(12): 363.     CrossRef
  • Effects of a Cardiovascular Risk Reduction Intervention With Psychobehavioral Strategies for Korean Adults With Type 2 Diabetes and Metabolic Syndrome
    Chun-Ja Kim, Dae-Jung Kim, Hyung-Ran Park
    Journal of Cardiovascular Nursing.2011; 26(2): 117.     CrossRef

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