Depressive symptoms tied to diabetes self-management
Hyunsung Oh, Ph.D., from Arizona State University in Phoenix, and Kathleen Ell, D.S.W., from the University of Southern California in Los Angeles, assessed follow-up data from 251 patients participating in a randomized clinical trial evaluating the effectiveness of a promotora-assisted self-management intervention. The participants included Hispanic patients with probable depression in patient-centered medical homes at safety-net clinics.
The researchers found that changes in depressive symptoms predicted self-efficacy and level of adherence at the six- and 12-month follow-ups. At six months, changes in total social support and emotional social support were correlated only with self-efficacy of diabetes management.
"Decline in depressive symptoms is a reliable predictor of improvement in self-efficacy and adherence to diabetes management," the authors write. "Further studies are recommended to study psychosocial mechanisms related to social relationships other than social support that affect diabetes management."
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