Patients with type 2 diabetes over a period of time at risk for major depressive disorder over time. Depression is common among patients with type 2 diabetes. This study set out to identify characteristics that predict the onset of major depressive disorder (MDD) among primary care patients with diabetes.

As per the study among 338 adult patients with type 2 diabetes, researchers found prior MDD and negative affect were the primary predictors of subsequent MDD. When stratified by negative affect, negative life events, elevated body mass index, and poor control of glycosulated hemoglobin also predicted MDD.

Inference

• Negative life events and patients’ disease-related concerns are important when understanding what predicts MDD.
• The authors conclude that these variables combine to yield the negative emotional symptoms that predict MDD over time.
• When patients have moderate levels of increased depressive symptoms, it may be helpful to inquire about other life stressors and chronic disease management.
• Devoting attention to these factors may have a positive impact on patients’ emotional status as well as their disease management.

Reference: http://www.annfammed.org/cgi/content/full/9/2/115/DC1