Depression treatment and satisfaction in a multicultural sample of type 1 and type 2 diabetic patients
Depression treatment and satisfaction in a multicultural sample of type 1 and type 2 diabetic patients
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DOI：
10.2337/diacare.29.03.06.dc05-1396
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发表时间：
2006-03-01
期刊：
影响因子：
16.2
通讯作者：
Hockman, E
中科院分区：
文献类型：
--
作者：
de Groot, M;Pinkerman, B;Hockman, E
目的 - 评估 I 型和 2 型糖尿病患者的多元文化样本中抑郁症状、抑郁治疗和满意度的发生率。 研究设计和方法 - 本研究采用基于社区的横断面调查设计进行。 结果 - 样本 (n = 221) 主要为女性 (60.3%)，患有 2 型糖尿病 (75%)，属于中产阶级，平均 (+/- SD) 年龄为 54 +/- 12 岁年。总共 53% 是白人。使用流行病学研究中心抑郁量表 (CESD) 评估抑郁症状（平均值 16.4 +/- 11.3）。使用保守阈值（CESD 评分 >= 22），25.3% 的参与者报告有临床显着的抑郁症。抑郁症的发病率并没有因种族或糖尿病类型而异。大多数 (76%) 的抑郁参与者报告了治疗（52% 的抗抑郁药物、63% 的心理健康提供者、19% 的替代治疗师和 15% 的草药）。与白人相比，非裔美国人报告任何抑郁症治疗、接受抗抑郁药物或接受心理健康专业人士治疗的可能性较小。具有高度抑郁症状的参与者对抑郁症治疗经历总体满意。结论：不同种族群体中抑郁症状的发生率较高，但不同种族群体在使用抑郁症治疗方面存在显着差异。那些寻求抑郁症治疗的人对各种抑郁症治疗方式表示满意。增加抑郁症筛查和治疗可能对患有 1 型和 2 型糖尿病的不同种族患者有益。
OBJECTIVE - To assess rates of depressive symptoms, depression treatment, and satisfaction in a multicultural sample of individuals with type I and type 2 diabetes.RESEARCH DESIGN AND METHODS - This Study was conducted with a crosssectional community-based survey design.RESULTS - The sample (n = 221) was predominantly female (60.3%), had type 2 diabetes (75%), and was middle class with a mean (+/- SD) age of 54 +/- 12 years. A total of 53% were white. Depressive symptoms were assessed Using the Center for Epidemiologic Studies Depression Scale (CESD) (mean 16.4 +/- 11.3). Using conservative thresholds (CESD score >= 22), 25.3% of participants reported clinically significant depression. Rates of depression did not differ by ethnic group or diabetes type. The majority (76%) of depressed participants reported treatment (52% antidepressants, 63% mental health providers, 19% alternative healers, and 15% herbal remedies). African Americans were less likely to report any depression treatment, to receive antidepressant medications, or receive treatment from a mental health professional compared with whites. Participants with high depressive symptoms reported general satisfaction with depression treatment experiences.CONCLUSIONS - High rates of depressive symptoms were observed across ethnic groups, yet significant differences in use of depression treatment existed across ethnic groups. Those seeking depression treatment reported satisfaction with a variety of depression treatment modalities. Increased depression screening and treatment, may be beneficial for ethnically diverse patients with type 1 and type 2 diabetes.