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Depression in Mexican Americans with diagnosed and undiagnosed diabetes

Published online by Cambridge University Press:  29 October 2015

R. L. Olvera ,
S. P. Fisher-Hoch ,
D. E. Williamson ,
K. P. Vatcheva  and
J. B. McCormick
R. L. Olvera*
Affiliation:
Department of Psychiatry, Division of Genetic Epidemiology, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
S. P. Fisher-Hoch
Affiliation:
Division of Epidemiology Human Genetics and Environmental Health, The University of Texas School of Public Health, Brownsville, Campus, Brownsville TX, USA
D. E. Williamson
Affiliation:
Department of Psychiatry, Division of Genetic Epidemiology, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
K. P. Vatcheva
Affiliation:
Division of Epidemiology Human Genetics and Environmental Health, The University of Texas School of Public Health, Brownsville, Campus, Brownsville TX, USA
J. B. McCormick
Affiliation:
Division of Epidemiology Human Genetics and Environmental Health, The University of Texas School of Public Health, Brownsville, Campus, Brownsville TX, USA
*
* Address for correspondence: R. L. Olvera MD, MPH, Department of Psychiatry, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA. (Email: [email protected])
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Abstract

Background

Depression and diabetes commonly co-occur; however, the strength of the physiological effects of diabetes as mediating factors towards depression is uncertain.

Method

We analyzed extensive clinical, epidemiological and laboratory data from n = 2081 Mexican Americans aged 35–64 years, recruited from the community as part of the Cameron County Hispanic Cohort (CCHC) divided into three groups: Diagnosed (self-reported) diabetes (DD, n = 335), Undiagnosed diabetes (UD, n = 227) and No diabetes (ND, n = 1519). UD participants denied being diagnosed with diabetes, but on testing met the 2010 American Diabetes Association and World Health Organization definitions of diabetes. Depression was measured using the Center for Epidemiological Studies – Depression (CES-D) scale. Weighted data were analyzed using dimensional and categorical outcomes using univariate and multivariate models.

Results

The DD group had significantly higher CES-D scores than both the ND and UD (p ⩽ 0.001) groups, whereas the ND and UD groups did not significantly differ from each other. The DD subjects were more likely to meet the CES-D cut-off score for depression compared to both the ND and UD groups (p = 0.001), respectively. The UD group was also less likely to meet the cut-off score for depression than the ND group (p = 0.003). Our main findings remained significant in models that controlled for socio-demographic and clinical confounders.

Conclusions

Meeting clinical criteria for diabetes was not sufficient for increased depressive symptoms. Our findings suggest that the ‘knowing that one is ill’ is associated with depressive symptoms in diabetic subjects.

Keywords

DepressiondiabetesHispanicMexican American
Type
Original Articles
Information
Psychological Medicine , Volume 46 , Issue 3 , February 2016 , pp. 637 - 646
Copyright
Copyright © Cambridge University Press 2015 

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References

American Diabetes Association (ADA) (2010). American diabetes association. Standards of medical care in diabetes – 2010. Diabetes Care 33, S11–S61.CrossRefGoogle Scholar
Alegria, M, Mulvaney-Day, N, Torres, M, Polo, A, Cao, Z, Canino, G (2007). Prevalence of psychiatric disorders across Latino subgroups in the United States. American Journal of Public Health 97, 68–75.CrossRefGoogle ScholarPubMed
Ali, S, Stone, MA, Peters, JL, Davies, MJ, Khunti, K (2006). The prevalence of co-morbid depression in adults with Type 2 diabetes: a systematic review and meta-analysis. Diabetic Medicine 23, 1165–1173.CrossRefGoogle ScholarPubMed
Allan, JD (1998). Explanatory models of overweight among African American, Euro-American, and Mexican American women. Western Journal of Nursing Research 20, 45–66.CrossRefGoogle ScholarPubMed
American Diabetes Association (2014). Standards of medical care in diabetes – 2014. Diabetes Care 37 (Suppl. 1), S14–S80.CrossRefGoogle Scholar
Anderson, RJ, Freedland, KE, Clouse, RE, Lustman, PJ (2001). The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes Care 24, 1069–1078.CrossRefGoogle ScholarPubMed
Batty, GD, Deary, IJ, Gottfredson, LS (2007). Premorbid (early life) IQ and later mortality risk: systematic review. Annals of Epidemiology 17, 278–288.CrossRefGoogle ScholarPubMed
Baumeister, H, Hutter, N, Bengel, J (2012). Psychological and pharmacological interventions for depression in patients with diabetes mellitus and depression. Cochrane Database of Systemic Reviews 12, CD008381.Google ScholarPubMed
Baumeister, H, Hutter, N, Bengel, J (2014). Psychological and pharmacological interventions for depression in patients with diabetes mellitus: an abridged Cochrane review. Diabetic Medicine 31, 773–786.CrossRefGoogle ScholarPubMed
Bazzazian, S, Besharat, MA (2012). An explanatory model of adjustment to type I diabetes based on attachment, coping, and self-regulation theories. Psychology Health & Medicine 17, 47–58.CrossRefGoogle ScholarPubMed
Black, PH (2006). The inflammatory consequences of psychologic stress: relationship to insulin resistance, obesity, atherosclerosis and diabetes mellitus, type II. Medical Hypotheses 67, 879–891.CrossRefGoogle ScholarPubMed
Black, SA, Markides, KS, Ray, LA (2003). Depression predicts increased incidence of adverse health outcomes in older Mexican Americans with type 2 diabetes. Diabetes Care 26, 2822–2828.CrossRefGoogle ScholarPubMed
Bot, M, Pouwer, F, Ormel, J, Slaets, JP, de Jonge, P (2010). Predictors of incident major depression in diabetic outpatients with subthreshold depression. Diabetic Medicine 27, 1295–1301.CrossRefGoogle ScholarPubMed
Brown, SA, Garcia, AA, Kouzekanani, K, Hanis, CL (2002). Culturally competent diabetes self-management education for Mexican Americans: the Starr County border health initiative. Diabetes Care 25, 259–268.CrossRefGoogle ScholarPubMed
Brown, SA, Hanis, CL (2014). Lessons learned from 20 years of diabetes self-management research with Mexican Americans in Starr County, Texas. The Diabetes Educator 40, 476–487.CrossRefGoogle ScholarPubMed
Crouch, N (2004). Mexicans & Americans: Cracking The Cultural Code. Nicholas Brealey: London.Google Scholar
de Groot, M, Anderson, R, Freedland, KE, Clouse, RE, Lustman, PJ (2001). Association of depression and diabetes complications: a meta-analysis. Psychosomatic Medicine 63, 619–630.CrossRefGoogle ScholarPubMed
Del Ser, T, Gonzalez-Montalvo, JI, Martinez-Espinosa, S, Delgado-Villapalos, C, Bermejo, F (1997). Estimation of premorbid intelligence in Spanish people with the Word Accentuation Test and its application to the diagnosis of dementia. Brain and Cognition 33, 343–356.CrossRefGoogle Scholar
Diaz, VA, Mainous, AG III, Pope, C (2007). Cultural conflicts in the weight loss experience of overweight Latinos. International Journal of Obesity 31, 328–333.CrossRefGoogle ScholarPubMed
Duangdao, KM, Roesch, SC (2008). Coping with diabetes in adulthood: a meta-analysis. Journal of Behavioral Medicine 31, 291–300.CrossRefGoogle ScholarPubMed
Dziemidok, P, Makara-Studzinska, M, Jarosz, MJ (2011). Diabetes and depression: a combination of civilization and life-style diseases is more than simple problem adding – literature review. Annals of Agricultural and Environmental Medicine 18, 318–322.Google ScholarPubMed
Egede, LE, Zheng, D (2003). Independent factors associated with major depressive disorder in a national sample of individuals with diabetes. Diabetes Care 26, 104–111.CrossRefGoogle Scholar
Ennis, SR, Rios-Vargas, M, Albert, NG (2011). The Hispanic Population: 2010. 2010 Census Briefs, United States Census Bureau 1–3.Google Scholar
Fanous, A, Gardner, CO, Prescott, CA, Cancro, R, Kendler, KS (2002). Neuroticism, major depression and gender: a population-based twin study. Psychological Medicine 32, 719–728.CrossRefGoogle Scholar
Fisher-Hoch, SP, Rentfro, AR, Salinas, JJ, Perez, A, Brown, HS, Reininger, BM, Restrepo, BI, Wilson, JG, Hossain, MM, Rahbar, MH, Hanis, CM, McCormick, JB (2010). Socioeconomic status and prevalence of obesity and diabetes in a Mexican American community, Cameron County, Texas, 2004–2007. Preventing Chronic Disease 7, A53.Google Scholar
Fisher-Hoch, SP, Vatcheva, KP, Rahbar, MH, McCormick, JB (2015). Undiagnosed diabetes and pre-diabetes in Health Disparities. PLoS ONE 10, e0133135.CrossRefGoogle ScholarPubMed
Fisher, L, Chesla, CA, Mullan, JT, Skaff, MM, Kanter, RA (2001). Contributors to depression in Latino and European-American patients with type 2 diabetes. Diabetes Care 24, 1751–1757.CrossRefGoogle ScholarPubMed
Fisher, L, Chesla, CA, Skaff, MM, Gilliss, C, Mullan, JT, Bartz, RJ, Kanter, RA, Lutz, CP (2000). The family and disease management in Hispanic and European-American patients with type 2 diabetes. Diabetes Care 23, 267–272.CrossRefGoogle ScholarPubMed
Gendelman, N, Snell-Bergeon, JK, McFann, K, Kinney, G, Paul Wadwa, R, Bishop, F, Rewers, M, Maahs, DM (2009). Prevalence and correlates of depression in individuals with and without type 1 diabetes. Diabetes Care 32, 575–579.CrossRefGoogle ScholarPubMed
Golden, SH, Lazo, M, Carnethon, M, Bertoni, AG, Schreiner, PJ, Diez Roux, AV, Lee, HB, Lyketsos, C (2008). Examining a bidirectional association between depressive symptoms and diabetes. Journal of the American Medical Association 299, 2751–2759.CrossRefGoogle ScholarPubMed
Gottfredson, LS, Deary, IJ (2004). Intelligence predicts health and longevity, but why? Current Directions in Psychological Science 13, 1–4.CrossRefGoogle Scholar
Gragnoli, C (2012). Depression and type 2 diabetes: cortisol pathway implication and investigational needs. Journal of Cellular Physiology 227, 2318–2322.CrossRefGoogle ScholarPubMed
Griffin, SL, Mindt, MR, Rankin, EJ, Ritchie, AJ, Scott, JG (2002). Estimating premorbid intelligence: comparison of traditional and contemporary methods across the intelligence continuum. Archives of Clinical Neuropsychology 17, 497–507.CrossRefGoogle ScholarPubMed
Huang, Y, Wei, X, Wu, T, Chen, R, Guo, A (2013). Collaborative care for patients with depression and diabetes mellitus: a systematic review and meta-analysis. BMC Psychiatry 13, 260.CrossRefGoogle ScholarPubMed
Kaplan, MS, Huguet, N, Newsom, JT, McFarland, BH (2004). The, association between length of residence and obesity among Hispanic immigrants. American Journal of Preventive Medicine 27, 323–326.CrossRefGoogle ScholarPubMed
Karlson, B, Agardh, CD (1997). Burden of illness, metabolic control, and complications in relation to depressive symptoms in IDDM patients. Diabetic Medicine 14, 1066–1072.3.0.CO;2-M>CrossRefGoogle ScholarPubMed
Katon, WJ, Lin, EH, Von Korff, M, Ciechanowski, P, Ludman, EJ, Young, B, Peterson, D, Rutter, CM, McGregor, M, McCulloch, D (2010 a). Collaborative care for patients with depression and chronic illnesses. New England Journal of Medicine 363, 2611–2620.CrossRefGoogle ScholarPubMed
Katon, WJ, Russo, JE, Heckbert, SR, Lin, EH, Ciechanowski, P, Ludman, E, Young, B, Von Korff, M (2010 b). The relationship between changes in depression symptoms and changes in health risk behaviors in patients with diabetes. International Journal of Geriatric Psychiatry 25, 466–475.CrossRefGoogle ScholarPubMed
Kendzor, DE, Chen, M, Reininger, BM, Businelle, MS, Stewart, DW, Fisher-Hoch, SP, Rentfro, AR, Wetter, DW, McCormick, JB (2014). The association of depression and anxiety with glycemic control among Mexican Americans with diabetes living near the U.S.-Mexico border. BMC Public Health 14, 176.CrossRefGoogle Scholar
Kumanyika, SK (2008). Environmental influences on childhood obesity: ethnic and cultural influences in context. Physiology & Behavior 94, 61–70.CrossRefGoogle ScholarPubMed
Lane, JD, McCaskill, CC, Williams, PG, Parekh, PI, Feinglos, MN, Surwit, RS (2000). Personality correlates of glycemic control in type 2 diabetes. Diabetes Care 23, 1321–1325.CrossRefGoogle ScholarPubMed
Lawson, VL, Bundy, C, Harvey, JN (2008). The development of personal models of diabetes in the first 2 years after diagnosis: a prospective longitudinal study. Diabetic Medicine 25, 482–490.CrossRefGoogle ScholarPubMed
Lewinsohn, PM, Seeley, JR, Roberts, RE, Allen, NB (1997). Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychology and Aging 12, 277–287.CrossRefGoogle ScholarPubMed
Lustman, PJ, Anderson, RJ, Freedland, KE, de Groot, M, Carney, RM, Clouse, RE (2000). Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care 23, 934–942.CrossRefGoogle ScholarPubMed
Lyness, JM, Duberstein, PR, King, DA, Cox, C, Caine, ED (1998). Medical illness burden, trait neuroticism, and depression in older primary care patients. American Journal of Psychiatry 155, 969–971.CrossRefGoogle ScholarPubMed
Marin, G, Sabogal, F, Marin, BV, Oterosabogal, R, Perezstable, EJ (1987). Development of a Short Acculturation Scale for Hispanics. Hispanic Journal of Behavioral Sciences 9, 183–205.CrossRefGoogle Scholar
Markowitz, SM, Gonzalez, JS, Wilkinson, JL, Safren, SA (2011). A review of treating depression in diabetes: emerging findings. Psychosomatics 52, 1–18.CrossRefGoogle ScholarPubMed
Mezuk, B, Johnson-Lawrence, V, Lee, H, Rafferty, JA, Abdou, CM, Uzogara, EE, Jackson, JS (2013). Is ignorance bliss? Depression, antidepressants, and the diagnosis of prediabetes and type 2 diabetes. Health Psychology 32, 254–263.CrossRefGoogle ScholarPubMed
Miller-Johnson, S, Emery, RE, Marvin, RS, Clarke, W, Lovinger, R, Martin, M (1994). Parent-child relationships and the management of insulin-dependent diabetes mellitus. Journal of Consulting and Clinical Psychology 62, 603–610.CrossRefGoogle ScholarPubMed
Montez, JK, Eschbach, K (2008). Country of birth and language are uniquely associated with intakes of fat, fiber, and fruits and vegetables among Mexican-American women in the United States. Journal of the American Dietetic Association 108, 473–480.CrossRefGoogle ScholarPubMed
Neuhouser, ML, Thompson, B, Solomon, CC (2004). Higher fat intake and lower fruit and vegetables intakes are associated with greater acculturation among Mexicans living in Washington state. Journal of the American Dietetic Association 104, 51–57.CrossRefGoogle ScholarPubMed
Nouwen, A, Nefs, G, Caramlau, I, Connock, M, Winkley, K, Lloyd, CE, Peyrot, M, Pouwer, FC (2011). Prevalence of depression in individuals with impaired glucose metabolism or undiagnosed diabetes: a systematic review and meta-analysis of the European Depression in Diabetes (EDID) Research Consortium. Diabetes Care 34, 752–762.CrossRefGoogle ScholarPubMed
Olvera, RL, Williamson, DE, Fisher-Hoch, SP, Vatcheva, KP, McCormick, JB (in press). Depression, obesity, and metabolic syndrome: prevalence and risks of comorbidity in a population-based representative sample of Mexican Americans. Journal of Clinical Psychiatry.Google Scholar
Quinones, AR, Liang, J, Ye, W (2013). Differences in diabetes mellitus onset for older Black, White, and Mexican Americans. Ethnicity & Disease 23, 310–315.Google ScholarPubMed
Radloff, LS (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measures 1, 385.CrossRefGoogle Scholar
Reuland, DS, Cherrington, A, Watkins, GS, Bradford, DW, Blanco, RA, Gaynes, BN (2009). Diagnostic accuracy of Spanish language depression-screening instruments. Annals of Family Medicine 7, 455–462.CrossRefGoogle ScholarPubMed
Ring, JM, Marquis, P (1991). Depression in a Latino immigrant medical population: an exploratory screening and diagnosis. American Journal of Orthopsychiatry 61, 298–302.CrossRefGoogle Scholar
Roberts, RE (1980). Reliability of the CES-D Scale in different ethnic contexts. Psychiatry Research 2, 125–134.CrossRefGoogle ScholarPubMed
Ruiz-Grosso, P, Loret de Mola, C, Vega-Dienstmaier, JM, Arevalo, JM, Chavez, K, Vilela, A, Lazo, M, Huapaya, J (2012). Validation of the Spanish Center for Epidemiological Studies Depression and Zung Self-Rating Depression Scales: a comparative validation study. PLoS ONE 7, e45413.CrossRefGoogle Scholar
Sayetta, RB, Johnson, DP (1980). Basic data on depressive symptomatology. United States, 1974–75. Vital and Health Statistics 11, i-v, 1–37.Google Scholar
Stern, MP, Pugh, JA, Gaskill, SP, Hazuda, HP (1982). Knowledge, attitudes, and behavior related to obesity and dieting in Mexican Americans and Anglos: the San Antonio Heart Study. American Journal of Epidemiology 115, 917–928.CrossRefGoogle ScholarPubMed
Talbot, F, Nouwen, A (2000). A review of the relationship between depression and diabetes in adults: is there a link? Diabetes Care 23, 1556–1562.CrossRefGoogle ScholarPubMed
Thoolen, BJ, de Ridder, DT, Bensing, JM, Gorter, KJ, Rutten, GE (2006). Psychological outcomes of patients with screen-detected type 2 diabetes: the influence of time since diagnosis and treatment intensity. Diabetes Care 29, 2257–2262.CrossRefGoogle ScholarPubMed
Tuomilehto, J, Lindstrom, J, Eriksson, JG, Valle, TT, Hamalainen, H, Ilanne-Parikka, P, Keinanen-Kiukaanniemi, S, Laakso, M, Louheranta, A, Rastas, M, Salminen, V, Uusitupa, M (2001). Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New England Journal of Medicine 344, 1343–1350.CrossRefGoogle ScholarPubMed
Wallen, GR, Feldman, RH, Anliker, J (2002). Measuring acculturation among Central American women with the use of a brief language scale. Journal of Immigrant and Minority Health 4, 95–102.CrossRefGoogle ScholarPubMed
Wilkinson, GS (1993). Wide Range Achievement Test. 3. PAR/Psychological Assessment Resources, Inc: Lutz, FL.Google Scholar
Zich, JM, Attkisson, CC, Greenfield, TK (1990). Screening for depression in primary care clinics: the CES-D and the BDI. International Journal of Psychiatry in Medicine 20, 259–277.CrossRefGoogle ScholarPubMed