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The role of depression and anxiety in onset of diabetes in a large population-based study
Abstract
Objective Recent research has shown that depression may predict incident diabetes. The aims of the study are to investigate if symptoms of depression and anxiety precede the onset of diabetes or vice versa and to examine if mediating factors may explain such associations. Methods A prospective population-based study (N=37,291) investigating the associations between symptoms of depression/anxiety and diabetes was conducted. Results Individuals reporting symptoms of depression and anxiety at baseline had increased risk of onset of type 2 diabetes at 10-year follow-up. No gender differences were found. The analyses did not reveal underlying factors that mediated the association. Baseline diagnosis of diabetes was not associated with subsequent symptoms of anxiety or depression among males or females. Conclusion Diabetes did not predict symptoms of depression or anxiety. Symptoms of depression and anxiety emerged as significant risk factors for onset of type 2 diabetes independent of established risk factors for diabetes, such as socioeconomic factors, lifestyle factors, and markers of the metabolic syndrome. The comorbidity between depression and anxiety may be the most important factor.
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“Anxiety is not as well researched as depression, and reported links with new onset diabetes mellitus have been equivocal 69-74”
From Type 2 diabetes mellitus and psychological stress — a modifiable risk factor (2017) · cites this paper as [69]
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“| Norwegian cohort ( n = 37,291; 10 year follow- up) | Anxiety using the hospital anxiety and depression scale, seven-items for anxiety | OR 1.5 (95% CI 1.3- 1.8) ‡ Did not control for depression. |”
From Type 2 diabetes mellitus and psychological stress — a modifiable risk factor (2017) · cites this paper as Engum (2007) 63
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“Did not control for depression.”
From Type 2 diabetes mellitus and psychological stress — a modifiable risk factor (2017) · cites this paper as Engum (2007) 63
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Metadata
- Authors
- Engum, A.
- Affiliations
- Norwegian University of Science and Technology (NO)
- Corresponding author
- Engum, Anne
- ORCID
- Engum, Anne
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2007-01
- Volume
- 62
- Issue
- 1
- Pages
- 31-38
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2082437852
- Cited by
- 330
- References
- 34
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 9 · 2023: 18 · 2022: 10 · 2021: 14 · 2020: 16 · 2019: 13 · 2018: 17 · 2017: 21 · 2016: 22 · 2015: 30 · 2014: 20 · 2013: 28 · 2012: 26
- FWCI
- 9.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- depression, anxiety, type 2 diabetes, diabetes onset, incident diabetes risk, comorbid depression and anxiety, mediation, psychosocial risk factors, metabolic syndrome
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anxiety Disorders, Depressive Disorder, Diabetes Mellitus, Type 2, Female, Health Surveys, Humans, Longitudinal Studies, Male, Middle Aged, Norway, Prospective Studies, Statistics as Topic, Comorbidity, Metabolic Syndrome
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