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Cited by 244Diabetes Management and EducationMental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.

Prevalence of symptoms of depression and anxiety in a diabetes clinic population

Lloyd, C. E., Dyer, P. H., Barnett, A. H.·2000·Diabetic Medicine
DOI 10.1046/j.1464-5491.2000.00260.x
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Abstract

Summary: Aims To investigate the use of a short questionnaire to measure psychological symptoms in a busy clinic setting, and to examine the prevalence of these symptoms in adults with diabetes. The perceived need for psychological treatment services was also measured. Methods Adults (> 18 years) with either Type 1 or Type 2 diabetes were invited to complete a short demographic form and the Hospital Anxiety and Depression Scale (HADS) whilst waiting for their routine diabetes outpatients appointment. Complication status was measured via patients' medical records. Glycaemic control (HbA 1c) was also recorded. Results A high response rate (96%) was achieved. Prevalence rates of psychological symptoms were high (overall 28% of study participants reported moderate–severe levels of depression or anxiety or both). Men were somewhat more likely to report moderate–severe depressive symptoms, whereas women reported more moderate–severe anxiety. A significant association between depression and poor glycaemic control was observed in the men, but not in the women. Regression analysis demonstrated that the interaction between sex and glycaemic control, HbA 1c and sex were all significantly associated with depression and anxiety (R2 = 0.16 and 0.19, respectively). One‐third of subjects reported that at the moment they would be interested in receiving counselling or psychotherapy if it was currently available at the diabetes clinic. Conclusions This study has shown that the HADS is an appropriate questionnaire to use in a clinic setting in adults with diabetes. There may be a stronger association between glycaemic control and psychological symptomatology in men than in women. There remains a significant proportion of individuals with diabetes who require psychological support, which, if available, might help improve glycaemic control and thus overall wellbeing.

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Research works printed but not linked: 2

  1. Lustman PJ, 1996, Practical Psychology for Diabetes Clinicians.
  2. Lustman PJ, 1995, Improvement in depression is associated with improvement in glycemic control, Diabetes, 4, 27A

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Metadata

Authors
Lloyd, C. E., Dyer, P. H., & Barnett, A. H.
Affiliations
  • The Open University (GB)
  • Heartlands Hospital (GB)
Corresponding author
Lloyd, C. E.
ORCID
Venue
Diabetic Medicine
Publisher
Wiley
Published
2000-03
Volume
17
Issue
3
Pages
198-202
ISSN
  • 0742-3071 (ISSN-L)
  • 1464-5491
DOI
10.1046/j.1464-5491.2000.00260.x
OpenAlex
W2103551376
Cited by
244
References
15
Citations by year
2026: 5 · 2025: 2 · 2024: 6 · 2023: 6 · 2022: 3 · 2021: 8 · 2020: 8 · 2019: 3 · 2018: 14 · 2017: 11 · 2016: 18 · 2015: 8 · 2014: 10 · 2013: 14 · 2012: 24
FWCI
5.30
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 663 d)
Locations
  • Diabetic Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Open Research Online - ORO (The Open University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
depression, anxiety, diabetes mellitus, type 1 diabetes, type 2 diabetes, glycemic control, HbA1c, Hospital Anxiety and Depression Scale, psychological symptoms, sex differences, diabetes clinic, prevalence
MeSH terms
Adult, Aged, Aged, 80 and over, Aging, Anxiety, Depression, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Male, Middle Aged, Surveys and Questionnaires, Regression Analysis, Sex Characteristics

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