Type 1 diabetes
The more systematic (taking into account several studies) the review, the smaller the difference in prevalence between those with and without Type 1 diabetes.
"Current evidence is inconclusive about whether there is increased prevalence of depression among young adults with Type 1 diabetes, as established among adults, but those who are more depressed have higher HbA(1c) level."
It also goes on to say that no UK research met the study's inclusion criteria but that, given seriousness of depression outcomes (also for diabetes management), there should be routine screening of young people with Type 1 diabetes (Ref 1).
"Compared with nondiabetic participants, adults with type 1 diabetes report more symptoms of depression and more antidepressant medication usage. Depression is highly prevalent in type 1 diabetes and requires further study on assessment and treatment." (Ref 2)
2006 (published in Textbook of Diabetes in 2010) - systematic review
"More recent studies, using better methods, and meta-analyses, have led to lower estimates of prevalence. For example, one recent review of the prevalence of co-morbid depression in people with T1DM [Ref 3] concluded that clinical depression was present in 12%, compared with 3.2% in control subjects without diabetes. Caution is still needed in the interpretation of this finding, because it was based on only 14 studies, of which only four included control groups and only seven were based on interview methods. Excluding studies without control groups and interview ascertainment led to a fall in estimated prevalence to 7.8%, a figure that, although still raised, is no longer statistically significantly different from that found in healthy controls (odds ratio [OR] 2.4; 95% confi dence interval [CI] − 0.7 to 5.4)."
Ref 1 - systematic review
Prevalence of depression among young people with Type 1 diabetes: a systematic review (2013) Diabetic Medicine 30 (2):199-208.
doi: 10.1111/j.1464-5491.2012.03721.x.
Ref 2 - just over 1,000 patients in the study
Prevalence and correlates of depression in individuals with and without type 1 diabetes.
Gendelman et al., Diabetes Care. 2009 Apr;32(4):575-9. doi: 10.2337/dc08-1835. Epub 2009 Jan 26.
Ref 3 - systematic review
Barnard KD, Skinner TC, Peveler R. The prevalence of co-morbid depression in adults with type 1 diabetes: systematic literature review.
Diabet Med 2006; 23: 445–448.
Type 2 diabetes
haven't looked yet
Page created 4 February 2014