Depression remission, receipt of problem-solving therapy, and self-care behavior frequency among low-income, predominantly Hispanic diabetes patients

Hyunsung Oh, Kathleen Ell

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Objective This study explored whether depression remission and problem-solving therapy (PST) receipt are associated with more frequent self-care behaviors via cross-sectional and prospective analyses. Method We analyzed data from a randomized clinical trial (N = 387) that tested collaborative depression care among predominantly Hispanic patients with diabetes in safety-net clinics. Data at 12-month follow-up, measured with the Patient Health Questionnaire-9 and Hopkins Symptom Checklist-20, were used to define depression remission. PST was provided by a bilingual social worker. Multivariate regression analysis was used to examine associations between predictors and frequency change of each self-care behavior (healthy diet, exercise, self-blood glucose monitoring, and foot care between baseline and 12-month (N = 281), 18-month (N = 249), and 24-month (N = 235) follow-up surveys. Results Inconsistent relationships were observed depending on the instrument to identify depression remission, type of self-care behaviors, and time when self-care behavior was measured. Significant associations were more likely to be observed in cross-sectional analyses. PST receipt was not associated with self-care behaviors. Conclusions Depression remission or the receipt of PST may not be a reliable antecedent for more frequent self-care behaviors among this group. A few recommendations for studies were offered to enhance existing depression care for diabetes patients.

Original languageEnglish (US)
Pages (from-to)38-44
Number of pages7
JournalGeneral Hospital Psychiatry
Volume41
DOIs
StatePublished - Jul 1 2016

Keywords

  • Depression
  • Diabetes
  • Problem-solving therapy
  • Self-care behaviors

ASJC Scopus subject areas

  • Psychiatry and Mental health

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