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https://hdl.handle.net/2440/74861
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Type: | Journal article |
Title: | Common mental disorders associated with 2-year diabetes incidence: The Netherlands Study of Depression and Anxiety (NESDA) |
Author: | Atlantis, E. Vogelzangs, N. Cashman, K. Penninx, B. |
Citation: | Journal of Affective Disorders, 2012; 142(SUPPL.):30-35 |
Publisher: | Elsevier Science BV |
Issue Date: | 2012 |
ISSN: | 0165-0327 1573-2517 |
Statement of Responsibility: | Evan Atlantis, Nicole Vogelzangs, Kara Cashman, Brenda J.W.H. Penninx |
Abstract: | <h4>Background</h4>Few prospective cohort studies describe the risk of type 2 diabetes mellitus associated with depression or anxiety. The aim of this study was to determine the 2-year diabetes incidence and pattern of explanatory factors associated with depressive and/or anxiety disorders.<h4>Methods</h4>A prospective cohort of 2981 participants (aged 18-65 years, 66% women) recruited in the Netherlands Study of Depression and Anxiety (NESDA) from community, primary care and outpatient psychiatric clinics were followed-up for two years. Complete data were analyzed from 2460 participants without baseline diabetes. Lifetime or current (past 6-month) depressive and/or anxiety disorders at baseline were assessed using the Composite Interview Diagnostic Instrument (CIDI) and classified by the DSM-IV. Diabetes was classified by either self-report, medications, or fasting plasma glucose ≥ 7.0 mmol/L. Baseline covariates included age, gender, lifestyle factors, and medical conditions. Odds ratios (OR [95% confidence intervals]) for diabetes were determined using exact logistic regression.<h4>Results</h4>The unadjusted 2-year diabetes incidence was 0.2% (1/571), 1.1% (6/548), and 1.8% (24/1340) for no, remitted, and current depressive and/or anxiety disorders, respectively. In comparison to those without psychopathology, current depressive and/or anxiety disorders was associated with diabetes incidence in unadjusted (OR 10.4 [1.7, 429.0]) and age-adjusted (OR 11.9 (1.9, 423.0]) analyses. The strength of this association (beta coefficient) was slightly changed after further adjustments for impaired fasting glucose (11.4%), high triglycerides (-7.8%), and lifestyle cumulative risk score (-5.0%), in contrast to other covariates when assessed in separate models.<h4>Limitations</h4>The low incidence of diabetes resulted in considerable uncertainty for the odds ratios and low statistical power that limited covariate adjustments.<h4>Conclusions</h4>The relative odds of developing diabetes within two years was increased for persons with current depressive and/or anxiety disorders, which was partially explained by, but remained independent of, lifestyle cumulative risk factors. |
Keywords: | Diabetes Hyperglycemia Depression Anxiety Prospective cohort |
Rights: | © 2012 Elsevier B.V. All rights reserved. |
DOI: | 10.1016/S0165-0327(12)70006-X |
Published version: | http://dx.doi.org/10.1016/s0165-0327(12)70006-x |
Appears in Collections: | Aurora harvest Public Health publications |
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