Assessing the association of depression and anxiety with symptom reporting among individuals with type 2 diabetes

Arielle G. Asman, Claire J. Hoogendoorn, M. Diane McKee, Jeffrey S. Gonzalez

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Depression and anxiety have been linked to increased somatic symptoms among individuals with type 2 diabetes (T2D), but their independent effects and role in symptom attributions remain unclear. This study examined depression and anxiety in relation to total symptoms and symptom attributions in a diverse sample of 120 adults with T2D. Multiple linear regression tested associations after controlling for medical comorbidities and insulin use. Clinician-rated depression (β =.53, p <.001), self-reported depression (β =.59, p <.001) and self-reported anxiety (β =.62, p <.001) were positively associated with total somatic symptoms. Models adjusting for depression and anxiety revealed significant independent effects for each, regardless of measurement method. In attribution models, only self-reported depression (β =.27, p =.003) was significantly associated with greater attribution to diabetes, whereas clinician-rated depression (β =.19, p =.047), self-reported depression (β =.38, p <.001) and anxiety (β =.28, p =.004) were associated with increased attribution to medications. In models adjusting for depression and anxiety, self-reported depression was a significant independent predictor of diabetes (β =.29, p =.023) and medication (β =.38, p =.004) attribution; anxiety was a significant predictor of medication attribution (β =.25, p =.039). Findings suggest depression and anxiety are implicated in overall increases in somatic symptom complaints and an increased tendency to attribute these symptoms to diabetes and side-effects of diabetes medications among adults with T2D.

Original languageEnglish (US)
Pages (from-to)57-68
Number of pages12
JournalJournal of Behavioral Medicine
Volume43
Issue number1
DOIs
StatePublished - Feb 1 2020

Keywords

  • Anxiety
  • Depression
  • Diabetes mellitus
  • Signs and symptoms
  • Type 2

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Assessing the association of depression and anxiety with symptom reporting among individuals with type 2 diabetes'. Together they form a unique fingerprint.

  • Cite this