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KMID : 0607520060140010047
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Korean Journal of Psychosomatic Medicine
2006 Volume.14 No. 1 p.47 ~ p.52
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The Relationship of Depressive Symptomatology with a Glycemie Control in Korea Women
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Yoon Dae-Hyun
Shin Chan-Soo
Cho Sang-Heon
Oh Byung-Hee
Park Jin-Ho
Park Min-Jeoung
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Abstract
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Backgrounds : Depression has been prevalent in women and maintaining optimal glycemic control is an important goal of diabetes management. Although depression is common in adults with diabetes, its relationship to glycemic control remains unclear, espacilly in Korean women. The current study examined the relationship of depressive symptomatology with glycemic control in Korean women.
Methods : Beck depression inventory (BDI), as an index of long-term glycemic control, fasting glucose level and body mass index (BMI) were measured in sample of 4,567 women of whom 4.7%, 216 women had diabetes, and the relationship between depression and glycemic control was analyzed. BDI Scores of 16 and above is a cut off point to indicate possible clinical depression.
Results :The frequency of depressed women (p<0.001) and the mean score of BDI (p<0.001) were significantly higher in diabetic women. The mean level of (p<0.01) and fasting glucose (p<0.05) were higher in depressed women. There was a graded relationship between the percentile of depressed women and a degree of glycemic control impairment (p=0.001).
Conclusion : The current study found the relationship of depressive symptomatology with glycemic control in Korean women. This relationship may be mediated by decreased self-care behaviors or by neurobiological dysregulation. Improving identification and treatment of depression in women with diabetes might have favorable effects on diabetic outcomes.
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KEYWORD
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Depression, Diabetes mellitus, Glycemic control
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