ArticleBMC family practice2014
Functional and self-rated health mediate the association between physical indicators of diabetes and depressive symptoms.
Article in BMC family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
- The Ripple Effect: A Serial Mediation Analysis of Multimorbidity and Depressive Symptoms Among Women in Midlife in China.International journal of women's health · 2026Article
- Multidimensional health patterns and labor market participation among older workers: Evidence from a European six-year follow-up study.PloS one · 2025Article
- A resource-oriented perspective on the aging workforce - exploring job resource profiles and their associations with various health indicators.BMC public health · 2024Article
- Effects of Subjective Health Perception on Health Behavior and Cardiovascular Disease Risk Factors in Patients with Prediabetes and Diabetes.International journal of environmental research and public health · 2022Article
- Psychosocial health in people with diabetes during the first three months of the COVID-19 pandemic in Denmark.Journal of diabetes and its complications · 2021Article
- Longitudinal relationship of diabetes and depressive symptoms in older adults from Mexico: a secondary data analysis.BMJ open diabetes research & care · 2020Article
- Depression in Girls With Obesity and Polycystic Ovary Syndrome and/or Type 2 Diabetes.Canadian journal of diabetes · 2020Article
- Depression in context: Important considerations for youth with type 1 vs type 2 diabetes.Pediatric diabetes · 2020Article
- Health literacy and depression in women with type 2 diabetes mellitus.Clinics (Sao Paulo, Brazil) · 2020Article
- Differentially conserved transcriptomic response to adversity related to self-rated health in the multi-ethnic study of atherosclerosis.Experimental biology and medicine (Maywood, N.J.) · 2017Article
- The cross-interaction between global and age-comparative self-rated health on depressive symptoms-considering both the individual and combined effects.BMC psychiatry · 2016Article
- Determinants of Poor Self-rated Health in Korean Adults With Diabetes.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2015Article
- Predicting Self-Rated Health in Diabetes and Chronic Heart Failure - A Multiple Mediation Model.Frontiers in public health · 2015Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDepression is common among persons with diabetes and associated with adverse health outcomes. To date, little is known about the causal mechanisms that lead to depression in diabetes. The aim of the present study was to examine to which extent functional and self-rated health mediate the association between physical health and depressive symptoms in diabetes.
methodsData of n = 3222 individuals with type 2 diabetes were analyzed cross-sectionally and longitudinally at three measurement occasions using path analysis. Indicators of physical health were glycemic control, number of comorbid somatic diseases, BMI, and insulin dependence. Furthermore, functional health, self-rated health and depressive symptoms were assessed.
resultsThe effects of physical health on depressive symptoms were largely mediated by functional health and self-rated health. There was only a weak indirect effect of physical health on depressive symptoms. In contrast, self-rated health was a strong direct predictor of depressive symptoms. Self-rated health in turn depended strongly on patients' functional health.
conclusionsThe way individuals perceive their health appears to have a stronger effect on their depressive symptoms than objective physical indicators of diabetes. Therefore practitioners should be trained to pay more attention to their patients' subjective health perceptions.
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