Psychological health and the risk of diabetes mellitus in Australian women

A 21-year prospective study

Syed Shahzad Hasan, Alexandra M. Clavarino, Kaeleen Dingle, Abdullah A. Mamun, Therese Kairuz

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Background: Symptoms of depression can be recurrent or limited to one episode. This study discusses the prospective association between psychological health, measured as change in depression symptoms, and the risk of diabetes mellitus in Australian women. Methods: Data obtained from the Mater-University of Queensland Study of Pregnancy. Depression was measured using the Delusions-Symptoms: States Inventory. To examine possible transitions over time, depression was grouped into four categories and assessed at different phases over the 21-year period. Multiple logistic regression models and sensitivity analysis to assess the robustness of our analytical strategy were performed. Results: Three hundred and one women reported diabetes 21 years after the index pregnancy. Almost one-third of the women who reported depression symptoms continued to report these at a subsequent follow-up (FU) phase. About 1 in 20 women who had not reported depression symptoms at the 5-year FU did so at the subsequent 14-year FU. In prospective analyses, we did not find a significant association between diabetes and negative change (not depressed to depressed, at subsequent phase); however, for women with positive history of symptoms of depression and women with persistent symptoms, there was a 1.97-fold (95% confidence interval [CI]: 1.14-3.40) to 2.23-fold (95% CI: 1.09-4.57) greater risk of diabetes. Conclusions: Our study suggests that an increased risk of diabetes is significantly associated with persistent depression symptoms. It highlights the importance of recognizing depression symptoms in terms of women's psychological wellbeing and thus provides a basis for targeting those most at risk.

Original languageEnglish
Pages (from-to)912-919
Number of pages8
JournalJournal of Women's Health
Volume23
Issue number11
DOIs
Publication statusPublished - Nov 2014
Externally publishedYes

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Diabetes Mellitus
Prospective Studies
Depression
Psychology
Health
Logistic Models
Confidence Intervals
Pregnancy
Queensland
Delusions
Mothers
Equipment and Supplies

Cite this

Hasan, Syed Shahzad ; Clavarino, Alexandra M. ; Dingle, Kaeleen ; Mamun, Abdullah A. ; Kairuz, Therese. / Psychological health and the risk of diabetes mellitus in Australian women : A 21-year prospective study. In: Journal of Women's Health. 2014 ; Vol. 23, No. 11. pp. 912-919.
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abstract = "Background: Symptoms of depression can be recurrent or limited to one episode. This study discusses the prospective association between psychological health, measured as change in depression symptoms, and the risk of diabetes mellitus in Australian women. Methods: Data obtained from the Mater-University of Queensland Study of Pregnancy. Depression was measured using the Delusions-Symptoms: States Inventory. To examine possible transitions over time, depression was grouped into four categories and assessed at different phases over the 21-year period. Multiple logistic regression models and sensitivity analysis to assess the robustness of our analytical strategy were performed. Results: Three hundred and one women reported diabetes 21 years after the index pregnancy. Almost one-third of the women who reported depression symptoms continued to report these at a subsequent follow-up (FU) phase. About 1 in 20 women who had not reported depression symptoms at the 5-year FU did so at the subsequent 14-year FU. In prospective analyses, we did not find a significant association between diabetes and negative change (not depressed to depressed, at subsequent phase); however, for women with positive history of symptoms of depression and women with persistent symptoms, there was a 1.97-fold (95{\%} confidence interval [CI]: 1.14-3.40) to 2.23-fold (95{\%} CI: 1.09-4.57) greater risk of diabetes. Conclusions: Our study suggests that an increased risk of diabetes is significantly associated with persistent depression symptoms. It highlights the importance of recognizing depression symptoms in terms of women's psychological wellbeing and thus provides a basis for targeting those most at risk.",
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Psychological health and the risk of diabetes mellitus in Australian women : A 21-year prospective study. / Hasan, Syed Shahzad; Clavarino, Alexandra M.; Dingle, Kaeleen; Mamun, Abdullah A.; Kairuz, Therese.

In: Journal of Women's Health, Vol. 23, No. 11, 11.2014, p. 912-919.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Psychological health and the risk of diabetes mellitus in Australian women

T2 - A 21-year prospective study

AU - Hasan, Syed Shahzad

AU - Clavarino, Alexandra M.

AU - Dingle, Kaeleen

AU - Mamun, Abdullah A.

AU - Kairuz, Therese

PY - 2014/11

Y1 - 2014/11

N2 - Background: Symptoms of depression can be recurrent or limited to one episode. This study discusses the prospective association between psychological health, measured as change in depression symptoms, and the risk of diabetes mellitus in Australian women. Methods: Data obtained from the Mater-University of Queensland Study of Pregnancy. Depression was measured using the Delusions-Symptoms: States Inventory. To examine possible transitions over time, depression was grouped into four categories and assessed at different phases over the 21-year period. Multiple logistic regression models and sensitivity analysis to assess the robustness of our analytical strategy were performed. Results: Three hundred and one women reported diabetes 21 years after the index pregnancy. Almost one-third of the women who reported depression symptoms continued to report these at a subsequent follow-up (FU) phase. About 1 in 20 women who had not reported depression symptoms at the 5-year FU did so at the subsequent 14-year FU. In prospective analyses, we did not find a significant association between diabetes and negative change (not depressed to depressed, at subsequent phase); however, for women with positive history of symptoms of depression and women with persistent symptoms, there was a 1.97-fold (95% confidence interval [CI]: 1.14-3.40) to 2.23-fold (95% CI: 1.09-4.57) greater risk of diabetes. Conclusions: Our study suggests that an increased risk of diabetes is significantly associated with persistent depression symptoms. It highlights the importance of recognizing depression symptoms in terms of women's psychological wellbeing and thus provides a basis for targeting those most at risk.

AB - Background: Symptoms of depression can be recurrent or limited to one episode. This study discusses the prospective association between psychological health, measured as change in depression symptoms, and the risk of diabetes mellitus in Australian women. Methods: Data obtained from the Mater-University of Queensland Study of Pregnancy. Depression was measured using the Delusions-Symptoms: States Inventory. To examine possible transitions over time, depression was grouped into four categories and assessed at different phases over the 21-year period. Multiple logistic regression models and sensitivity analysis to assess the robustness of our analytical strategy were performed. Results: Three hundred and one women reported diabetes 21 years after the index pregnancy. Almost one-third of the women who reported depression symptoms continued to report these at a subsequent follow-up (FU) phase. About 1 in 20 women who had not reported depression symptoms at the 5-year FU did so at the subsequent 14-year FU. In prospective analyses, we did not find a significant association between diabetes and negative change (not depressed to depressed, at subsequent phase); however, for women with positive history of symptoms of depression and women with persistent symptoms, there was a 1.97-fold (95% confidence interval [CI]: 1.14-3.40) to 2.23-fold (95% CI: 1.09-4.57) greater risk of diabetes. Conclusions: Our study suggests that an increased risk of diabetes is significantly associated with persistent depression symptoms. It highlights the importance of recognizing depression symptoms in terms of women's psychological wellbeing and thus provides a basis for targeting those most at risk.

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JO - Journal of Women's Health

JF - Journal of Women's Health

SN - 1540-9996

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