Adherence
Comorbid major or minor depression is associated with a significantly increased risk of all-cause mortality in patients with type 2 diabetes, independent of sociodemographic factors and partially independent of behavioral and clinical mediators.
If you have Type 2 Diabetes, treating depression is not just about feeling better emotionally; it is a critical medical intervention to reduce your risk of death. Depression is linked to higher mortality through both behavioral factors (like skipping medications or poor diet) and biological factors (like inflammation and heart stress). Addressing mental health should be treated with the same urgency as managing blood sugar or blood pressure.
Among patients with diabetes, both minor and major depression are strongly associated with increased mortality.
Why this rating
Large sample size (n=4,154), longitudinal design, and adjustment for multiple confounders, though causality is not fully disentangled.
Source
The Association of Comorbid Depression With Mortality in Patients With Type 2 Diabetes
Wayne Katon et al. · Diabetes Care · 2005
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