Examining Knowledge, Attitudes, and Beliefs About Depression Among Latino Adults With Type 2 Diabetes
- 1 July 2006
- journal article
- Published by SAGE Publications in The Diabetes Educator
- Vol. 32 (4), 603-613
- https://doi.org/10.1177/0145721706290836
Abstract
Purpose The purpose of this study was to explore knowledge, attitudes, and beliefs about depression among Latinos with type 2 diabetes. Methods Eight 90-minute focus groups were conducted, each moderated by a bilingual, bicultural woman. Participants included 45 self-identified Latino adults with diabetes. Discussion topics included diabetes management, perceived control, emotional barriers, conceptualization of depression, and help-seeking behavior. Themes pertinent to depression and emotional health were identified using a combined deductive/inductive approach and an iterative process of consensus coding. Results Participants' mean age was 40 years, 44% were male, and most were born in Mexico. The mean time with diabetes was 6.5 years. The primary theme identified was the bidirectional relationship between emotional health and diabetes. Diagnosis of diabetes led to feelings of hopelessness and upset, while difficulty with diabetes management led to feelings of anxiety and depression. Participants felt that being “stressed out” or sad directly affected their blood sugar. Participants described factors that influence the relationship between emotions and diabetes, including family and societal stressors, and they reported little discussion of depression with providers. Depression and emotional health are closely associated with diabetes in the minds of these Latino adults. It is important to ask patients with diabetes about their emotional health, to screen for depression, and to elicit preferences about treatment when indicated.Keywords
This publication has 49 references indexed in Scilit:
- Patient-Provider Communication and Self-care Behavior Among Type 2 Diabetes PatientsThe Diabetes Educator, 2005
- Patients’ perceived barriers to active self-management of chronic conditionsPatient Education and Counseling, 2005
- Depressive Symptoms and Mortality among Persons with and without DiabetesAmerican Journal of Epidemiology, 2005
- Family Support, Diet, and Exercise Among Older Mexican Americans With Type 2 DiabetesThe Diabetes Educator, 2004
- Using Conjoint Analysis to Assess Depression Treatment Preferences Among Low-Income LatinosPsychiatric Services, 2004
- Depression Increases Diabetes Symptoms by Complicating Patients’ Self-Care AdherenceThe Diabetes Educator, 2004
- Racial Differences in Diabetic Nephropathy, Cardiovascular Disease, and Mortality in a National Population of VeteransDiabetes Care, 2003
- The Acceptability of Treatment for Depression Among African-American, Hispanic, and White Primary Care PatientsMedical Care, 2003
- Beliefs and Attitudes of African Americans With Type 2 Diabetes Toward DepressionThe Diabetes Educator, 2002
- Depression in subjects with type 2 diabetes. Predictive factors and relation to quality of life.Diabetes Care, 1999