The Relationship Between Depressive Symptoms and Self-Management Behaviors in Patients With T2DM and Stage 3 CKD

Perspect Psychiatr Care. 2016 Oct;52(4):273-282. doi: 10.1111/ppc.12128. Epub 2015 Jun 11.

Abstract

Purpose: This study aimed to assess the relationship of depressive symptoms with self-management by adults with type 2 diabetes mellitus and chronic kidney disease.

Design and methods: Using a descriptive correlational design, participants completed Beck's Depression Inventory (BDI-II) and Summary of Diabetes Self-Care Activities measure.

Findings: Reported were energy loss, sleep change, and fatigue. Performed less were exercise, physical activity, eating vegetables, and blood checks. Significant correlations were BDI-II total score with feet checking, energy loss with feet checking and exercise, and sleep change with feet soaking.

Practice implications: Depressive symptoms were associated to self-management behaviors that require physical energy. Assess for advancing symptoms.

Keywords: Chronic kidney disease; depression; self-care; self-management; type 2 diabetes.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Depression / epidemiology*
  • Diabetes Mellitus, Type 2 / psychology*
  • Diabetes Mellitus, Type 2 / therapy
  • Exercise*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Renal Insufficiency, Chronic / psychology*
  • Renal Insufficiency, Chronic / therapy
  • Self Care / methods*
  • Young Adult