Depression and Diabetes

In recent years, there has been a growing awareness of the multiple interrelationships between depression and various physical diseases. The WPA is providing an update of currently available evidence on these interrelationships by the publication of three books, dealing with the comorbidity of depression with diabetes, heart disease and cancer. Depression is a frequent and serious comorbid condition in diabetes, which adversely affects quality of life and the long-term prognosis. Co-occurrent depression presents peculiar clinical challenges, making both conditions harder to manage. Depression and Diabetes is the first book devoted to the interaction between these common disorders. World leaders in diabetes, depression and public health synthesize current evidence, including some previously unpublished data, in a concise, easy-to-read format. They provide an overview of the epidemiology, pathogenesis, medical costs, management, and public health and cultural implications of the comorbidity between depression and diabetes. The book describes how the negative consequences of depression in diabetes could be avoided, given that effective depression treatments for diabetic patients are available. Its practical approach makes the book ideal for all those involved in the management of these patients: psychiatrists, psychologists, diabetologists, general practitioners, diabetes specialist nurses and mental health nurses.

List of Contributors vii Preface ix 1 The Epidemiology of Depression and Diabetes 1 Cathy E. Lloyd, Norbert Hermanns, Arie Nouwen, Frans Pouwer, Leigh Underwood and Kirsty Winkley 2 Unraveling the Pathogenesis of the Depression–Diabetes Link 29 Khalida Ismail 3 Medical Costs of Depression and Diabetes 63 Leonard E. Egede 4 Treatment of Depression in Patients with Diabetes: Efficacy, Effectiveness and Maintenance Trials, and New Service Models 81 Wayne Katon and Christina van der Felz-Cornelis 5 Diabetes and Depression: Management in Ordinary Clinical Conditions 109 Richard Hellman and Paul Ciechanowski 6 Depression and Diabetes: Sociodemographic and Cultural Aspects and Public Health Implications 143 Juliana Chan, Hairong Nan and Rose Ting Acknowledgement 173 Index 175