( le in Appalachia have sort of a higher ...)Study Tests Depression Treatment for Diabetes Patients,Health

le in Appalachia have sort of a higher tolerance for bad things, said Frank Schwartz, M.D., assistant professor of endocrinology at OU-COM and director of the Appalachian Rural Health Institute (ARHI) Diabetes Center.

What is compelling is the length of episodes of depression, said de Groot, the principal investigator. A follow-up study of the patients involved showed that 88 percent of those who had initially identified themselves as suffering from depression also did so 18 months later. Depression severity was associated with younger age, unemployment and a greater number of prescribed medications. These findings are consistent with those observed in urban samples.

Part of the significance of the paper is that it helps put rural Appalachia on the map in terms of depression and diabetes, de Groot said.

According to Schwartz, in research conducted by the ARHI Diabetes Center, Appalachia has a diabetes prevalence rate of 11.3 percent well above the 7.6 percent national rate.

De Groot and her colleagues encourage doctors to screen their diabetic patients for depression. People with diabetes are twice as likely to have an experience with depression as those without diabetes.

For patients, de Groot said, it is vital to share feelings and mood symptoms with their doctors. Its important, too, to know that talk therapy has been shown to be effective in treating depression in type 2 diabetes, she said, and that antidepressant medications have been effective in treating depression in people with type 1 and type 2 diabetes.

Program ACTIVE is the researchers way of doing something about the situation.

To meet the depression criterion for Program ACTIVE, patients must have felt consistently depressed or down for most of the day nearly every day for two weeks or longer. Associated symptoms people experience are: a significant decrease in interest in activities they would ordinaril
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