Conceptual Perspectives on the Co-Occurrence of Mental and Physical Disease: Diabetes and Depression as a Model
Year: 2014
Type: book-chapter
Abstract: Diabetes and depression provide a model for understanding the comorbidity of mental and physical disorders, as each influences the other while sharing a broad range of biological, psychological, socioeconomic and cultural determinants. Diabetes and depression may be viewed as: (1) categories or dimensions, (2) single problems or parts of broader categories, e.g. metabolic/cardiovascular abnormalities or negative emotions, (3) separate comorbidities or integrated so that depression is seen as part of the comprehensive, normal clinical picture of diabetes, and (4) expressions of a shared, complex biosocial propensity to chronic disease and psychological distress. Interventions should reflect the commonalities among chronic mental and physical disorders and should include integrated clinical care and self-management programs along with population approaches to prevention and management. Among these, peer support, self-management and problem solving, and programs for whole communities are promising approaches. Self-management and problem solving may also provide a coherent framework for integrating the diverse management of tasks and objectives of those affected by diabetes and depression and as a model for prevalent multimorbidity.
DOI: 10.1159/000365522
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W1507318705