Spouse’s Diabetes Status and Incidence of Depression and Anxiety: An 18-Year Prospective Study
Year: 2021
Type: article
Study design: Observational Study
Abstract: OBJECTIVE: We investigated the risk of depression and anxiety in people whose spouse did or did not have diabetes. We also examined associations between depression and anxiety and severity of spouse's diabetes. RESEARCH DESIGN AND METHODS: = 13,500, 128,833 person-years of follow-up, median follow-up 8.1 years). We used Poisson models to estimate incidence and incidence rate ratios (IRRs) of depression/anxiety, according to spouse's diabetes status overall and by severity of diabetes. RESULTS: Age-, sex-, and race-adjusted incidence of depression/anxiety was 8.0/1,000 person-years (95% CI 6.5, 9.6) among those whose spouse had diabetes and 6.5/1,000 person-years (95% CI 6.0, 6.9) among those whose spouse did not have diabetes. Those whose spouse had diabetes had higher risk of depression/anxiety (IRR 1.24 [95% CI 1.01, 1.53]). Those whose spouse had diabetes-related limitations in daily activities (IRR 1.89 [95% CI 1.35, 2.67]) and diabetes combined with other chronic conditions (IRR 2.34 [95% CI 1.78, 3.09]) were more likely to develop depression/anxiety, while those whose spouse had diabetes with no limitations or additional chronic conditions had incidence of depression/anxiety similar to that of subjects whose spouses did not have diabetes. CONCLUSIONS: People living with a spouse with diabetes are at higher risk of developing depression/anxiety than people whose spouse does not have diabetes; this risk is driven by the severity of the spouse's diabetes. Strategies to address the impacts of diabetes on families need to be devised and tested.
Source: Diabetes Care
DOI: 10.2337/dc20-2652
Institution: Emory University
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
Funders: National Science Foundation, American Diabetes Association, Danmarks Frie Forskningsfond, National Institutes of Health, National Institute on Aging, National Institute of Diabetes and Digestive and Kidney Diseases, Eunice Kennedy Shriver National Institute of Child Health and Human Development
Awards: Continuity and Change in American Economic and Social Life: The PSID 2012-2016, G5828951295, G6033138111, G7832394122, G8368482461, Health and Well-being Over the Life Course and Across Multiple Generations, Georgia Center for Diabetes Translation Research, Family Dynamics, Fertility, and Investments in Children across Generations, Continuity and Change in American Economic and Social Life: The PSID 2017-2020
OpenAlex ID: W3155937380