title: The association of depression and perceptions of interpersonal relationships in patients with diabetes.
abstract: OBJECTIVE
  Using an instrument assessing interpersonal relationships in patients with diabetes, we hypothesized that a change in depression would be associated with a change in patients' perceptions of themselves and others in relationships.
  
  
  METHODS
  Instruments assessing attachment, depression, and demographics were administered twice to 367 patients with diabetes in an HMO primary care setting, 10 months apart. We assessed change in capacity to rely on others (model of other) and to feel worthy of attention (model of self) according to depression change categories (unchanged, decreased, and increased depression).
  
  
  RESULTS
  The degree to which patients reported being able to rely on others increased with a reduction in depressive symptoms (P = .02). The degree to which patients endorsed a sense that they were not worthy of attention in relationships increased with an increase in depressive symptoms (P = .02).
  
  
  CONCLUSIONS
  A change in depressive symptoms is associated with a change in perception of interpersonal relationships in patients with diabetes.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 356560, 1959 NE Pacific Street, Seattle, WA 98195-6560, USA. pavelcie@u.washington.edu
authors.forename: Paul S
authors.initials: PS
authors.lastname: Ciechanowski
authors.forename: Wayne J
authors.initials: WJ
authors.lastname: Katon
authors.forename: Joan E
authors.initials: JE
authors.lastname: Russo
mesh_terms: D015897:Comorbidity; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology*; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory; D012648:Self Care; D012649:Self Concept; D011795:Surveys and Questionnaires; D014861:Washington / Q000453:epidemiology