title: Undertreatment of mental health problems in adults with diagnosed diabetes and serious psychological distress: the behavioral risk factor surveillance system, 2007.
abstract: OBJECTIVE
  To assess the prevalence and correlates of undertreatment for mental health problems among adults with diabetes and serious psychological distress (SPD).
  
  
  METHODS
  We analyzed data of adults aged >or=18 years from the 2007 Behavioral Risk Factor Surveillance System. SPD was assessed with the Kessler-6 scale.
  
  
  RESULTS
  The prevalence of untreated SPD was estimated to be 2.1 +/- 0.1% (mean +/- SE), 3.4 +/- 0.3%, and 2.0 +/- 0.1% in the total population, diabetic population, and nondiabetic population, respectively. Among people with SPD, those with diagnosed diabetes had a lower rate of undertreatment for mental health problems (45.0%) than those without diabetes (54.9%) (P = 0.002). Nonwhite race/ethnicity, advanced age, lack of health insurance, and currently being employed were associated with increased likelihood of undertreatment for mental health problems (P < 0.05).
  
  
  CONCLUSIONS
  People with diagnosed diabetes may be screened for SPD and treated for specific mental health problems in routine health care.
authors.affiliation: Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. cli@cdc.gov
authors.forename: Chaoyang
authors.initials: C
authors.lastname: Li
authors.forename: Earl S
authors.initials: ES
authors.lastname: Ford
authors.forename: Guixiang
authors.initials: G
authors.lastname: Zhao
authors.forename: Lina S
authors.initials: LS
authors.lastname: Balluz
authors.forename: Joyce T
authors.initials: JT
authors.lastname: Berry
authors.forename: Ali H
authors.initials: AH
authors.lastname: Mokdad
mesh_terms: D000293:Adolescent; D000328:Adult; D000342:Affective Symptoms / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D000368:Aged; D001007:Anxiety / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D003863:Depression / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D015995:Prevalence; D012307:Risk Factors; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D055815:Young Adult