title: The association between quality of life, depressive symptoms and glycemic control in a group of type 2 diabetes patients.
abstract: OBJECTIVE
  Several studies have demonstrated worse perception of quality of life (QoL) among patients with type 2 diabetes mellitus (T2DM). The purpose of our study was to assess QoL in a clinical sample of patients with T2DM and its association with depressive symptoms and glycemic control.
  
  
  METHODS
  One hundred outpatients from a sequential sample underwent clinical and psychiatric evaluation. The Problem Areas of Diabetes scale (PAID) and the Beck Depression Inventory (BDI) were used to assess, respectively, QoL and the presence of overall psychopathology. The levels of glycated hemoglobin (HbA1c) were used as the main parameter of glycemic control.
  
  
  RESULTS
  The perception degree of the QoL related with diabetes was associated with the severity of depressive symptoms (r=0.503; p<0.001), but not with HbA1c levels (p=0.117). However, the severity of general psychopathology, evaluated through the BDI scores, predicted the metabolic control, measured by HbA1c levels, among the patients in our sample (r=0.233; p=0.019).
  
  
  CONCLUSIONS
  In our study, PAID was a valuable tool for the evaluation of QoL in T2DM and the screening of depressive symptoms. However, no correlation observed between PAID scores and HbA1c levels. Self-perception evaluation of T2DM patient can help to identify susceptible subjects to current depression.
authors.affiliation: State Institute of Diabetes and Endocrinology of Rio de Janeiro, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. marcelo@papelbaum.com
authors.forename: M
authors.initials: M
authors.lastname: Papelbaum
authors.forename: H M
authors.initials: HM
authors.lastname: Lemos
authors.forename: M
authors.initials: M
authors.lastname: Duchesne
authors.forename: R
authors.initials: R
authors.lastname: Kupfer
authors.forename: R O
authors.initials: RO
authors.lastname: Moreira
authors.forename: W F
authors.initials: WF
authors.lastname: Coutinho
mesh_terms: D001786:Blood Glucose / Q000378:metabolism*; D003863:Depression / Q000503:physiopathology*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000473:pathology* / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life
chemical_list: D001786:Blood Glucose