title: Fasting Blood Glucose and Depressive Mood among Patients with Mental Illness in a Medicaid Managed Care Program.
abstract: Objective. This study explores the relationship between depressive symptoms, as measured by the PHQ-9 depression screen and blood glucose levels among patients with diabetes enrolled in Gold Choice, a Medicaid managed care program for individuals with mental illness and/or substance abuse. Methods. The PHQ-9 was mailed to 454 Gold Choice members and a questionnaire was mailed to their physicians requesting current HbA1c% and fasting blood glucose (FBG) levels. The pearson product-moment correlation was used to describe the association between PHQ-9 scores and FBG levels. Results. The PHQ-9 response rate was 55% (N = 249). Laboratory results were received for 141 patients. The correlation between FBG and PHQ-9 scores was modest but statistically significant: r = 0.21 , P = 0.015. Conclusion. A statistically significant association was found between FBG and PHQ-9 depression scores. This finding supports current recommendations that physicians be alert to depressive symptoms among patients with diabetes or impaired glucose metabolism.
authors: Department of Family Medicine, School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, NY 14215, USA.
authors: Linda S
authors: LS
authors: Kahn
authors: Roger S
authors: RS
authors: McIntyre
authors: Lisa
authors: L
authors: Rafalson
authors: Diane E
authors: DE
authors: Berdine
authors: Chester H
authors: CH
authors: Fox