title: Diabetes education improves depressive state in newly diagnosed patients with type 2 diabetes.
abstract: OBJECTIVE
  The prevalence of depression is relatively high in individuals with diabetes. However, screening and monitoring of depressive state in patients with diabetes is still neglected in developing countries and the treatment of diabetes-related depression is rarely performed in these countries. In this study, our aim was to study the role of diabetes education in the improvement of depressive state in newly diagnosed patients with type 2 diabetes.
  
  
  METHODS
  The Dutch version of the center for epidemiological studies depression scale (CES-D scale) and the problem areas in diabetes (PAID) questionnaire were used to assess depression and diabetes-specific emotional distress in 1200 newly diagnosed male adult patients with type 2 diabetes before and after a two-week diabetes education by professionally trained nurses. Pearson correlation and regression analysis were used to analyze the factors related to depression in patients with type 2 diabetes.
  
  
  RESULTS
  The incidence of depression in newly diagnosed patients with type 2 diabetes was 28%, and the rate of diabetes-specific emotional distress was 65.5%. High education levels, low income were correlated to depression in individuals with diabetes. After two weeks of diabetes education, the incidence of depression and diabetes-specific emotional distress decreased significantly to 20.5% (P < 0.05) and 11% (P < 0.001), respectively.
  
  
  CONCLUSIONS
  The incidence of depression, especially diabetes-specific emotional distress, was relatively high in newly diagnosed patients with type 2 diabetes. The depression state could be improved by diabetes education.
authors.affiliation: Bin Chen, Department of Endocrinology and Metabolism, The Military General Hospital of Beijing PLA, Beijing 100700, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Chen
authors.affiliation: Xiyao Zhang, Department of Endocrinology and Metabolism, The 2nd Hospital affiliated to Harbin Medical University, No. 246 of Nangang, District, Harbin 150080, China.
authors.forename: Xiyao
authors.initials: X
authors.lastname: Zhang
authors.affiliation: Xiuping Xu, Department of Endocrinology and Metabolism, The Military General Hospital of Beijing PLA, Beijing 100700, China.
authors.forename: Xiuping
authors.initials: X
authors.lastname: Xu
authors.affiliation: Xiaofeng Lv, Department of Endocrinology and Metabolism, The Military General Hospital of Beijing PLA, Beijing 100700, China.
authors.forename: Xiaofeng
authors.initials: X
authors.lastname: Lv
authors.affiliation: Lu Yao, Department of Endocrinology and Metabolism, The Military General Hospital of Beijing PLA, Beijing 100700, China.
authors.forename: Lu
authors.initials: L
authors.lastname: Yao
authors.affiliation: Xu Huang, Department of Endocrinology and Metabolism, The 2nd Hospital affiliated to Harbin Medical University, No. 246 of Nangang, District, Harbin 150080, China.
authors.forename: Xu
authors.initials: X
authors.lastname: Huang
authors.affiliation: Xueying Guo, Department of Endocrinology and Metabolism, The 2nd Hospital affiliated to Harbin Medical University, No. 246 of Nangang, District, Harbin 150080, China.
authors.forename: Xueying
authors.initials: X
authors.lastname: Guo
authors.affiliation: Baozhu Liu, Department of Endocrinology and Metabolism, The 2nd Hospital affiliated to Harbin Medical University, No. 246 of Nangang, District, Harbin 150080, China.
authors.forename: Baozhu
authors.initials: B
authors.lastname: Liu
authors.affiliation: Qiang Li, Department of Endocrinology and Metabolism, The 2nd Hospital affiliated to Harbin Medical University, No. 246 of Nangang, District, Harbin 150080, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Li
authors.affiliation: Can Cui, Department of Endocrinology and Metabolism, The 2nd Hospital affiliated to Harbin Medical University, No. 246 of Nangang, District, Harbin 150080, China.
authors.forename: Can
authors.initials: C
authors.lastname: Cui
keywords: Incidence of depression; Type 2 diabetes; diabetes education; emotional distress