Download ~ Multimorbidity and Persistent Depression Among Veterans with Diabetes, Heart Disease, And Hypertension (Report) * by Health and Social Work ~ Book PDF Kindle ePub Free
eBook details
- Title: Multimorbidity and Persistent Depression Among Veterans with Diabetes, Heart Disease, And Hypertension (Report)
- Author : Health and Social Work
- Release Date : January 01, 2011
- Genre: Health & Fitness,Books,Health, Mind & Body,
- Pages : * pages
- Size : 261 KB
Description
Persistent depression can be a disabling condition (Penninx, Leveille, Ferrucci, van Eijk, & Guralnik, 1999), but it can become increasingly so in the presence of a co-occurring medical condition (Young, Klap, Shoai, & Wells, 2008). Between 12 percent and 15 percent of individuals may suffer persistent depression, experiencing depressive symptoms for 10 years or longer (Piccinelli & Wilkinson, 1994). In a prospective community-based cohort study, the estimated national prevalence of a persistent depressive or anxiety disorder was 4.7 percent (Young et al., 2008). Rates of persistent depression may be higher in individuals with chronic physical illnesses such as diabetes or heart conditions, because an overwhelming majority (87 percent) of individuals with persistent depression also have co-occurring medical conditions (young et al., 2008). In individuals with illnesses such as diabetes, a five-year, prospective follow-up study found that 92 percent of the sample exhibited persistent depression (Lustman, Griffith, Freedland, & Clouse, 1997). For other chronic illnesses, such as heart disease, few studies have documented the clinical importance of persistent depression. In these studies, individuals with persistent depression were less likely to adhere to health behaviors that reduced the risk of recur rent cardiovascular problems (Kronish et al., 2006; Rieckmann et al., 2006). There is scant literature addressing co-occurring persistent depression in populations with chronic illnesses such as diabetes, heart disease, and hypertension. The high prevalence of chronic diseases such as diabetes in the veteran population (Miller, Safford, & Pogach, 2004), high rates of co-occurring depression in diabetes (Banerjea, Sambamoorthi, Smelson, & Pogach, 2007), and greater expenditures associated with diabetes and depression (Banerjea, Sambamoorthi, Smelson, & Pogach, 2008) make Veterans Health Administration (VHA) clinic users an ideal population in which to study persistent depression. Despite the clinical relevance of persistent depression in chronic physical illnesses, to our knowledge no previous studies have examined persistent depression and its correlates in the veteran population, particularly in veterans of all ages with chronic medical conditions such as diabetes, heart disease, and hypertension. Furthermore, the relationship between multimorbidity, defined as the presence of two or more chronic conditions (van den Akker, Buntinx, Metsemakers, Roos, & Knottnerus, 1998) and persistent depression is unknown (Fortin, Lapointe, Hudon, & Vanasse, 2005).