Diabetes Care, Vol 13, Issue 2 170-172, Copyright © 1990 by American Diabetes Association
Depressive symptomatology in obese adults with type II diabetes
RR Wing, MD Marcus, EH Blair, LH Epstein and LR Burton
Department of Psychiatry, University of Pittsburgh School of Medicine, Pennsylvania.
This study compared depressive symptomatology in 32 obese subjects with
type II (non-insulin-dependent) diabetes (16 men, 16 women) and their obese
nondiabetic spouses. All subjects completed the Beck Depression Inventory
(BDI) before participation in a behavioral weight-loss program. Diabetic
subjects reported significantly more depressive symptomatology than their
overweight nondiabetic spouses (10.6 +/- 6.4 vs. 7.5 +/- 6.2, P less than
0.04). Diabetic subjects scored higher than their spouses on 15 of 20 BDI
items, with significant differences in feelings of being punished,
perceived appearance, and interest in sex. Mean BDI score in the diabetic
spouses was similar to that observed in the first 123 diabetic subjects to
enter the weight-loss program (BDI 11.2 +/- 6.9). Further studies are
needed to determine whether diabetic subjects differ from age-, sex-, and
weight-matched nondiabetic individuals in clinical depression and
depressive symptomatology.