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Diabetes Care 30:e101 2007
DOI: 10.2337/dc07-1165
© 2007 by the American Diabetes Association
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Online Letters: Comments and Responses

Clinical Depression Versus Distress Among Patients With Type 2 Diabetes: Not Just a Question of Semantics

Response to Hermanns et al.

Lawrence Fisher, PHD1, Marilyn M. Skaff, PHD1, Joseph T. Mullan, PHD2, Patricia Arean, PHD3, David Mohr, PHD3, Umesh Masharani, MD4, Russell Glasgow, PHD5 and Grace Laurencin, MD1

1 Department of Family and Community Medicine, University of California San Francisco, San Francisco, California
2 Department of Social and Behavioral Sciences, School of Nursing, University of California San Francisco, San Francisco, California
3 Department of Psychiatry, University of California San Francisco, San Francisco, California
4 Department of Medicine, University of California, San Francisco, San Francisco, California
5 Center for Health Dissemination and Implementation Research, Kaiser Permanente of Colorado, Denver, Colorado

Address correspondence to Lawrence Fisher, PhD, Box 0900, Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA 94143. E-mail: fisherl@fcm.ucsf.edu

The first 20% of the full text of this article appears below.

Given the findings of our recently published report (1) and their earlier study (2), Hermanns et al. (3) suggest that because screening for multiple conditions is not always feasible, it may make sense to use diabetes distress measures to assess both depression and diabetes-specific distress. Both studies concluded that measures of diabetes distress captured both the negative affect associated with depression and the negative affect associated with diabetes-related distress. Hermanns et al. support their view by presenting cogent arguments that are based on the sensitivity of distress measures in capturing both kinds of negative affect. We used the Center for Epidemiology Depression Scale (CESD) (4) to assess depressive affect and the Diabetes Distress Scale (DDS) (5) to measure diabetes distress. We also used a structured interview, the Composite International Diagnostic . . . [Full Text of this Article]


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Copyright © 2007 by the American Diabetes Association.