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

Response to Fisher et al.

  1. Norbert Hermanns, PHD1,
  2. Thomas Kubiak, PHD1,
  3. Berndhard Kulzer, PHD2 and
  4. Thomas Haak, MD1
  1. 1Research Institute of the Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany
  2. 2Department of Psychology, University of Greifswald, Greifswald, Germany
  1. Address correspondence to Norbert Hermanns, PhD, Research Institute of the Diabetes Academy Mergentheim, Postfach 1144 Bad Mergentheim D-97961, Germany. E-mail: hermanns{at}diabetes-zentrum.de

We read with interest the recent article by Fisher et al. (1) that concluded that subthreshold de-pression could be regarded as a proxy marker of diabetes-related distress rather than a proxy marker of clinical depression. Fisher et al. support their conclusion by referring to two key findings of their study. Their first finding was a markedly higher correlation between diabetes-related distress and the intensity of depressive symptoms than that between diabetes-related distress and clinical depression. Their second finding was significant associations between subthreshold …

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