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Depression and Type 2 Diabetes Over the Lifespan: A Meta-Analysis

Response to Mezuk et al.

  1. Arie Nouwen, PHD1,
  2. Cathy E. Lloyd, PHD2 and
  3. Frans Pouwer, PHD3
  1. 1School of Psychology, University of Birmingham, Birmingham, U.K.;
  2. 2Faculty of Health & Social Care, The Open University, Milton Keynes, U.K.;
  3. 3Center of Research on Psychology in Somatic Diseases (CoRPS), Tilburg University, Tilburg, the Netherlands.
  1. Corresponding author: Arie Nouwen, a.nouwen{at}bham.ac.uk

We read with interest the meta-analysis by Mezuk et al. (1) on the bidirectional relationship between diabetes and depression. In their report, the authors examined whether having depression increases risk of type 2 diabetes and the inverse relationship, namely, whether having type 2 diabetes increases risk of depression. The authors concluded that depression was associated with a 60% increased risk of developing type 2 diabetes but that there was only a modest (15%) increased risk of depression in individuals with type 2 diabetes. While we welcome this report, we would argue that there are a number of important methodological and conceptual issues that …

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