PMID- 31455291 OWN - NLM STAT- MEDLINE DCOM- 20191126 LR - 20231013 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 19 IP - 1 DP - 2019 Aug 27 TI - Severity of depression, anxious distress and the risk of type 2 diabetes - a population-based cohort study in Sweden. PG - 1174 LID - 10.1186/s12889-019-7322-z [doi] LID - 1174 AB - BACKGROUND: Previous studies assessing the relationship between depression and diabetes mellitus did not consider the severity of depression. In the present study we assessed the risk of developing type 2 diabetes mellitus (T2DM) among people with various severity of depression. METHODS: This prospective longitudinal cohort study included 9,936 individuals residing in Stockholm County, Sweden who responded to the baseline questionnaire in 1998-2000. The participants were followed from 1 year after the baseline up to 2015 for the occurrence of T2DM, using the National Patient Register, Swedish Prescribed Drug Registers, and Cause of Death Register. Depression and anxious distress were assessed using psychiatric rating scales and defined according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). RESULTS: Depression was associated with a statistically significant increased risk of T2DM after adjusting for potential confounders (OR 1.48, CI 1.10, 1.99). The strongest association was observed for severe depression (OR 1.72, CI 1.15, 2.59). Further, those with depression, regardless of severity, and with concurrent moderate/severe anxious distress had an increased risk of T2DM (OR 1.73, CI 1.13, 2.63) compared to those with neither depression nor anxious distress. CONCLUSIONS: The study adds evidence that depression is associated with a higher risk for developing T2DM, and the association is stronger among people with severe depression. FAU - Deleskog, Anna AU - Deleskog A AUID- ORCID: 0000-0003-3842-6982 AD - Institute of Environmental Medicine, Unit of Epidemiology, Karolinska Institutet, SE 171 77, Stockholm, Sweden. deleskog.anna@gmail.com. FAU - Ljung, Rickard AU - Ljung R AD - Institute of Environmental Medicine, Unit of Epidemiology, Karolinska Institutet, SE 171 77, Stockholm, Sweden. FAU - Forsell, Yvonne AU - Forsell Y AD - Department of Public Health Sciences, Karolinska Institutet, SE 171 77, Stockholm, Sweden. FAU - Nevriana, Alicia AU - Nevriana A AD - Department of Public Health Sciences, Karolinska Institutet, SE 171 77, Stockholm, Sweden. FAU - Almas, Aysha AU - Almas A AD - Department of Public Health Sciences, Karolinska Institutet, SE 171 77, Stockholm, Sweden. AD - Department of Medicine, Aga Khan University, Karachi, Pakistan. FAU - Moller, Jette AU - Moller J AD - Department of Public Health Sciences, Karolinska Institutet, SE 171 77, Stockholm, Sweden. LA - eng GR - NA/Stockholms Lans Landsting/ GR - NA/Svenska Forskningsradet Formas/ PT - Journal Article DEP - 20190827 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM EIN - BMC Public Health. 2019 Sep 13;19(1):1268. PMID: 31519164 MH - Adult MH - Aged MH - Anxiety/*epidemiology MH - Cohort Studies MH - Depression/*epidemiology MH - Diabetes Mellitus, Type 2/*epidemiology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Risk Assessment MH - *Severity of Illness Index MH - Sweden/epidemiology PMC - PMC6712830 OTO - NOTNLM OT - Anxiety OT - Depression OT - Longitudinal data OT - Type 2 diabetes COIS- The authors declare that they have no competing interests. EDAT- 2019/08/29 06:00 MHDA- 2019/11/27 06:00 PMCR- 2019/08/27 CRDT- 2019/08/29 06:00 PHST- 2019/03/22 00:00 [received] PHST- 2019/07/15 00:00 [accepted] PHST- 2019/08/29 06:00 [entrez] PHST- 2019/08/29 06:00 [pubmed] PHST- 2019/11/27 06:00 [medline] PHST- 2019/08/27 00:00 [pmc-release] AID - 10.1186/s12889-019-7322-z [pii] AID - 7322 [pii] AID - 10.1186/s12889-019-7322-z [doi] PST - epublish SO - BMC Public Health. 2019 Aug 27;19(1):1174. doi: 10.1186/s12889-019-7322-z.