PMID- 31537118 OWN - NLM STAT- MEDLINE DCOM- 20201026 LR - 20201026 IS - 1465-3966 (Electronic) IS - 1354-8506 (Linking) VI - 25 IP - 3 DP - 2020 Mar TI - The influence of personality on trajectories of distress, health and functioning in mild-to-moderately depressed adults with type 2 diabetes. PG - 296-308 LID - 10.1080/13548506.2019.1668567 [doi] AB - Identification of mental health risk is important for optimising diabetes care in type 2 diabetes mellitus (T2DM). Personality is linked to diabetes health and may assist detection of individuals with T2DM most at risk of chronic mental health difficulties. This study examined the moderator effect of personality factors on changes in psychological distress and functioning in adults with T2DM and mild-to-moderate depressive symptoms across a 12-month period. Data were obtained from participants in a randomised controlled trial of adults with T2DM. Participants completed measures of depression (Patient Health Questionnaire-9), anxiety (General Anxiety Disorder-7), general functioning (Work and Social Adjustment Scale), diabetes distress (Diabetes Distress Scale), and diabetes self-management (Self-Management Profile for Type 2 Diabetes) at baseline, 3-, 6- and 12-months. Glycaemic control (HbA1c) was measured at baseline, 6- and 12-months. Two hundred trial completers agreed to complete a personality inventory (Big Five Inventory). Low neuroticism was linked with reduced depression, anxiety, functional impairment and diabetes distress over the year. High extraversion was associated with decreased anxiety and functional impairment. High conscientiousness was linked to increased healthy eating. No personality trait moderated HbA1c levels. Personality screening may help identify mental health risk and guide medical carer approach in T2DM patients. FAU - Sanatkar, Samineh AU - Sanatkar S AUID- ORCID: 0000-0001-9962-163X AD - Black Dog Institute, Sydney, Australia. AD - School of Psychiatry, UNSW Sydney, Sydney, Australia. FAU - Baldwin, Peter AU - Baldwin P AD - Black Dog Institute, Sydney, Australia. AD - School of Psychiatry, UNSW Sydney, Sydney, Australia. FAU - Clarke, Janine AU - Clarke J AD - Black Dog Institute, Sydney, Australia. AD - School of Psychiatry, UNSW Sydney, Sydney, Australia. FAU - Fletcher, Susan AU - Fletcher S AD - Department of General Practice, University of Melbourne, Victoria, Australia. FAU - Gunn, Jane AU - Gunn J AD - Department of General Practice, University of Melbourne, Victoria, Australia. FAU - Wilhelm, Kay AU - Wilhelm K AD - School of Psychiatry, UNSW Sydney, Sydney, Australia. FAU - Campbell, Lesley AU - Campbell L AD - Diabetes and Metabolism Division, Garvan Institute of Medical Research, Sydney, Australia. FAU - Zwar, Nick AU - Zwar N AD - School of Medicine, University of Wollongong, Wollongong, Australia. FAU - Harris, Mark AU - Harris M AD - Centre for Primary Health Care and Equity, UNSW Sydney, Sydney, Australia. FAU - Lapsley, Helen AU - Lapsley H AD - School of Psychiatry, UNSW Sydney, Sydney, Australia. FAU - Hadzi-Pavlovic, Dusan AU - Hadzi-Pavlovic D AD - School of Psychiatry, UNSW Sydney, Sydney, Australia. FAU - Christensen, Helen AU - Christensen H AD - Black Dog Institute, Sydney, Australia. AD - School of Psychiatry, UNSW Sydney, Sydney, Australia. FAU - Proudfoot, Judith AU - Proudfoot J AUID- ORCID: 0000-0002-3872-9871 AD - Black Dog Institute, Sydney, Australia. AD - School of Psychiatry, UNSW Sydney, Sydney, Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190920 PL - England TA - Psychol Health Med JT - Psychology, health & medicine JID - 9604099 SB - IM MH - Adult MH - Anxiety/*psychology MH - Depression/*psychology MH - Diabetes Mellitus, Type 2/*psychology MH - Extraversion, Psychological MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neuroticism MH - *Personality/physiology MH - *Psychological Distress OTO - NOTNLM OT - Personality OT - anxiety OT - depression OT - diabetes OT - diabetes distress EDAT- 2019/09/21 06:00 MHDA- 2020/10/27 06:00 CRDT- 2019/09/21 06:00 PHST- 2019/09/21 06:00 [pubmed] PHST- 2020/10/27 06:00 [medline] PHST- 2019/09/21 06:00 [entrez] AID - 10.1080/13548506.2019.1668567 [doi] PST - ppublish SO - Psychol Health Med. 2020 Mar;25(3):296-308. doi: 10.1080/13548506.2019.1668567. Epub 2019 Sep 20.