PMID- 31975802 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1541-4094 (Print) IS - 1541-4108 (Electronic) IS - 1541-4094 (Linking) VI - 14 IP - 2 DP - 2016 Apr TI - Deconstructing Diabetes and Depression: Clinical Context, Treatment Strategies, and New Directions. PG - 184-193 LID - 10.1176/appi.focus.20150040 [doi] AB - Depression and diabetes are common, chronic, and frequently comorbid diseases that contribute substantially to global disability and mortality. Their relationship is bidirectional: depression increases the risk of developing type 2 diabetes mellitus (T2DM), and diabetes increases the risk of depression. Unhealthy lifestyles and poor self-care by patients with depression contribute to the increased T2DM risk. The psychosocial burden of a diabetes diagnosis and its eventual complications predispose diabetic patients to depressive symptoms. Neuroendocrine alterations and inflammation may underlie the increased risk of T2DM in depression but are also proposed as common causative factors for both illnesses. Screening for depression is essential in T2DM, and vice versa. Selective serotonin reuptake inhibitors effectively treat depression of patients with diabetes and positively influence glycemic control. Psychological interventions are effective for depressive symptoms, but their effect on glycemic control varies. Novel depression interventions targeting inflammation or insulin resistance underscore the common biological underpinnings of mood and metabolism. CI - Copyright (c) by the American Psychiatric Association. FAU - Gregory, Jonathan M AU - Gregory JM AD - Dr. Gregory is with the Department of Psychiatry, Western University, London, Ontario, Canada. Dr. Rosenblat and Dr. McIntyre are with the Department of Pharmacology and the Mood Disorder Psychopharmacology Unit, University Health Network, and the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Send correspondence to Dr. McIntyre (e-mail: roger.mcintyre@uhn.ca). FAU - Rosenblat, Joshua D AU - Rosenblat JD AD - Dr. Gregory is with the Department of Psychiatry, Western University, London, Ontario, Canada. Dr. Rosenblat and Dr. McIntyre are with the Department of Pharmacology and the Mood Disorder Psychopharmacology Unit, University Health Network, and the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Send correspondence to Dr. McIntyre (e-mail: roger.mcintyre@uhn.ca). FAU - McIntyre, Roger S AU - McIntyre RS AD - Dr. Gregory is with the Department of Psychiatry, Western University, London, Ontario, Canada. Dr. Rosenblat and Dr. McIntyre are with the Department of Pharmacology and the Mood Disorder Psychopharmacology Unit, University Health Network, and the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Send correspondence to Dr. McIntyre (e-mail: roger.mcintyre@uhn.ca). LA - eng PT - Journal Article DEP - 20160407 PL - United States TA - Focus (Am Psychiatr Publ) JT - Focus (American Psychiatric Publishing) JID - 101156081 PMC - PMC6519653 COIS- Dr. McIntyre has received research grants from Stanley Medical Research Institute, the National Alliance for Research on Schizophrenia and Depression, the National Institute of Mental Health, and the Canadian Institutes of Health Research. Dr. McIntyre is on advisory boards for Allergan, Astra-Zeneca, Bristol-Myers Squibb, Eli Lilly, Lundbeck, Merck, Otsuka, Pfizer, Sunovion, and Takeda; he has received speaker's fees from Allergan, Astra-Zeneca, Eli Lilly, Janssen-Ortho, Lundbeck, Merck Otsuka, Pfizer, Sunovion, and Takeda; he has received research grants from Astra-Zeneca, Bristol-Myers Squibb, Eli Lilly, Janssen-Ortho, Lundbeck, Pfizer, Shire, and Sunovion; he has no equity ownerships, profit-sharing agreements, or patents with pharmaceutical companies. Dr. Gregory and Dr. Rosenblat report no financial relationships with commercial interests. EDAT- 2016/04/01 00:00 MHDA- 2016/04/01 00:01 PMCR- 2017/04/01 CRDT- 2020/01/25 06:00 PHST- 2020/01/25 06:00 [entrez] PHST- 2016/04/01 00:00 [pubmed] PHST- 2016/04/01 00:01 [medline] PHST- 2017/04/01 00:00 [pmc-release] AID - FOC_20150040 [pii] AID - 10.1176/appi.focus.20150040 [doi] PST - ppublish SO - Focus (Am Psychiatr Publ). 2016 Apr;14(2):184-193. doi: 10.1176/appi.focus.20150040. Epub 2016 Apr 7.