Abstract
This chapter examines conceptual and applied issues regarding the screening of depression and diabetes-specific distress in adults with diabetes. We explore the conceptualization of depression as a frequently comorbid condition of diabetes and the importance of diabetes-specific distress and subthreshold depressive symptoms in regard to the emotional, behavioral, and health outcomes of living with diabetes. Overviews of the constructs of major depressive disorder (MDD) and diabetes-specific distress and challenges to an operational approach to negative emotion in the context of chronic illness are also presented in light of the meaningful overlap between diagnostic criteria of MDD and symptoms of diabetes and distress related to the burden of living with diabetes. Assessment of both depression and diabetes-specific distress are considered, including methodological issues and the strengths and weakness of leading self-report and semi-structured interview tools. Finally, suggestions for valid and clinically meaningful assessment of depressive symptoms and diabetes-specific distress in medical settings are discussed.
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Esbitt, S.A., Tanenbaum, M.L., Gonzalez, J.S. (2013). Disentangling Clinical Depression from Diabetes-Specific Distress: Making Sense of the Mess We’ve Made. In: Lloyd, C., Pouwer, F., Hermanns, N. (eds) Screening for Depression and Other Psychological Problems in Diabetes. Springer, London. https://doi.org/10.1007/978-0-85729-751-8_2
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