| Age differences in hopelessness and toe pain in persons with insulin-dependent and non-insulin-dependent diabetes mellitus. | |
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MedLine Citation:
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PMID: 21084529 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: Several studies have established an association between diabetic neuropathy and depressive symptoms. There is a link between depression and peripheral neuropathy in diabetic patients, suggesting an increased likelihood that diabetic patients will experience depressive symptoms related to lower-extremity peripheral neuropathy and arthritis during middle age and later life. The goal of this investigation was to determine whether there are age differences between insulin-dependent and non-insulin-dependent diabetic patients regarding their feelings of hopelessness and toe pain. METHODS: A large population-based sample of 32,006 adults from the 1998 National Health Interview Survey was analyzed with multivariate statistical procedures. We performed χ² and correlation procedures to test the null hypothesis that there are no age or sex differences between insulin-dependent and non-insulin-dependent diabetic patients in their reporting of feelings of hopelessness and toe pain symptoms in the previous 12 months. RESULTS: There were significant differences between age and sex groups of insulin-dependent and non-insulin-dependent diabetic patients in reporting feelings of hopelessness and toe pain symptoms, rejecting the null hypothesis. Correlational analysis conducted between the variables of hopelessness and toe pain yielded significant correlations in insulin-dependent (r = .28; P = .0009; α = .05), and non-insulin-dependent (r = 0.19; P = .001; α = .05) women older than 61 years, concluding that diabetic women are more likely to experience hopelessness and toe pain in that age group regardless of insulin status. CONCLUSIONS: Clinicians should incorporate depression and toe pain symptoms into their assessment and treatment, especially in diabetic women older than 61 years. |
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Authors:
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Stephen Morewitz; Najwa Javed; Sharada Tata; Joel Clark |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the American Podiatric Medical Association Volume: 100 ISSN: 1930-8264 ISO Abbreviation: J Am Podiatr Med Assoc Publication Date: 2010 Nov-Dec |
Date Detail:
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Created Date: 2010-11-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8501423 Medline TA: J Am Podiatr Med Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 445-51 Citation Subset: IM |
Affiliation:
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Department of Nursing and Health Sciences, California State University, East Bay, Oakland, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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