Predictors of anxiety and depression among people attending diabetes screening: A prospective cohort study embedded in the ADDITION (Cambridge) randomized control trial

摘要: Objective. This study aimed to identify factors predicting anxiety and depression among people who attend primary care-based diabetes screening. Design. A prospective cohort embedded in the ADDITION (Cambridge) randomized control trial. Methods. Participants (N= 3,240) at risk of were identified from 10 care practices invited a stepwise screening programme as part trial. Main outcome measures 12 months post-screening assessed using Hospital Anxiety Depression Scale (HADS). Results. Hierarchical linear regressions showed that demographic, clinical, psychological variables collectively accounted for 52% variance HADS scores 53% after screening. Screening (positive or negative diabetes) was not related differences months. Higher number self-reported (diabetes) symptoms first attendance associated with higher 12-month follow-up, controlling attendance. Conclusion. Participants low on scales appointment 1 year later. Diagnosis shown have limited impact may be less important than symptom perception determining emotional outcomes participation