Role of depression in diabetes management in an ethnic minority population: a case of Korean Americans with type 2 diabetes

摘要: Background Comorbid depression and diabetes mellitus (DM) compound challenges to disease management such as low health literacy, insufficient access care, social or linguistic isolation. Korean Americans (KAs), predominantly first-generation immigrants, suffer from a high prevalence of type 2 DM depression. Limited research on KAs has prevented the development effective interventions. Objectives To compare in with all with/without DM, explore correlates comorbid strategies address KAs9 Methods data were clinical trial community-based self-help intervention improve mental outcomes. National Health Nutrition Examination Survey sets enabled comparison. Clinical indicators included hemoglobin A1C, lipid panel, body mass index. Psychobehavioral self-efficacy for management, quality life, (Patient Questionnaire-9 (PHQ-9)). Results More had (44.2%) than did (28.7%) without (20.1%). Significantly more mild (29.3%) (14.9%) (mild, 17.2%; clinical, 11.5%) 13.8%; 6.3%). One six (16.9%) thought suicide self-harm (Americans =5.0%, 2.8%). The reduced mean PHQ-9 5.4 at baseline 4.1 12 months. Limitations External validity might be limited; one study site. Conclusions among warrants efficacious Trial registration number NCT01264796.