Dr. Larry Fisher is on a quest to learn who and why some type 2 patients experience affective and anxiety disorders, depressive affect and diabetes-related distress over time – and some do not.
In previous research, Larry Fisher, PhD, Professor in the UCSF Department of Family Community Medicine, has learned that most people with high depressive affect are not necessarily clinically depressed, but are instead suffering from high levels of diabetes-related distress. In a recent longitudinal study that appeared in Diabetic Medicine, Dr. Fisher and his colleagues have learned that younger adults, those of the female gender, and individuals experiencing complications were at greater risk of experiencing depressive affect and diabetes-related distress over time. In addition, individuals experiencing these disorders over time exhibited behaviors that impacted their hemoglobin A1c levels, a powerful indicator of the effectiveness of blood glucose control. The bottom line message – Dr. Fisher and his team strongly encourage clinicians to conduct frequent mental health and diabetes-related distress screening with their patients, especially for younger adults, women and those experiencing diabetes complications. [ journal article ]