In contrast, the present results suggest that patients with diabetes mellitus are 1.12 1.41 (CI) times more likely to develop depression and 1.18 1.46 times (CI) more likely to develop depression and/or depressive feelings.
Both groups were followed for an emerging first diagnosis of depression (and/or depressive feelings) until January 1 , 2008
The present study revealed that a diagnosis of diabetes mellitus type II at or after the age of forty was associated with an increased likelihood of developing a subsequent depression or depressive feelings.
The latter variable coded for all subjects who had a diagnosis of depression (and/or depressive feelings in case of the sensitivity analysis) before the starting date of the follow-up period.
Moreover, for approximately 75% of the people diagnosed with diabetes mellitus in the Netherlands, the GP is the primary medical caregiver [ 23], making the GP the proficient person to detect depression or depressive feelings.
The BDI-II-DLV is used to discriminate between patients with major depression and those with only minor depressive feelings or no depression, which may be a confounding factor.
It should be noted, though, that although depression was not explicitly chosen, depressive feelings were mentioned by some patients in relation to fatigue, autonomy and acute exacerbations.
1)There is no scientific evidence to support diagnosing as major depression two weeks of grief-related depressive feelings of the kind currently excluded from diagnosis.
The included patients in both groups were aged 18 65, with a newly recorded diagnosis of depression as documented by the GPs in the EMR, along with an International Classification of General Practice (ICPC) diagnosis of depressive feelings (ICPC code P03) or depression (ICPC code P76) [ 31- 33].
The Beck Depression Inventory (BDI) is used to discriminate between patients with major depression and those without or with minor depressive feelings.
