Association of depression with glycosylated hemoglobin,lipid metabolism and coping style in patients with type 2 diabetes mellitus

Objective To investigate the association of depression with glycosylated hemoglobin,lipid metabolism and coping style in patients with type 2 diabetes mellitus(DM). Methods A total of 73 patients with type 2 DM were divided into depression group(n=31) and non-depression group(n=42) according to the results of Zung Self-Rating Depression Scale.The anxiety statuses were evaluated by Zung Self-Rating Anxiety Scale(SAS).The coping style was assessed by Medical Coping Modes Questionnaire(MCMQ).Moreover,the blood HbA1c,triglycerides(TG),total cholesterol(TC),high density lipoprotein cholesterol(HDL-C),and low density lipoprotein cholesterol(LDL-C) were also compared between the two groups.Results The SAS standard score and MCMQ score of resignation in the depression group were significantly higher than those in the non-depression group(P0.01).The MCMQ score of confronce and avoidance,blood HbA1c,TG,TC,HDL-C,and LDL-C were not significantly different between the 2 groups. Conclusion It is suggested that type 2 DM patients with resignation coping style are more liable to have depression.