Social support and the association of type 2 diabetes and depressive and anxiety disorders among low-income adults seen in primary care clinics

Janet L. Thomas, Glenn N. Jones, Isabel C. Scarinci, Phillip J. Brantley

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

This study examined the association of social support (SS) and affective disturbance among low-income primary care patients with no chronic illnesses vs. those with type 2 diabetes vs. those with other chronic illnesses. The sample was predominantly middle aged (47.2 years old), African American (74%) and female (80%), with an average individual monthly income of approximately $500. Participants (N = 326) were administered the Diagnostic Interview Schedule, IV and the Interpersonal Support Evaluation List. Logistic regression results indicated that each standard deviation decrease in SS, increased the odds of having a depressive or anxiety disorder diagnosis by .618 OR (CI .472, .808, p < .000) for all study participants; .438 OR (95% CI .195, .987, p = .046) for those with hypertension, asthma and/or arthritis; and .326 OR (95% CI .141, .755, p = .009) for those with type 2 diabetes. Results suggest that SS may serve an important role in the association between stress and depression/anxiety diagnoses among low-income, primary care patients.

Original languageEnglish (US)
Pages (from-to)351-359
Number of pages9
JournalJournal of Clinical Psychology in Medical Settings
Volume14
Issue number4
DOIs
StatePublished - Dec 2007

Bibliographical note

Funding Information:
Acknowledgment This work was supported by a grant from the National Institute of Mental Health (R01 MH1194).

Keywords

  • Affective disorder
  • African American
  • Diabetes
  • Social support

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