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Screening for Depression and Other Psychological Problems in Diabetes - A Practical Guide (Paperback, 2012 ed.)
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Screening for Depression and Other Psychological Problems in Diabetes - A Practical Guide (Paperback, 2012 ed.)
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This book is divided into two main sections, and covers a broad
range of issues important for health practitioners to be aware of
when caring for people with co-morbid diabetes and depression.
Section One of the book contains the overall ideas and the more
recent developments in measuring psychological morbidity in people
with diabetes. When attempting to identify people with depression
or other psychological problems, it is important for practitioners
to recognize the limitations of screening as well as its utility.
Issues such as the basic principles regarding when and when not to
screen, the cultural applicability of tools, different
questionnaire formats and key concepts such as sensitivity and
specificity of tools, and their positive and negative predictive
value, will be considered. In particular there has been increased
interest in the concept of diabetes-related distress and several
tools have been developed to measure this. There are broad-based
measures of distress such as the Problem Areas in Diabetes (PAID)
scale, the Diabetes Adjustment Scale (DAS), The Diabetes Health
Profile, The Fear of Hypoglycemia Scale, etc. There are also a
range of generic quality of life tools which have been used
effectively in people with diabetes; for example the Medical
Outcomes Survey Short-Forms (SF36, SF12), the World Health
Organisation Well-being questionnaire (WHO-5) and the EQ5-D. These
tools are important because they measure aspects of psychological
well-being that are specifically associated with the experience of
having a long-term conditions and so have important implications
for both self-care and health care practice. The potential overlap
of symptoms of depression and symptoms of diabetes-related distress
are considered in this section and the implications for practice
discussed. Section Two covers the most commonly used tools that
have been used to screen for depression. For each tool considered
some information which is easily referred to by the readeris set
out in a table which includes details of the authors, time of first
use, country where it was first developed, some examples of the
questions used, the languages it is available in, data on
sensitivity/specificity. Each instrument will then be discussed in
terms of its use in research as well as practice, and its
applicability in different patient groups, different cultural
settings and so on. Guidance on the practical use of each tool is
included, and the most popular depression screening tools are
focussed on.
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