A5058832441- Diabetes Management and Education
- Diabetes Management and Research
- Chronic Disease Management Strategies
- Cardiac Health and Mental Health
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Diabetes Treatment and Management
- Migration, Health and Trauma
- Food Security and Health in Diverse Populations
- Obesity and Health Practices
- Obesity, Physical Activity, Diet
- Genetic Associations and Epidemiology
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Mental Health Treatment and Access
- Eating Disorders and Behaviors
- BRCA gene mutations in cancer
- Retinal Diseases and Treatments
- Heart Rate Variability and Autonomic Control
- Health disparities and outcomes
- Physical Activity and Health
- Vagus Nerve Stimulation Research
- Metabolism, Diabetes, and Cancer
- Schizophrenia research and treatment
- Pancreatic function and diabetes
- Ethics in Clinical Research
Indiana University School of Medicine
2015-2025
Indiana University – Purdue University Indianapolis
2015-2025
Indiana University Bloomington
2024-2025
Indiana University
2013-2023
University School
2014-2023
Indiana University Health
2023
George Washington University
2003-2022
Prevention Group
2022
Massachusetts General Hospital
2022
Vanderbilt University Medical Center
2022
To examine the effects of type I and II diabetes on patient perceptions their quality life compare psychometric properties a generic versus diabetes-specific measure.Consecutive outpatients (n = 240) from large multispecialty clinic were studied single occasion using two measures life--Diabetes Quality Life Measure (DQOL) Medical Outcome Study Health Survey 36-Item Short Form (SF-36). No interventions performed. This study examines three issues: 1) reliability (internal consistency)...
Type 1 (T1D) and 2 diabetes (T2D) represent a demanding set of biopsychosocial challenges for patients their families, whether the age disease onset occurs in childhood, adolescence, or adulthood.Psychological conditions, defined as syndromes, disorders, diabetes-specific psychological issues affect larger proportion individuals with T1D T2D compared to general population.In this review, we summarize prevalence, impact treatments associated primary categories conditions that adults T2D:...
Comorbid diabetes and depression are a major clinical challenge as the outcomes of each condition worsened by other. This article is based on presentations discussions during an international meeting convened National Institute Diabetes Digestive Kidney Diseases (NIDDK) in collaboration with Mental Health Dialogue Depression. While psychological burden may contribute to some cases, this explanation does not sufficiently explain relationship between these two conditions. Shared biological...
OBJECTIVE To evaluate the psychological adjustment of young adults with IDDM in comparison similarly aged individuals without chronic illness. RESEARCH DESIGN AND METHODS An onset cohort (n = 57), ages 19–26 years, who have been followed over a 10-year period since diagnosis, was compared group identified at time moderately severe, acute illness 54) and same period. The groups were assessed follow-up terms 1) sociodemographic indices (e.g., schooling, employment, delinquent activities, drug...
Abstract Obesity and type 2 diabetes disproportionately impact U.S. racial ethnic minority communities low‐income populations. Improvements in implementing efficacious interventions to reduce the incidence of are underway (i.e., National Diabetes Prevention Program), but challenges effectively scaling‐up successful reaching at‐risk populations remain. In October 2017, Institutes Health convened a workshop understand how (1) address socioeconomic other environmental conditions that perpetuate...
OBJECTIVE Depression (major depressive disorder [MDD]) in adults with type 2 diabetes mellitus (T2DM) is associated worsened complications, increased health care costs, and early mortality. Program ACTIVE II was a randomized, controlled, multicenter treatment trial designed to test the comparative effectiveness of cognitive behavioral therapy (CBT) and/or community-based exercise (EXER) on depression outcomes compared usual (UC). RESEARCH DESIGN AND METHODS Using × factorial randomized...
In Brief Patients with type 1 or 2 diabetes are two times more likely to experience depression than their peers without diabetes. Comorbid results in deleterious effects on glycemic control, worsened complications, functional disability, and premature mortality. Once identified, can be effectively treated antidepressant medications, psychotherapy, a combination of both. providers should monitor depressive symptoms identify recurrence work collaboratively address barriers care that exist both...
Depression in patients with type 2 diabetes (T2D) is associated long-term complications, disability, and early mortality. No studies have systematically examined the length of episodes remission adults major depressive disorder (MDD) T2D. This study course disorders T2D MDD.Participants (N = 50) enrolled a behavioral intervention for MDD were interviewed using Structured Clinical Interview DSM-IV-TR to assess history at baseline (lifetime history), postintervention, 3-month follow-up. Onset...
OBJECTIVE To explore the correlates of diabetes-related distress (DD) with psychometrically valid assessments emotional regulation in individuals type 1 and 2 diabetes. RESEARCH DESIGN AND METHODS Adults diabetes (n = 298) were assessed for psychological issues possibly associated further evaluated measures negative experience (ER-Exp) skill at regulating such experiences (ER-Skill) DD, perceived psychosocial stress, literacy, self-care. RESULTS ER-Exp was directly related to while ER-Skill...
Diabetes is an increasingly common, long-term condition, requiring 24/7 self-care and constituting one of the greatest health challenges our time. As with all 'wicked problems', a one-size-fits-all approach to care doomed fail. In 2020, we welcomed first international consensus report on precision diabetes medicine, which included section patient-centred mental quality life outcomes.1 This recommendation that, 'in setting providers should assess symptoms distress, depression, anxiety,...
<p dir="ltr"><b>Objective:</b> To test the association of autonomic nervous system (ANS) dysregulation symptoms and diabetes distress (DD) in adults with type 1 (T1D; Study 1) 2 (T2D: 2)</p><p dir="ltr"><b>Research Design Methods</b>: 556 T1D 299 T2D completed Body Perception Questionnaire (BPQ) to assess ANS reactivity symptoms, (DDS-T1, DDS-17), anxiety (GAD-7), depression (PHQ-8) demographic variables via internet surveys.</p><p...
<p dir="ltr"><b>Objective:</b> To test the association of autonomic nervous system (ANS) dysregulation symptoms and diabetes distress (DD) in adults with type 1 (T1D; Study 1) 2 (T2D: 2)</p><p dir="ltr"><b>Research Design Methods</b>: 556 T1D 299 T2D completed Body Perception Questionnaire (BPQ) to assess ANS reactivity symptoms, (DDS-T1, DDS-17), anxiety (GAD-7), depression (PHQ-8) demographic variables via internet surveys.</p><p...