Risk of Negative Health Outcomes and High Costs for People With Diabetes and Unmet Psychological Needs in the United States
Measuring the population-level relationship between compromised mental health and diabetes care remains an important goal for clinicians and health care decision-makers. We evaluated the impact of self-reported unmet psychological need on health care resource utilization and total health care expend...
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| Published in | Diabetes spectrum Vol. 35; no. 2; pp. 207 - 215 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
American Diabetes Association
01.01.2022
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Measuring the population-level relationship between compromised mental health and diabetes care remains an important goal for clinicians and health care decision-makers. We evaluated the impact of self-reported unmet psychological need on health care resource utilization and total health care expenditure in people with type 2 diabetes. Patients who reported unmet psychological needs were more likely than those who did not to incur a higher annual medical expenditure, have greater resource utilization, and have a higher risk of all-cause mortality. |
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| AbstractList | Measuring the population-level relationship between compromised mental health and diabetes care remains an important goal for clinicians and health care decision-makers. We evaluated the impact of self-reported unmet psychological need on health care resource utilization and total health care expenditure in people with type 2 diabetes. Patients who reported unmet psychological needs were more likely than those who did not to incur a higher annual medical expenditure, have greater resource utilization, and have a higher risk of all-cause mortality. |
| Author | Sepassi, Aryana Heyman, Mark Beizai, Kristin Bounthavong, Mark Singh, Renu F Watanabe, Jonathan H |
| AuthorAffiliation | 7 Department of Clinical Pharmacy Practice, University of California, Irvine, School of Pharmacy & Pharmaceutical Sciences, Irvine, CA 2 VA Health Economics Resource Center, Menlo Park, CA 6 VA San Diego Healthcare System, San Diego, CA 1 Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA 3 University of California San Diego Health System, University of California, La Jolla, CA 4 Center for Diabetes & Mental Health, San Diego, CA 5 Department of Psychiatry, University of California San Diego, La Jolla, CA |
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| Author_xml | – sequence: 1 givenname: Aryana orcidid: 0000-0003-0149-7824 surname: Sepassi fullname: Sepassi, Aryana organization: Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA – sequence: 2 givenname: Mark surname: Bounthavong fullname: Bounthavong, Mark organization: VA Health Economics Resource Center, Menlo Park, CA – sequence: 3 givenname: Renu F surname: Singh fullname: Singh, Renu F organization: University of California San Diego Health System, University of California, La Jolla, CA – sequence: 4 givenname: Mark surname: Heyman fullname: Heyman, Mark organization: Center for Diabetes & Mental Health, San Diego, CA – sequence: 5 givenname: Kristin surname: Beizai fullname: Beizai, Kristin organization: VA San Diego Healthcare System, San Diego, CA – sequence: 6 givenname: Jonathan H surname: Watanabe fullname: Watanabe, Jonathan H organization: Department of Clinical Pharmacy Practice, University of California, Irvine, School of Pharmacy & Pharmaceutical Sciences, Irvine, CA |
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| References | Austin (2022051722485713800_B22) 2011; 46 Shim (2022051722485713800_B42) 2012; 63 2022051722485713800_B19 Wang (2022051722485713800_B24) 2013; 8 Beck (2022051722485713800_B36) 2017; 40 Li (2022051722485713800_B40) 2014; 63 Kessler (2022051722485713800_B16) 2001; 36 Balhara (2022051722485713800_B31) 2011; 15 Strawbridge (2022051722485713800_B39) 2015; 42 Jacobsen (2022051722485713800_B41) 2015; 22 Kreider (2022051722485713800_B9) 2017; 8 Zou (2022051722485713800_B29) 2004; 159 Zeileis (2022051722485713800_B30) 2006; 16 Lumley (2022051722485713800_B28) 2004; 9 Iglay (2022051722485713800_B3) 2016; 32 Kreyenbuhl (2022051722485713800_B12) 2010; 36 Polonsky (2022051722485713800_B34) 1995; 18 Austin (2022051722485713800_B25) 2009; 28 2022051722485713800_B13 2022051722485713800_B14 2022051722485713800_B15 Egede (2022051722485713800_B10) 2016; 31 Griefer (2022051722485713800_B27) 2020 Li (2022051722485713800_B4) 2009; 54 Alzoubi (2022051722485713800_B7) 2018; 39 Centers for Disease Control and Prevention (2022051722485713800_B2) 2020 Dall (2022051722485713800_B38) 2011; 8 Ho (2022051722485713800_B26) 2011; 42 Polonsky (2022051722485713800_B35) 2005; 28 Norris (2022051722485713800_B37) 2002; 25 Kroenke (2022051722485713800_B18) 2003; 41 Anderson (2022051722485713800_B5) 2001; 24 Katon (2022051722485713800_B8) 2005; 28 Boyle (2022051722485713800_B11) 2001; 24 American Diabetes Association (2022051722485713800_B33) 2020; 43 Breslau (2022051722485713800_B21) 2018; 52 DuGoff (2022051722485713800_B23) 2014; 49 American Diabetes Association (2022051722485713800_B1) 2018; 41 Ducat (2022051722485713800_B32) 2014; 312 Egede (2022051722485713800_B20) 2016; 195 Brody (2022051722485713800_B6) 2018 Prochaska (2022051722485713800_B17) 2012; 21 |
| References_xml | – ident: 2022051722485713800_B14 – volume: 63 start-page: 1231 year: 2012 ident: 2022051722485713800_B42 article-title: Health care reform and integrated care: a golden opportunity for preventive psychiatry publication-title: Psychiatr Serv doi: 10.1176/appi.ps.201200072 contributor: fullname: Shim – volume: 40 start-page: 1409 year: 2017 ident: 2022051722485713800_B36 article-title: 2017 National Standards for Diabetes Self-Management Education and Support publication-title: Diabetes Care doi: 10.2337/dci17-0025 contributor: fullname: Beck – volume: 36 start-page: 987 year: 2001 ident: 2022051722485713800_B16 article-title: The prevalence and correlates of untreated serious mental illness publication-title: Health Serv Res contributor: fullname: Kessler – volume: 41 start-page: 1284 year: 2003 ident: 2022051722485713800_B18 article-title: The Patient Health Questionnaire-2: validity of a two-item depression screener publication-title: Med Care doi: 10.1097/01.MLR.0000093487.78664.3C contributor: fullname: Kroenke – volume: 46 start-page: 399 year: 2011 ident: 2022051722485713800_B22 article-title: An introduction to propensity score methods for reducing the effects of confounding in observational studies publication-title: Multivariate Behav Res doi: 10.1080/00273171.2011.568786 contributor: fullname: Austin – volume: 42 start-page: 530 year: 2015 ident: 2022051722485713800_B39 article-title: Use of Medicare’s diabetes self-management training benefit publication-title: Health Educ Behav doi: 10.1177/1090198114566271 contributor: fullname: Strawbridge – volume: 16 start-page: 1 year: 2006 ident: 2022051722485713800_B30 article-title: Object-oriented computation of sandwich estimators publication-title: J Stat Softw doi: 10.18637/jss.v016.i09 contributor: fullname: Zeileis – volume: 63 start-page: 1045 year: 2014 ident: 2022051722485713800_B40 article-title: Diabetes self-management education and training among privately insured persons with newly diagnosed diabetes: United States, 2011–2012 publication-title: MMWR Morb Mortal Wkly Rep contributor: fullname: Li – volume: 8 start-page: A53 year: 2011 ident: 2022051722485713800_B38 article-title: Health care use and costs for participants in a diabetes disease management program, United States, 2007–2008 publication-title: Prev Chronic Dis contributor: fullname: Dall – volume: 31 start-page: 615 year: 2016 ident: 2022051722485713800_B10 article-title: Trends in costs of depression in adults with diabetes in the United States: Medical Expenditure Panel Survey, 2004–2011 publication-title: J Gen Intern Med doi: 10.1007/s11606-016-3650-1 contributor: fullname: Egede – volume: 41 start-page: 917 year: 2018 ident: 2022051722485713800_B1 article-title: Economic costs of diabetes in the U.S. in 2017 publication-title: Diabetes Care doi: 10.2337/dci18-0007 contributor: fullname: American Diabetes Association – volume: 21 start-page: 88 year: 2012 ident: 2022051722485713800_B17 article-title: Validity study of the K6 scale as a measure of moderate mental distress based on mental health treatment need and utilization publication-title: Int J Methods Psychiatr Res doi: 10.1002/mpr.1349 contributor: fullname: Prochaska – volume: 312 start-page: 691 year: 2014 ident: 2022051722485713800_B32 article-title: The mental health comorbidities of diabetes publication-title: JAMA doi: 10.1001/jama.2014.8040 contributor: fullname: Ducat – volume: 8 start-page: 1 year: 2017 ident: 2022051722485713800_B9 article-title: Diabetes distress or major depressive disorder? A practical approach to diagnosing and treating psychological comorbidities of diabetes publication-title: Diabetes Ther doi: 10.1007/s13300-017-0231-1 contributor: fullname: Kreider – volume: 9 start-page: 1 year: 2004 ident: 2022051722485713800_B28 article-title: Analysis of complex survey samples publication-title: J Stat Softw doi: 10.18637/jss.v009.i08 contributor: fullname: Lumley – volume: 39 start-page: 137 year: 2018 ident: 2022051722485713800_B7 article-title: The bidirectional relationship between diabetes and depression: a literature review publication-title: Korean J Fam Med doi: 10.4082/kjfm.2018.39.3.137 contributor: fullname: Alzoubi – volume: 42 start-page: 1 year: 2011 ident: 2022051722485713800_B26 article-title: MatchIt: nonparametric preprocessing for parametric causal inference publication-title: J Stat Softw doi: 10.18637/jss.v042.i08 contributor: fullname: Ho – volume: 32 start-page: 1243 year: 2016 ident: 2022051722485713800_B3 article-title: Prevalence and co-prevalence of comorbidities among patients with type 2 diabetes mellitus publication-title: Curr Med Res Opin doi: 10.1185/03007995.2016.1168291 contributor: fullname: Iglay – volume: 24 start-page: 1936 year: 2001 ident: 2022051722485713800_B11 article-title: Projection of diabetes burden through 2050: impact of changing demography and disease prevalence in the U.S publication-title: Diabetes Care doi: 10.2337/diacare.24.11.1936 contributor: fullname: Boyle – volume: 24 start-page: 1069 year: 2001 ident: 2022051722485713800_B5 article-title: The prevalence of comorbid depression in adults with diabetes: a meta-analysis publication-title: Diabetes Care doi: 10.2337/diacare.24.6.1069 contributor: fullname: Anderson – volume: 18 start-page: 754 year: 1995 ident: 2022051722485713800_B34 article-title: Assessment of diabetes-related distress publication-title: Diabetes Care doi: 10.2337/diacare.18.6.754 contributor: fullname: Polonsky – volume-title: Prevalence of Depression Among Adults Aged 20 and Over: United States, 2013–2016 (NCHS Data Brief no. 303) year: 2018 ident: 2022051722485713800_B6 contributor: fullname: Brody – year: 2020 ident: 2022051722485713800_B27 article-title: Cobalt: covariate balance tables and plots: R Package, version 4.2.2 contributor: fullname: Griefer – ident: 2022051722485713800_B19 – volume: 159 start-page: 702 year: 2004 ident: 2022051722485713800_B29 article-title: A modified poisson regression approach to prospective studies with binary data publication-title: Am J Epidemiol doi: 10.1093/aje/kwh090 contributor: fullname: Zou – ident: 2022051722485713800_B13 – volume: 8 start-page: e81045 year: 2013 ident: 2022051722485713800_B24 article-title: Optimal caliper width for propensity score matching of three treatment groups: a Monte Carlo study publication-title: PLoS One doi: 10.1371/journal.pone.0081045 contributor: fullname: Wang – ident: 2022051722485713800_B15 – volume: 28 start-page: 3083 year: 2009 ident: 2022051722485713800_B25 article-title: Balance diagnostics for comparing the distribution of baseline covariates between treatment groups in propensity-score matched samples publication-title: Stat Med doi: 10.1002/sim.3697 contributor: fullname: Austin – volume: 36 start-page: 428 year: 2010 ident: 2022051722485713800_B12 article-title: Does adherence to medications for type 2 diabetes differ between individuals with vs without schizophrenia? publication-title: Schizophr Bull doi: 10.1093/schbul/sbn106 contributor: fullname: Kreyenbuhl – volume: 28 start-page: 626 year: 2005 ident: 2022051722485713800_B35 article-title: Assessing psychosocial distress in diabetes: development of the Diabetes Distress Scale publication-title: Diabetes Care doi: 10.2337/diacare.28.3.626 contributor: fullname: Polonsky – volume-title: National Diabetes Statistics Report, 2020: Estimates of Diabetes and Its Burden in the United States year: 2020 ident: 2022051722485713800_B2 contributor: fullname: Centers for Disease Control and Prevention – volume: 54 start-page: 43 year: 2009 ident: 2022051722485713800_B4 article-title: Association between diagnosed diabetes and serious psychological distress among U.S. adults: the Behavioral Risk Factor Surveillance System, 2007 publication-title: Int J Public Health doi: 10.1007/s00038-009-0006-1 contributor: fullname: Li – volume: 52 start-page: 8 year: 2018 ident: 2022051722485713800_B21 article-title: Impact of a mental health based primary care program on emergency department visits and inpatient stays publication-title: Gen Hosp Psychiatry doi: 10.1016/j.genhosppsych.2018.02.008 contributor: fullname: Breslau – volume: 28 start-page: 2668 year: 2005 ident: 2022051722485713800_B8 article-title: The association of comorbid depression with mortality in patients with type 2 diabetes publication-title: Diabetes Care doi: 10.2337/diacare.28.11.2668 contributor: fullname: Katon – volume: 15 start-page: 274 year: 2011 ident: 2022051722485713800_B31 article-title: Diabetes and psychiatric disorders publication-title: Indian J Endocrinol Metab doi: 10.4103/2230-8210.85579 contributor: fullname: Balhara – volume: 25 start-page: 1159 year: 2002 ident: 2022051722485713800_B37 article-title: Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control publication-title: Diabetes Care doi: 10.2337/diacare.25.7.1159 contributor: fullname: Norris – volume: 43 start-page: S48 year: 2020 ident: 2022051722485713800_B33 article-title: 5. Facilitating behavior change and well-being to improve health outcomes: Standards of Medical Care in Diabetes—2020 publication-title: Diabetes Care doi: 10.2337/dc20-S005 contributor: fullname: American Diabetes Association – volume: 22 start-page: 442 year: 2015 ident: 2022051722485713800_B41 article-title: Integrating psychosocial care into routine cancer care publication-title: Cancer Contr doi: 10.1177/107327481502200410 contributor: fullname: Jacobsen – volume: 195 start-page: 119 year: 2016 ident: 2022051722485713800_B20 article-title: Impact of diagnosed depression on healthcare costs in adults with and without diabetes: United States, 2004–2011 publication-title: J Affect Disord doi: 10.1016/j.jad.2016.02.011 contributor: fullname: Egede – volume: 49 start-page: 284 year: 2014 ident: 2022051722485713800_B23 article-title: Generalizing observational study results: applying propensity score methods to complex surveys publication-title: Health Serv Res doi: 10.1111/1475-6773.12090 contributor: fullname: DuGoff |
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| SubjectTerms | Diabetes Diabetes mellitus (non-insulin dependent) Health care Health care expenditures Mental disorders Mental health Resource utilization |
| Title | Risk of Negative Health Outcomes and High Costs for People With Diabetes and Unmet Psychological Needs in the United States |
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