Wayne Katon & Mario Maj 
Depression and Diabetes 

In recent years, there has been a growing awareness of the multiple
interrelationships between depression and various physical
diseases. The WPA is providing an update of currently available
evidence on these interrelationships by the publication of three
books, dealing with the comorbidity of depression with diabetes,
heart disease and cancer.

Depression is a frequent and serious comorbid condition in
diabetes, which adversely affects quality of life and the long-term
prognosis. Co-occurrent depression presents peculiar clinical
challenges, making both conditions harder to manage.

Depression and Diabetes is the first book devoted to the
interaction between these common disorders. World leaders in
diabetes, depression and public health synthesize current evidence,
including some previously unpublished data, in a concise,
easy-to-read format. They provide an overview of the epidemiology,
pathogenesis, medical costs, management, and public health and
cultural implications of the comorbidity between depression and
diabetes. The book describes how the negative consequences of
depression in diabetes could be avoided, given that effective
depression treatments for diabetic patients are available.

Its practical approach makes the book ideal for all those
involved in the management of these patients: psychiatrists,
psychologists, diabetologists, general practitioners, diabetes
specialist nurses and mental health nurses.

Зміст

List of Contributors vii

Preface ix

1 The Epidemiology of Depression and Diabetes 1
Cathy E. Lloyd, Norbert Hermanns, Arie Nouwen, Frans Pouwer, Leigh Underwood and Kirsty Winkley

2 Unraveling the Pathogenesis of the Depression-Diabetes Link 29
Khalida Ismail

3 Medical Costs of Depression and Diabetes 63
Leonard E. Egede

4 Treatment of Depression in Patients with Diabetes: Efficacy, Effectiveness and Maintenance Trials, and New Service Models 81
Wayne Katon and Christina van der Felz-Cornelis

5 Diabetes and Depression: Management in Ordinary Clinical Conditions 109
Richard Hellman and Paul Ciechanowski

6 Depression and Diabetes: Sociodemographic and Cultural Aspects and Public Health Implications 143
Juliana Chan, Hairong Nan and Rose Ting

Acknowledgement 173

Index 175

Про автора

Wayne Katon, MD, is Professor of Psychiatry, Director of the
Division of Health Services and Epidemiology, and Vice Chair of the
Department of Psychiatry and Behavioral Sciences at the University
of Washington Medical School. He is Director of a NIMH-funded
National Research Service Award Primary Care-Psychiatry Fellowship
that has successfully trained psychiatrists and primary care
physicians for academic leadership positions. Dr. Katon is
internationally renowned for his research on the prevalence of
anxiety and depressive disorders in primary care, the relationship
of psychiatric disorders to medically unexplained symptoms such as
headache and fatigue, and the impact of depression and anxiety on
patients with chronic medical illness. In recent years, his
research has focused on developing innovative models of integrating
mental health professionals and other allied health personnel into
primary care to improve the care of patients with major depression
and panic disorder.

Dr. Katon has been awarded the American for Excellence in Teaching
in Primary Care numerous times. He also has been awarded the
Academy of Psychosomatic Medicine Research Award (1993) and the
American Psychiatric Association Senior Scholar Health Services
Research Award (1999) and the Depression and Bipolar Support
Alliance Gerald L. Klerman Senior Investigator Award (2003). He is
Editor-in-Chief of General Hospital Psychiatry and is
honored by being one of the Web of Science Highly Cited
Authors.

Dr. Katon has written over 400 peer-reviewed journal articles and
chapters, as well as Panic Disorder in the Medical Setting,
a book for primary care physicians. In addition, Dr. Katon and his
research team have written a self-help book for depressed patients
titled Depression: Self-Care Companion for Better Living.

Mario Maj is Professor of Psychiatry and Chairman at the
University of Naples, Italy. He is President of the World
Psychiatric Association and former President of the European
Psychiatric Association. He is the Italian psychiatrist with the
highest number of citations in indexed journals in the period
1981-2008.

Norman Sartorius served as Director of the Division
of Mental Health of the World Health Organization (WHO) and was the
principal investigator of several major international studies on
schizophrenia, on depression and on health service delivery. He has
published more than 330 articles in scientific journals, authored
or co-authored several books and edited a number of others.

He was the President of the World Psychiatric Association (WPA) and
President of the Association of European Psychiatrists (AEP).
Currently he is the President of the Association for the
Improvement of Mental Health Programmes and holds professorial
appointments at the Universities of London, Prague and Zagreb and
at several other universities in the USA and China.

Professor Sartorius is a corresponding member of the Croatian
Academy of Arts and Sciences and of the Spanish Royal Academy of
Medicine, member of the Medical Academies of Croatia, Peru and
Mexico. He has honorary doctorates from the Universities of Umea,
Prague and Bath and is an Honorary Fellow or honorary member of
numerous psychiatric associations. He is also the editor of three
journals and a member of the editorial board of many more.