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Depression and the quality of physic...

Mohaghegh, Monica.

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Depression and the quality of physician-patient communication in diabetes patients.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Depression and the quality of physician-patient communication in diabetes patients./
作者:	Mohaghegh, Monica.
面頁冊數:	83 p.
附註:	Source: Dissertation Abstracts International, Volume: 66-10, Section: B, page: 5691.
Contained By:	Dissertation Abstracts International66-10B.
標題:	Psychology, Clinical. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3191979
ISBN:	9780542372179

Depression and the quality of physician-patient communication in diabetes patients.
Mohaghegh, Monica.

Depression and the quality of physician-patient communication in diabetes patients. - 83 p.

Source: Dissertation Abstracts International, Volume: 66-10, Section: B, page: 5691.

Thesis (Ph.D.)--Alliant International University, San Francisco Bay, 2006.

The purpose of this study was to determine the impact of depression on physician-patient communication among diabetes patients. It was hypothesized that depression would be associated with non-optimal physician-patient communication. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale-10 (CESD-10). The quality of physician-patient communication was measured using the 20 communication items from the Interpersonal Processes of Care in Diverse Populations Questionnaire (IPC), which contains seven subscales (Stewart, et al., 1999).

ISBN: 9780542372179Subjects--Topical Terms:

524864
Psychology, Clinical.

Depression and the quality of physician-patient communication in diabetes patients.
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500 $a Adviser: Bruce Cooper.
502 $a Thesis (Ph.D.)--Alliant International University, San Francisco Bay, 2006.
520 $a The purpose of this study was to determine the impact of depression on physician-patient communication among diabetes patients. It was hypothesized that depression would be associated with non-optimal physician-patient communication. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale-10 (CESD-10). The quality of physician-patient communication was measured using the 20 communication items from the Interpersonal Processes of Care in Diverse Populations Questionnaire (IPC), which contains seven subscales (Stewart, et al., 1999).
520 $a An archival data set was used which was collected during 2000. Data was collected via interview format from 408 patients in 2 primary care clinics at San Francisco General Hospital. Only patients with type 2 diabetes were included in the study.
520 $a Simple logistic regression was used to determine whether depression was a significant predictor of non-optimal physician-patient communication for each of the seven subscales. Depression was found to be a significant predictor of non-optimal communication for five of the seven subscales. Multiple logistic regression analyses were conducted which included depression, gender, health status (HbA1c levels), and race. Gender, health status, and race have been shown to influence physician-patient communication in previous literature. In addition, bivariate analyses were conducted to evaluate potential confounds and moderately significant variables (p < .15) were included in the multiple regression models. Depression continued to have a significant unique predictive value in the same five subscales as in the simple logistic regression analyses. For each of the seven subscales, patients who reported non-optimal communication had higher CESD-10 scores.
520 $a With high rates of depression among diabetes patients, and the importance of an effective physician-patient partnership, further research is needed in this area. Limitations to the current study were discussed, along with suggestions for patients and physicians.
590 $a School code: 1434.
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