Psychiatric care of the patient with diabetes

Nancy Maruyama, Kenneth B. Ashley, Carmen Casasnovas, Simona Goschin, Jennifer Kraker, Seema Quraishi, Daniel Safin, Marla Shu, Stephen J. Ferrando

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Psychiatric and psychosocial factors have a profound impact on the development and course of diabetes mellitus. Diabetic patients have an increased risk of developing depression and other psychiatric disorders and the reverse is also true. Depression and other psychiatric disorders and symptoms increase the risk of developing diabetes [1-4, 10]. Potential mechanisms include neurohormonal pathways, the effects of psychiatric medications, and unhealthy lifestyle behaviors [1-5]. Patients with certain psychiatric and neurocognitive disorders have difficulty adhering to the demanding regimens required to manage diabetes with resulting worse glycemic control and increased morbidity and mortality [6-9, 147]. Clinicians should have a firm understanding of the psychiatric and neurocognitive disorders associated with diabetes.

Original languageEnglish
Title of host publicationPrinciples of Diabetes Mellitus
Subtitle of host publicationThird Edition
PublisherSpringer International Publishing
Number of pages26
ISBN (Electronic)9783319187419
ISBN (Print)9783319187402
StatePublished - 7 Jul 2017
Externally publishedYes


  • Antidepressants
  • Anxiety
  • Bipolar disorder
  • Cognitive behavioral therapy
  • Collaborative care
  • Depression
  • Diabetes self-management education
  • Eating disorders
  • Glycemic control
  • Neurocognitive
  • Psychiatric
  • Psychosocial
  • Schizophrenia


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