In a group of 64 non-insulin-dependent diabetic females, a significant positive correlation between Zung self-rated depression scores and objective measurements of diabetic peripheral neuropathy was limited to those women with Zung scores greater than 50 (depressed group, n = 12). In the overall group, there was no significant linear or quadratic relationship between peripheral neuropathy and depression scores. The associations between depression, peripheral neuropathy, and diabetes are discussed. ( J Geriatr Psychiatry Neurol 1988;1:11-15).
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References
1.
Lustman PJ, Amado H., Wetzel RD: Depression in diabetics: A critical appraisal. Compr Psychiatry1983;24:65-74.
2.
Ellenberg M. : Diabetic neuropathy: Clinical aspects. Metabolism1976;22:1627-1655.
3.
Brown MJ, Greene DA: Diabetic neuropathy: Pathophysiology and management, in Asbury AK, Gilliatt RW (eds): Peripheral Nerve Disorders—A Practical Approach. London, Butterworths International Medical Reviews , 1981 pp 126-153.
4.
Takahashi Y. , Hirata Y.: A follow-up study of painful diabetic neuropathy: Physical and psychological aspects. Tohoku J Exp Med1983;141:463-471.
5.
Archer AG, Watkins PJ, Thomas PK, et al: The natural history of acute painful neuropathy in diabetes mellitus. J Neurol Neurosurg Psychiatry1983 ;46:491-499.
6.
Blau RH: Diabetic neuropathic cachexia: Report of a woman with this syndrome and review of the literature. Arch Intern Med1983;143:2011-2012.
7.
Davis JL, Lewis SB, Gerich JE, et al: Peripheral diabetic neuropathy treated with amitriptyline and fluphenazine. JAMA1977;238:2291-2292.
8.
Gade GN, Hofeldt FD, Treece GL: Diabetic neuropathic cachexia: Beneficial response to combination therapy with amitriptyline and fluphenazine. JAMA1980;243:1160-1161.
9.
Khurana RC: Treatment of painful diabetic neuropathy with trazodone, letter. JAMA1983;250:1392.
10.
Mitas JA, Mosley CA, Drager AM: Diabetic neuropathic pain: Control by amitriptyline and fluphenazine in renal insufficiency. Southern Med J1983;76:462-467.
11.
Hoogwerf BJ : Amitriptyline treatment of painful diabetic neuropathy: An inadvertent single-patient clinical trial, letter. Diabetes Care1985;8:526-527.
12.
Kvinesdal B. , Molin J., Froland A., et al: Imipramine treatment of painful diabetic neuropathy. JAMA1984;251:1727-1730.
13.
Gomez-Perez FJ, Rull JA, Dies H., et al: Nortriptyline and fluphenazine in the symptomatic treatment of diabetic neuropathy. A double-blind cross-over study. Pain1985;23:395-400.
14.
Turkington RW: Depression masquerading as diabetic neuropathy . JAMA1980;243:1147-1150.
15.
Max MB, Culnane M., Schafer SC, et al: Amitriptyline relieves diabetic neuropathy pain in patients with normal or depressed mood. Neurology1987 ;37:589-596.
16.
Mendel CM, Klein RF, Chappell DA, et al: A trial of amitriptyline and fluphenazine in the treatment of painful diabetic neuropathy. JAMA1986;255:637-639.
17.
Taub A.: Amitriptyline and fluphenazine for painful diabetic neuropathy, letter. JAMA1986;256:713.
18.
Perlmuter LC , Hakami MK, Hodgson-Harrington C., et al:Decreased cognitive function in aging non-insulin dependent diabetics. Am J Med1984;77:1043-1048.
Shorvon SD, Carney Mwp, Chanarin I., et al: The neuropsychiatry of megaloblastic anaemia. Br Med J1980;281:1036-1038.
21.
Diagnostic and Statistical Manual of Mental Disorders, ed 3. Washington, DC, American Psychiatric Association, 1980.
22.
Freedman N. , Bucci W., Elkowitz E.: Depression in a family practice elderly population . Am Geriatr Soc1982;30:372-377.
23.
Steuer J., Bank L., Olsen EJ, et al: Depression, physical health and somatic complaints in the elderly: A study of the Zung self-rating depression scale. J Gerontology1980;35:683-688.
24.
Schaefer A. , Brown J., Watson CG, et al: Comparison of validities of the Beck, Zung and MMPI depression scales. J Consult Clin Psychol1985;53:415-418.
25.
Greene DA, Brown MJ, Braunstein SN, et al: Comparison of clinical course and sequential electrophysiological tests in diabetics with symptomatic polyneuropathy and its implications for clinical trials. Diabetes1981;30:139-147.
26.
Crammer J., Gillies L.: Psychiatric aspects of diabetes mellitus: Diabetes and depression, letter . Br J Psychiatry1981;139: 171-172.