Barriers to Self-Management in Depressed Women With Type 2 Diabetes.
Monique M Ridosh, Gayle Roux, Meghan Meehan and 1 others
PMID 29037063WHAT IT FOUND
Women with diabetes and depression said family hardship, hidden depression, and weak family connection made self-care harder.
This points to assessing family support and helping patients disclose depression and build connectedness.
Key findings
01The main themes were family hardships, lack of disclosure about depression, and a need for connectedness.
02Most participants said their families knew about their diabetes but not their depression.
03Family hardships interfered with women's ability to care for themselves.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sub-study participants selected themselves after a larger trial, and they reported higher income than the larger study, so their views may not represent women who did not participate or lower-income women. The interviews asked directly about family and self-management, so answers may have been shaped by the questions. The study was limited to women near one academic centre in the U.S. Midwest, so it may not apply to rural or other communities. It describes experiences, not whether family support or disclosure improves diabetes or depression control.
The easy way to misread this
Do not read these themes as proof that family support improves diabetes or depression control. This was a qualitative sub-study of women's experiences, not a test of an intervention.