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Screening in Secondary Care

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Screening for Depression and Other Psychological Problems in Diabetes

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Abstract

Secondary care institutions provide advanced treatment of diabetic patients whose health is threatened by a chronic course of diabetes or severe comorbidities. Elevated depressive symptoms and emotional distress are common in persons facing the advanced stages of diabetes, including its late complications. Depressive affect increases the risk for developing complications and vice versa, as suffering from complications increases the risk for elevated depressive symptoms. Therefore, secondary diabetes services specialized for treating microvascular and macrovascular complications have a particular responsibility to detect patients’ emotional problems early and to properly address them. Integrating screening for emotional problems with appropriate treatment options is crucial for improving outcomes. A stepped care approach may meet individual patients’ needs and be feasible in a busy clinical practice.

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Author information

Authors and Affiliations

  1. Deporment of Clinic for Diabetic Complications, Vuk Vrhovac University Clinic for Diabetes, Merkur Teaching Hospital, Zagreb, Croatia

    Mirjana Pibernik-Okanović Ph.D. & Dea Ajduković M.Sc.

Authors
  1. Mirjana Pibernik-Okanović Ph.D.
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  2. Dea Ajduković M.Sc.
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Corresponding author

Correspondence to Mirjana Pibernik-Okanović Ph.D. .

Editor information

Editors and Affiliations

  1. , Faculty of Health & Social Care, Open University, Milton Keynes, MK7 6AA, United Kingdom

    Cathy E. Lloyd

  2. Tilburg University, Tilburg, 5000 LE, Netherlands

    Frans Pouwer

  3. Wuerzburg, Germany

    Norbert Hermanns

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Pibernik-Okanović, M., Ajduković, D. (2013). Screening in Secondary Care. In: Lloyd, C., Pouwer, F., Hermanns, N. (eds) Screening for Depression and Other Psychological Problems in Diabetes. Springer, London. https://doi.org/10.1007/978-0-85729-751-8_9

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  • DOI: https://doi.org/10.1007/978-0-85729-751-8_9

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  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-750-1

  • Online ISBN: 978-0-85729-751-8

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