The associations of insulin injection
omission with other health conditions
were examined. Surprisingly, history of
depression was not associated with insulin omission; this contradicts findings
from studies of general adherence (9,20)
and of insulin omission among adolescents (10). However, because current depression was not assessed, any concurrent
association was likely to be lost. Others
have shown that depression symptom
scores fluctuate substantially over relatively short periods of time; individuals
with elevated depression symptoms at a
given point in time are likely to not report
elevated symptoms 6 months later
(21,22). In addition, depression symptoms across the whole range of severity
symptoms have been shown to predict
regimen adherence more powerfully than
diagnosed depression (23). Being disabled was associated with less insulin
omission; this may be due to a variety of
reasons, including their receiving more
assistance with care, or making a greater
effort to compensate for poor health.
The associations of insulin injection
omission with other health conditions
were examined. Surprisingly, history of
depression was not associated with insulin omission; this contradicts findings
from studies of general adherence (9,20)
and of insulin omission among adolescents (10). However, because current depression was not assessed, any concurrent
association was likely to be lost. Others
have shown that depression symptom
scores fluctuate substantially over relatively short periods of time; individuals
with elevated depression symptoms at a
given point in time are likely to not report
elevated symptoms 6 months later
(21,22). In addition, depression symptoms across the whole range of severity
symptoms have been shown to predict
regimen adherence more powerfully than
diagnosed depression (23). Being disabled was associated with less insulin
omission; this may be due to a variety of
reasons, including their receiving more
assistance with care, or making a greater
effort to compensate for poor health.
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