Journal article

The relationship between common mental disorders and incident diabetes among participants in the Kerala Diabetes Prevention Program (K-DPP)

Leslie CM Johnson, Allissa Desloge, Thirunavukkarasu Sathish, Emily D Williams, Pilvikki Absetz, Tilahun Haregu, Jeroen De Man, Kavumpurathu Raman Thankappan, Brian Oldenburg



This study aims to describe the prevalence of depression and anxiety among a population sample of people at high risk for type 2 diabetes in Kerala, India, and examine the relationship between depressive symptoms, anxiety, and incident Type 2 Diabetes Mellitus (T2DM) over a two-year period. We used data from the Kerala Diabetes Prevention Program, a cluster-randomized controlled trial for diabetes prevention among 1007 high-risk individuals. The prevalence of depression and anxiety were estimated using the 9-item Patient Health Questionnaire and the Generalized Anxiety Disorder 7-item scale, respectively. We calculated proportions for depression and anxiety and performed generalized estimati..

View full abstract


Awarded by National Health and Medical Research Council (NHMRC), Australia

Funding Acknowledgements

B.O received funding for the Kerala Diabetes Prevention Programme from the National Health and Medical Research Council (NHMRC), Australia (Project Grant ID 1005324; addition, L.C.M.J. was supported by the Health and Behavior International Collaborative Research Award through the Society of Behavioral Medicine (SBM) and A.D. was supported by Yale University through the Fox International Fellowship. The contents of this paper are solely the responsibility of the authors and do not reflect the views of NHMRC, SBM, or Yale University. The funders had no involvement in the study design; collection, analysis and interpretation of data; writing of the report; and the decision to submit the article for publication.