Defense Date


Document Type


Degree Name

Master of Science


Clinical Psychology

First Advisor

Bruce Rybarczyk

Second Advisor

Briana Mezuk


Depression and medical condition comorbidity can improve or hinder depression care. Comorbid MD-T2DM is particularly relevant for Black Americans due to increased T2DM risk and less mental health services access. Data from the NSAL was used to examine how co-morbid T2DM/HT and MD affect depression care. Only 19.2% of Black Americans with MD and 23.0% with comorbid MD-T2DM reported adequate treatment. Insurance status explained more variance in depression care than age, sex, and ethnicity. Respondents with MD+T2DM were no more or less likely to receive depression care than those with MD alone. However, respondents with MD+HT were more likely to report adequate treatment (OR=2.09 95% CI[1.20, 3.64]) and anti-depressant use for ≥60 days (OR=2.14 95% CI[1.15, 4.02]). Ethnicity, education and insurance status moderated the effects of HT. Yet guideline-concordant depression care is low among depressed Black Americans, including those with comorbid T2DM.


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Available for download on Wednesday, December 16, 2212