Diapression: an integrated model for understanding the experience of individuals with co-occuring diabetes and depression. Clin Diabetes 2011;29:43–50

In recent years, clinicians and researchers have focused greater attention on clinical and health services strategies for effectively treat-ing the growing number of individuals with multiple health conditions. In the United States, 75 million people have at least two chronic conditions,1 and among individuals with diabetes, 90% have at least one other health condi-tion in addition to diabetes.2 The co-occurrence of diabetes and depres-sion may be particularly challenging and worthy of greater attention because depression can increase diabetes symptom perception, nega-tively affect self-care behaviors, an