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. 2018 Jul 10;11:333–343. doi: 10.2147/DMSO.S106797

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© 2018 Darwish et al. This work is published and licensed by Dove Medical Press Limited

The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

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Venn diagram exploring intersections between symptoms of MDD (teal), diabetes-related distress (blue), fatigue (orange), and anhedonia (green).

Notes: Items are derived from the DDS-17¹³³ and Diagnostic And Statistical Manual Of Mental Disorders-5 diagnostic criteria for a depressive episode.⁵ Both diabetes-related distress and depression can share symptoms of fatigue⁴¹,⁴⁶,⁴⁷ and/or anhedonia (including anticipatory, motivational, decisional, and consummatory dimensions).

Abbreviations: DDS, Diabetes Distress Scale; MDD, major depressive disorder.