The association between diabetes and depressive symptoms varies by quality of diabetes care across Europe.

Eur J Public Health · 2018 · PMC6148969 · PMID 29617999

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a decreasing trendno p-value reported

Satisfaction with income followed a decreasing trend by quartile of care.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.