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The article you requested is

Refractory Depression, Cardiovascular Risk Factors, and Leukoariosis

J Clin Psychiatry 1997;58:274 [letter]

Letter to the Editor

Sir: Dr. Goodnick and colleagues recently provided a comprehensive and practical review of the fascinating interface between depression and diabetes. Patients with diabetes are more prone to suffer from depression than people in the general population. Depressed diabetics are eight times more likely to suffer depressive relapses.