Clinical and sociodemographic variables associated with diabetes-related distress in patients with type 2 diabetes mellitus

Abstract

Objective:To evaluate the relation between diabetes-related distress and the clinical and sociodemographic characteristics of type 2 diabetes mellitus patients.Methods:A cross-sectional study based on a secondary analysis of data collected at a specialized care outpatient center in Brazil. Participants completed a questionnaire on sociodemographic and clinical characteristics and the Brazilian version of the Diabetes Distress Scale (B-DDS).Results:About 31% of the 130 eligible patients reported diabetes distress, and the mean B-DDS score was 2.6. Multiple regression analysis showed the B-DDS score was positively correlated with marital status (p=0.0230), use of diet and physical activities for diabetes management (p=0.0180), and use of insulin therapy (p=0.0030). The “emotional burden”, “regimen-related distress”, and “interpersonal distress” domains from B-DDS were associated with the use of insulin therapy (p=0.0010), marital status (p=0.0110), and the presence of three or more comorbidities (p=0.0175).Conclusion:These findings suggest the clinical and sociodemographic variables are relatively weak predictors of diabetes-related distress. The highest scores in the B-DDS were observed in the emotional burden domain, indicating the presence of diabetes distress among the participants of the study.

Distress and psychopathology among Sudanese patients with type 2 diabetes mellitus and its relation to glycaemic control

“…Both were in the range of a somewhat serious problem, and previous researchers have reported similar findings 21 . Furthermore, the emotional burden and regimen-related domains were related to glycated haemoglobin, in line with previous literature22, 23 that found that the emotional burden and regimen-related domains were a strong predictor of glycaemic control.…”

Fatores associados ao controle glicêmico em amostra de indivíduos com diabetes mellitus do Estudo Longitudinal de Saúde do Adulto, Brasil, 2008 a 2010*

“…These changes are often stressful, caused by daily use of insulin, the need to adjust daily habits, particularly with regard to meal times, as well as storing and transporting Helaine Aparecida Bonatto de Moraes et al A study that investigates variables and their relationship with stress in people with DM found that emotional load and stress, either in relation to the treatment regime or interpersonal relationships, were associated with being on insulin therapy, reinforcing even more the negative emotional load deriving from use of insulin treatment to control this disease. 24 Alongside exclusive use of insulin, treatment with a combination of insulin and oral antidiabetics also contributed to inadequate glycemic control by individuals with DM analyzed in this study. The need for complex treatment regimes, combining insulin with oral antidiabetics, is a necessary practice in the routine of people with diabetes who are unable to achieve glycemic control targets by other means.…”

Characterizing Hotspots and Frontier Landscapes of Diabetes-Specific Distress from 2000 to 2018: A Bibliometric Study

“…In addition, a total of 1,527 institutes published 1,051 diabetes-specific distress-related papers (Supplementary S4). As was illustrated in the treemap of the top 20 institutes (Figure 2(b)), the University of California System contributed the most publications (87), followed by Vrije University Amsterdam (71), Harvard University (46), and Tilburg University (42). Taking the ranking of countries and institution's publication number into account, the United States and the University of California System maintained their leading position in the field of diabetes-specific distress.…”

“…Moreover, Fisher et al presented that the prevalence of diabetes-specific distress was closely associated with patient demographic background and disease-related patient characteristics [41]. In addition, diabetes-specific distress was significantly related to physical exercise, education level, monthly income, frequency of administration of medication, adherence to medical treatment, and the number of complications [42]. erefore, we propose that diabetes-specific distress should be recommended as routine screening in clinical practice, thereby assisting primary prevention for diabetes-specific distress.…”