A Prospective Analysis of Marital Relationship Factors and Quality of Life in Diabetes

Trief, Paula M.; Wade, Michaei J.; Britton, Kirsten Dee; Weinstock, Ruth S.

doi:10.2337/diacare.25.7.1154

Cited by 116 publications

(107 citation statements)

References 36 publications

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“…2,4 However, since diabetes management is influenced by several psychosocial factors, such as characteristics of patients and healthcare providers, social environment (including support systems, especially family support) and care provider-patient relationships, 5 spouses' involvement may represent an important resource for patients' self-management and education. [6][7][8] Nevertheless, experience shows that: (a) spouses are seldom integrated in T2DM patient care or education strategies, despite research suggesting that the majority want to be involved; 9 (b) spouses do not feel that the healthcare system provides adequate support in T2DM care. 9 However, and perhaps most importantly, interventions that include spousal education could also improve patients' glycaemic control.…”

Section: Introductionmentioning

confidence: 99%

Spouses’ educational needs and perceptions of health in partners with type 2 diabetes

Orvik

Ribu

Johansen

2010

European Diabetes Nursing

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Background: The importance of spousal support in type 2 diabetes mellitus (T2DM) patient management is often neglected. We prospectively investigated spouses' needs for T2DM information, and whether their perceptions of health changes in their diabetic partners correlated with changes in objective and subjective health parameters for the partners. Methods: Spouses and partners with T2DM (n=52 per group) were followed for two years. Questionnaires on T2DM information/education and general health perception of themselves and their partners were given to spouses at start and end of study. Perceived changes in partners' health were compared with changes in objective (10-year Framingham coronary heart disease risk) and subjective (health-related quality-of-life [EuroQoL]) measures. Results: Spouses' (mean age±SD 58±10 years, n=42 females) self-reported needs for T2DM information/education were high at both assessments (61.5%/76.7%; 46.2%/63.0%, respectively). General health of diabetic partners (mean age 60±8 years, n=42 males) was perceived as improved by 10%, worsened by 27% and unchanged by 63% of spouses. Significant correlations were observed between spouses who perceived improvements in partners' health, and subjective and objective parameters of partners' health (EuroQoL scores increased by 18; Framingham risk reduced by 2.0±3.0%); similar correlations were observed in spouses who perceived worsening of partners' health (EuroQoL scores decreased by 7±15; Framingham risk increased by 1.7±4.1%). Spouses' results showed moderate sensitivity for capturing health worsening in relation to increase in Framingham risk (57%); specificity in relation to no change or reduction in Framingham risk was high (74%). Conclusion: Spouses' needs for T2DM information/education were high. Perceived changes in partners' health significantly correlated with subjective and objective outcome data. Further studies should investigate whether spouses' perceptions of negative changes could be used to trigger more intensive T2DM management strategies.

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Section: Introductionmentioning

confidence: 99%

Spouses’ educational needs and perceptions of health in partners with type 2 diabetes

Orvik

Ribu

Johansen

2010

European Diabetes Nursing

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“…The PAID has been the most widely used of the measures and has been recently translated into several other languages (6 -8). PAID scores have been linked to diabetes self-care behaviors (5,6) and glycemic control (2,(5)(6)(7)(8)(9) and are associated with general emotional distress (5), perceived burden of diabetes (8), diabetes-related health beliefs (10), diabetes coping (10), and marital adjustment (11,12). The instrument is responsive to change (13) and is a useful measure of several aspects of diabetesrelated quality of life (14,15).…”

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confidence: 99%

Assessing Psychosocial Distress in Diabetes

et al. 2005

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OBJECTIVE -The purpose of this study was to describe the development of the Diabetes Distress Scale (DDS), a new instrument for the assessment of diabetes-related emotional distress, based on four independent patient samples.RESEARCH DESIGN AND METHODS -In consultation with patients and professionals from multiple disciplines, a preliminary scale of 28 items was developed, based a priori on four distress-related domains: emotional burden subscale, physician-related distress subscale, regimen-related distress subscale, and diabetes-related interpersonal distress. The new instrument was included in a larger battery of questionnaires used in diabetes studies at four diverse sites: waiting room at a primary care clinic (n ϭ 200), waiting room at a diabetes specialty clinic (n ϭ 179), a diabetes management study program (n ϭ 167), and an ongoing diabetes management program (n ϭ 158).RESULTS -Exploratory factor analyses revealed four factors consistent across sites (involving 17 of the 28 items) that matched the critical content domains identified earlier. The correlation between the 28-item and 17-item scales was very high (r ϭ 0.99). The mean correlation between the 17-item total score (DDS) and the four subscales was high (r ϭ 0.82), but the pattern of interscale correlations suggested that the subscales, although not totally independent, tapped into relatively different areas of diabetes-related distress. Internal reliability of the DDS and the four subscales was adequate (␣ Ͼ 0.87), and validity coefficients yielded significant linkages with the Center for Epidemiological Studies Depression Scale, meal planning, exercise, and total cholesterol. Insulin users evidenced the highest mean DDS total scores, whereas diet-controlled subjects displayed the lowest scores (P Ͻ 0.001).CONCLUSIONS -The DDS has a consistent, generalizable factor structure and good internal reliability and validity across four different clinical sites. The new instrument may serve as a valuable measure of diabetes-related emotional distress for use in research and clinical practice. Diabetes Care 28:626 -631, 2005L iving with diabetes can be tough. In the face of a complex, demanding, and often confusing set of self-care directives, patients may become frustrated, angry, overwhelmed, and/or discouraged. Diabetes-related conflict with loved ones may develop, and relationships with health care providers may become strained. The risk of depression is elevated (1,2). As a result, motivation for self-care may be impaired. To investigate the nature and breadth of such distress, a number of self-report instruments have been developed, including the ATT39 (3), Questionnaire on Stress in Patients with Diabetes-Revised (QSD-R) (4), and Problem Areas in Diabetes scale (PAID) (5). These measures aim to tap the range of emotional responses to diabetes and to serve as screening measures for clinical and research use. The PAID has been the most widely used of the measures and has been recently translated into several other languages (6 -8). PAID scores have ...

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“…Factors affecting QOL in diabetic patients include depression, sexual dysfunction, comorbid medical conditions, complications of diabetes, and the quality of family relationships [7][8][9][10] . On a daily basis, patients must closely monitor and adjust their diets, test their blood glucose levels, take medication, and exercise.…”

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confidence: 99%

Depression, Anxiety and Quality of Life of Family Caregivers of Patients with Type 2 Diabetes

Anaforoğlu¹,

Ramazanogullari²,

Algün³

et al. 2011

Med Princ Pract

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Objective: It was our aim to investigate the quality of life (QOL) among family caregivers of patients with type 2 diabetes mellitus. Subjects and Methods: The Short Form-36 QOL scale, Beck Depression Inventory and State-Trait Anxiety Inventory Form were used to evaluate the presence and degree of depression and anxiety and their association with sociodemographic features of 50 family caregivers of diabetic patients compared to 54 controls. Results: The groups were similar in terms of age, sex, health insurance, educational status and marital and financial status. Beck Depression Inventory scores were significantly higher in family caregivers (p = 0.001) than in controls. Depression as a categorical variable was significantly more frequent among family caregivers of diabetic patients than among controls (p < 0.001). The social function component of the QOL of controls was better than that of family caregivers (p < 0.005). There was no difference between groups in terms of anxiety. Conclusion: Family caregivers of diabetic patients appeared to be more prone to depression and tended to have a poorer QOL.

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A Prospective Analysis of Marital Relationship Factors and Quality of Life in Diabetes

Cited by 116 publications

References 36 publications

Spouses’ educational needs and perceptions of health in partners with type 2 diabetes

Spouses’ educational needs and perceptions of health in partners with type 2 diabetes

Assessing Psychosocial Distress in Diabetes

Depression, Anxiety and Quality of Life of Family Caregivers of Patients with Type 2 Diabetes

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