Correlates of diabetes-related distress in type 2 diabetes: Findings from the benchmarking network for clinical and humanistic outcomes in diabetes (BENCH-D) study

Pintaudi, Basilio; Lucisano, Giuseppe; Gentile, Sandro; Bulotta, Angela; Skovlund, Søren E.; Vespasiani, G; Rossi, Maria Chiara; Nicolucci, Antonio

doi:10.1016/j.jpsychores.2015.08.010

Cited by 78 publications

(66 citation statements)

References 30 publications

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“…In one such study that looked at 3489 Japanese individuals with type 1 or type 2 diabetes, the PAID score quartile was significantly associated with poor glycaemic control (HbA 1c ≥53 mmol/mol [7.0%]), with a significant linear trend (p = 0.03) even after adjusting for possible confounders [8]. A similar association has been observed in other regions [6,20] and in studies using other measures of diabetes distress Fig. 1 Associations between the PAID total score (<40 vs ≥40) and allcause mortality in subgroups.…”

Section: Discussionsupporting

confidence: 59%

“…In a cross-sectional study of 2374 individuals with type 2 diabetes, a PAID-5 score of ≥40 was associated with a higher prevalence of diabetes complications [6]. Because this was a cross-sectional study, however, it is possible that reverse causation applied and that individuals with diabetes complications were distressed.…”

Section: Discussionmentioning

confidence: 94%

“…The Diabetes Attitudes, Wishes and Needs 2 study reported that diabetes-related distress is common globally, and affects on average 44.6% of those with diabetes [5]. High levels of diabetes distress have been associated with poor glycaemic control and a high prevalence of complications in cross-sectional studies [6]; thus, we hypothesised that high levels of diabetes distress lead to a higher risk of mortality in the long term, and designed the present study to test this hypothesis.…”

Section: Introductionmentioning

confidence: 92%

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Association between diabetes distress and all-cause mortality in Japanese individuals with type 2 diabetes: a prospective cohort study (Diabetes Distress and Care Registry in Tenri [DDCRT 18])

et al. 2018

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Aims/hypothesis The absence of data on the direct association between diabetes-specific distress and all-cause mortality in individuals with diabetes prompted us to examine the temporal association between Problem Areas in Diabetes (PAID) survey scores and the subsequent risk of all-cause mortality in a cohort of individuals with type 2 diabetes. Methods Longitudinal data from 3305 individuals with diabetes were obtained from a large Japanese diabetes registry. Independent correlations between quintiles of PAID total scores or PAID scores of ≥40 and all-cause mortality (median follow-up of 6.1 years) were examined using Cox proportional hazards models with adjustment for potential confounders.Results The study population included 1280 women and 2025 men with a mean age of 64.9 years, BMI of 24.6 kg/m 2 and HbA 1c level of 58.7 mmol/mol (7.5%). In the multivariable-adjusted model, compared with the first quintile of PAID scores, the multivariable-adjusted HRs (95% CIs) for all-cause mortality for the second to fifth quintiles were 1.11 (0.77, 1.60; p = 0.56), 0.87 (0.56, 1.35; p = 0.524), 0.95 (0.63, 1.46; p = 0.802) and 1.60 (1.09, 2.36; p = 0.016), respectively. Compared with a PAID score of <40, the multivariable-adjusted HR for all-cause mortality of those with a score of ≥10 was 1.56 (95% CI 1.17, 2.08; p = 0.002). In subgroup analyses, the association between PAID score and all-cause mortality was found in men (HR 1.76; 95% CI 1.26, 2.46) but not in women (HR 1.09; 95% CI 0.60, 2.00), with a significant interaction between diabetes distress and sex (p = 0.0336). Conclusions/interpretation We observed a significant positive association between high diabetes distress and all-cause mortality in men with diabetes.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 92%

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Association between diabetes distress and all-cause mortality in Japanese individuals with type 2 diabetes: a prospective cohort study (Diabetes Distress and Care Registry in Tenri [DDCRT 18])

et al. 2018

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“…Many studies have demonstrated similar findings. 18,19,24,25 Given that females have more gender-role responsibilities and in South Africa are often the breadwinners in the home, a chronic condition like diabetes, which requires strict selfmanagement and medication regimes, adds to the daily demands already placed on females. These results emphasise the need for clinical services and the use of intervention strategies to cater for the needs of women.…”

Section: Discussionmentioning

confidence: 99%

Diabetes distress and related factors in South African adults with type 2 diabetes

Ramkisson

Pillay

Sartorius

2016

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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Background:In South Africa, the prevalence rate of diabetes is 9.27%, with an estimated 2.6 million people living with the disease. Diabetes-related distress has been described as encompassing the patient's concerns about the self-management of diabetes, perception of support, emotional burden and access to quality health care. There has been little or no research done in South Africa regarding diabetes-related distress. Objectives: The aim of this paper was: (1) to identify the level of diabetes-related distress in a cohort of diabetes type 2 patients in KwaZulu-Natal and (2) to identify the factors that contribute to diabetes-related distress. Methods: This cross-sectional study was conducted at two public facilities and five private medical practices on the north coast of KwaZulu-Natal, South Africa. The Diabetes Distress Scale was administered, together with a demographic questionnaire, to 401 participants. Results: In total, 44% of the sample reported having moderate to high levels of distress. The mean scores of the Emotional Burden dimension (M = 2.6; SD = 1.42) and the Regimen Distress dimension (M = 2.33; SD = 1.29) suggested moderate levels of distress. Factors that significantly contributed to high levels of distress were younger age, high HbA1C levels, female gender, attending the public health sector, unemployment and being a person of colour. Conclusion: Healthcare providers need to pay particular attention to the psychological needs of the patient, which impact on the medical outcomes of the disease.

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“…Being theoretical, though, it cannot include "humanistic" indicators like doctor-patient relationship, clinical attitude, therapeutic inertia, comorbidity-dependent polytherapy, fear of hypoglycemia, phobia about needles, education, false beliefs, and so on. 34 However, as a matter of fact, it clearly stands out from the picture that SUs were expected to be prescribed by specialists at least 50% less while insulin and Incs to be added to/ substituted for other medications 10 and 3 times as much as observed, respectively.…”

Section: Discussionmentioning

confidence: 99%

A Multicenter Italian Survey on Diabetes Care Units Reveals a Somewhat Slow Attitude in Treatment Guideline Implementation: Are We Dealing With Therapeutic Inertia?

Gentile¹,

Ceriello²,

Strollo³

et al. 2016

Diabetes Res Open J

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Correlates of diabetes-related distress in type 2 diabetes: Findings from the benchmarking network for clinical and humanistic outcomes in diabetes (BENCH-D) study

Cited by 78 publications

References 30 publications

Association between diabetes distress and all-cause mortality in Japanese individuals with type 2 diabetes: a prospective cohort study (Diabetes Distress and Care Registry in Tenri [DDCRT 18])

Association between diabetes distress and all-cause mortality in Japanese individuals with type 2 diabetes: a prospective cohort study (Diabetes Distress and Care Registry in Tenri [DDCRT 18])

Diabetes distress and related factors in South African adults with type 2 diabetes

A Multicenter Italian Survey on Diabetes Care Units Reveals a Somewhat Slow Attitude in Treatment Guideline Implementation: Are We Dealing With Therapeutic Inertia?

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