Diabetes and mental health

Garrett, Christopher J; Doherty, Anne M.

doi:10.7861/clinmedicine.14-6-669

Cited by 40 publications

(38 citation statements)

References 19 publications

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“…On the other hand, depression is a major risk factor in hospital admissions among diabetic patients [ 6 ] and out-patient presentations with diabetes-related complications [ 7 ]. Symptoms of major depression include depressed mood, lack of interest in enjoyable activities, increase or decrease in appetite, insomnia or hypersomnia, slowing of movement, lack of energy, feelings of guilt or worthlessness, trouble concentrating, suicidal thoughts or behaviors.…”

Section: Introductionmentioning

confidence: 99%

Anxiety and Depression Among Adult Patients With Diabetic Foot: Prevalence and Associated Factors

Ahmad¹,

Abujbara²,

Jaddou

et al. 2018

J Clin Med Res

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BackgroundDiabetic foot is a frequent complication of diabetes mellitus with subsequent disturbances in the daily life of the patients. The co-existence of depression and anxiety among diabetic foot patients is a common phenomenon and the role of each of them in perpetuating the other is highlighted in the literature. Our study aimed to determine the prevalence rates of anxiety and depression, and to examine the associated risk factors among diabetic foot patients.MethodsThis is a cross-sectional study. A total of 260 diabetic foot patients in the Diabetic Foot Clinic at the National Center for Diabetes, Endocrinology and Genetics (NCDEG), Amman, Jordan, participated in the study. Sociodemographic and health data were gathered through review of medical charts and a structured questionnaire. Depression and anxiety status were also assessed. The Generalized Anxiety Disorder Scale (GAD-7) was used to screen for anxiety and the Patient Health Questionnaire (PHQ-9) was used to screen for depression. A cutoff of ≥ 10 was used for each scale to identify those who tested positive for anxiety and depression.ResultsPrevalence rate of anxiety was 37.7% and that of depression was 39.6%. Multiple logistic regression analysis showed that anxiety is positively associated with duration of diabetes of < 10 years (P = 0.01), with ≥ three comorbid diseases (P = 0.00), and HbA1c level of > 7% (P = 0.03). Multiple logistic regression analysis also showed that depression is positively associated with patients of < 50 years of age (P = 0.03), females (P = 0.01), current smokers (P = 0.01), patients with foot ulcer duration ≥ 7 months (P = 0.00), with ≥ three comorbid diseases (P = 0.00) than their counterparts.ConclusionsAnxiety and depression are widely prevalent among diabetic foot patients. Mental health status of those patients gets even worse among those suffering other comorbid diseases, which was a finding that requires special attention in the management of patients with diabetic foot.

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Section: Introductionmentioning

confidence: 99%

Anxiety and Depression Among Adult Patients With Diabetic Foot: Prevalence and Associated Factors

Ahmad¹,

Abujbara²,

Jaddou

et al. 2018

J Clin Med Res

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“…Good expectations for Diabates mellitus clients will be able to reduce uncertainty and improve coping and psychosocial adaptation of Diabates mellitus clients. The researcher analyzes that expectation basically determines the psychological condition of the Diabates mellitus client (Garrett & Doherty, 2014). Diabates mellitus clients who have good expectations will reduce feelings of anxiety and distress so that feelings of uncertainty (uncertainty) can be overcome and can increase psychosocial adaptation.…”

Section: Discussionmentioning

confidence: 99%

Uncertainty in Ilness and Psychological Status in Patients with Diabetes Mellitus

Budiman¹,

Yusuf²,

Suhardiningsih³

2020

NLJ

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Poor psychological well-being is an important issue that must be addressed in managing Diabetes Mellitus. Uncertainty surrounding health conditions substantially affects psychological outcomes, anxiety characteristics, loss of hope and psychological distress in clients with Diabetes Mellitus. The purpose of this study was to determine the description of the uncertainty of the disease process (Uncertainty in illness) and the psychological status of Diabetes Mellitus clients in the Jember Community Health Center. The design of this study was the explanatory survey with a cross-sectional approach. The study population was all Diabetes Mellitus clients in the Jember Community Health Center. Sample size: 250 Diabetes Mellitus clients were recruited using a simple random sampling technique. The data used in this research is descriptive statistical analysis so that the results will be obtained in the form of a frequency distribution. The results showed that the highest level of client expectations was with a low expected rate of 51.2%. The level of distress of respondents who had the highest Diabetes Mellitus was in the category of distress by 50.4%. The level of anxiety felt by respondents is mostly in the category of disturbance by 47.6% and uncertainty (Uncertainty) is in the less category by 63.2%. Several psychological factors have contributed to affect the emotional and psychological well-being of diabetes mellitus clients, including the Diabetes Mellitus client's acceptance of the uncertainties surrounding health conditions.

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“…Klien diabetes mellitus sering menggambarkan kesulitan menyesuaikan diri terhadap diagnosis t. Secara khusus, klien diabetes mellitus melaporkan kesulitan seputar penerimaan terhadap perubahan tubuh akbita kondisi jangka panjang yang membutuhkan manajemen diri konstan. Ini melibatkan berbagai tanggapan dari reaksi psikologis atau tipe kesedihan terhadap penolakan dan penghindaran sehingga mengakibatkan kontrol glikemik yang buruk (10) . Dalam penelitian ini banyak klien diabetes mellitus mengalami kesedihan akibat perubahan tubuh yang diakibatkan oleh komplikasi, mereka merasa ada yang hilang dnegan tubuhnya dan merasa malu untuk bersosialisasi.…”

Section: Pembahasanunclassified

Hubungan Ulkus Diabetik Dengan Citra Tubuh Klien Diabetes Mellitus Tipe 2

Budiman

Yusuf

Suhardiningsih

2020

JPKSF

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Diabetic ulcers are the most feared complications of Diabetes mellitus patients because of reduced blood supply to the tissues, causing tissue death and compounded with bacterial infections that can cause amputations and even have wide impact because they can cause death, morbidity, disability, and decreased quality of life. The purpose of this study was to determine the relationship of diabetic ulcers in patients with diabetes mellitus with body image. The research design used was analytic survey with cross sectional design. The sample in this study proves 40 samples taken Probability of Samples with the type of sampling in a row that was a diabetic ulcer sufferer who performs examinations in the clinic of Jember. This research was conducted by observing the degree of injury for diabetic ulcers and questionnaire sheets for body image. The results of this study were analyzed using the statistical test Spearman rank test. The results of the analysis showed that first-degree injuries were 22 respondents (55%), second-degree injuries were 17 respondents (42.5%), and third-degree injuries were respondent (2.5%). While the body image results in diabetics with 13 respondents (32.5%) had a negative body image, while 27 respondents (67.5%) had a positive body image. The results of the analysis of the two variables obtained by the value of p value Sig. (two tailed) of 0.023 α α (0.05) which shows that there was a relationship between diabetic ulcers in patients with diabetes mellitus with body image. Clients who suffer from diabetes mellitus will affect the appearance of the body, especially will have an impact on body image so it is very important for clients diabetes mellitus to improve adjustment in dealing with the disease process and the consequences of the disease. Keywords: diabetic ulcer; body image ABSTRAK Ulkus diabetikum merupakan komplikasi yang paling ditakuti pasien Diabetes Melitus karena berkurangnya suplay darah ke jaringan tersebut menyebabkan kematian jaringan dan diperparah dengan infeksi bakteri yang dapat menyebabkan amputasi bahkan berdampak luas karena dapat menyebabkan kematian, morbiditas, peningkatan biaya perawatan, dan penurunan kualitas hidup. Tujuan dari penelitian ini adalah untuk mengetahui hubungan ulkus diabetik pada penderita diabetes melitus dengan citra tubuh di Klinik Jember. Desain penelitian yang digunakan yaitu survey analitik dengan rancangan coss sectional. Sampel dalam penelitian ini diambil secara Probability Sample dengan jenis Consecutive Sampling yaitu penderita ulkus diabetik yang melakukan pemeriksaan di klinik jember sebanyak 40 responden Penelitian ini dilakukan dengan cara melihat/observasi derajat luka untuk ulkus diabetik dan lembar kuesioner untuk citra tubuh. Hasil penelitian ini dianalisa menggunakan uji statistic spearman rank test. Hasil analisanya didapatkan bahwa luka derajat 1 sebanyak 22 responden (55%), luka derajat 2 sebanyak 17 responden (42,5%), dan luka derajat 3 sebanyak 1 responden (2,5%). Sedangkan hasil citra tubuh pada penderita diabetes melitus sebanyak 13 responden (32,5%) memiliki citra tubuh negatif , sedangkan 27 responden (67,5%) memiliki citra tubuh positif. Hasil analisa dari kedua variabel didapatkan nilai p value Sig (two tailed) sebesar 0,023 ≤ α (0,05) yang menunjukkan bahwa ada hubungan ulkus diabetik pada penderita diabetes melitus dengan citra tubuh. Klien yang menderita diabetes mellitus akan mempengaruhi penampilan tubuh, terutama akan berdampak pada citra tubuh sehingga sangat penting bagi klien diabetes mellitus untuk meningkatkan penyesuaian dalam menangani proses penyakit dan konsekuensi penyakit. Kata kunci: ulkus diabetic; citra tubuh

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Diabetes and mental health

Cited by 40 publications

References 19 publications

Anxiety and Depression Among Adult Patients With Diabetic Foot: Prevalence and Associated Factors

Anxiety and Depression Among Adult Patients With Diabetic Foot: Prevalence and Associated Factors

Uncertainty in Ilness and Psychological Status in Patients with Diabetes Mellitus

Hubungan Ulkus Diabetik Dengan Citra Tubuh Klien Diabetes Mellitus Tipe 2

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