Abstract:Background: Diabetes distress (DD) is a common worldwide problem in diabetic patients irrespective of age and type of treatment. In the DAWN 2 study (Diabetes Attitudes, Wishes, and Needs), DD was reported by 44.6% of participants. Objectives: The purpose of this study was to assess the prevalence and level of DD and its associated factors among adult diabetic patients in South East Nigeria. Methods: The present study was cross-sectional and descriptive. Patients attending the adult diabetes clinic were enroll… Show more
“…In addition, we found that diabetes duration was higher in the studies about diabetes distress. This is in agreement with a recent study that found an association of diabetes distress with a longer diabetes duration, younger age, use of insulin and T1D [42].…”
Background: Psychological complications are frequent in type 1 diabetes (T1D) but they might be difficult to distinguish one from the other in clinical practice. Our objective was to study the distinguishing characteristics, overlaps and their use in the literature between three concepts of T1D: depression, diabetes distress (DD) and diabetes burnout (DB). Methods: A scoping review (PRISMA guidelines) performed in three databases (PubMed/MEDLINE, PsycInfo, Web of Science) with the keywords: T1D, depression, diabetes and burnout, from January 1990 to June 2021. We selected original studies with participants with T1D, which reported depression, DD, or DB. We extracted information about the concepts, their sub-concepts and screening tools. Findings: Of the 4763 studies identified, 201 studies were included in the study. Seventy-three percent, 57% and 45% of sub-concepts do not overlap in depression, DD, and DB, respectively. We observed overlap between depression (27%)/DD (27%) and between DD (20%)/DB (50%). Interpretation: A number of sub-concepts distinguish depression and DD. Overlaps between concepts suggest that a more precise definition is still lacking. DB is still a relatively new concept and more research is needed to better understand how it can present itself differently, in order to personalize care in comparison to those having DD.
“…In addition, we found that diabetes duration was higher in the studies about diabetes distress. This is in agreement with a recent study that found an association of diabetes distress with a longer diabetes duration, younger age, use of insulin and T1D [42].…”
Background: Psychological complications are frequent in type 1 diabetes (T1D) but they might be difficult to distinguish one from the other in clinical practice. Our objective was to study the distinguishing characteristics, overlaps and their use in the literature between three concepts of T1D: depression, diabetes distress (DD) and diabetes burnout (DB). Methods: A scoping review (PRISMA guidelines) performed in three databases (PubMed/MEDLINE, PsycInfo, Web of Science) with the keywords: T1D, depression, diabetes and burnout, from January 1990 to June 2021. We selected original studies with participants with T1D, which reported depression, DD, or DB. We extracted information about the concepts, their sub-concepts and screening tools. Findings: Of the 4763 studies identified, 201 studies were included in the study. Seventy-three percent, 57% and 45% of sub-concepts do not overlap in depression, DD, and DB, respectively. We observed overlap between depression (27%)/DD (27%) and between DD (20%)/DB (50%). Interpretation: A number of sub-concepts distinguish depression and DD. Overlaps between concepts suggest that a more precise definition is still lacking. DB is still a relatively new concept and more research is needed to better understand how it can present itself differently, in order to personalize care in comparison to those having DD.
“…Studies that were done in Bangladesh 39 and Malaysia 13 using the DDS-17 scale showed that almost half of patients with T2DM had DRD. Studies in Ghana 22 and Nigeria 19 reported that 44.7% and 51.9% of patients had high levels of DRD, respectively. This discrepancy between the previously reported DRD magnitude and the current prevalence might result from better family and social support implemented in our societies and patients might have under-rated their level of distress.…”
Section: Discussionmentioning
confidence: 98%
“… 17 , 18 Studies illustrated that younger age, lower level of education, longer duration of diabetes, use of insulin injection, and higher HbA1c were factors strongly associated with higher DRD in the cross-sectional analyses. 19–21 …”
Section: Introductionmentioning
confidence: 99%
“…17,18 Studies illustrated that younger age, lower level of education, longer duration of diabetes, use of insulin injection, and higher HbA1c were factors strongly associated with higher DRD in the cross-sectional analyses. [19][20][21] High levels of DRD have been found to be a significant contributor to low levels of physical activity and nonadherence to diet and prescribed medications which in turns leads to poor glycemic control. 22,23 When compared with patients with diabetes alone, patients with diabetes and co-morbid DRD have poorer glycemic control.…”
Introduction
Diabetes related distress is the most common psychological co-morbid condition among type 2 diabetes patients. However, although the number of people living with diabetes has continued to increase over the last 10 years, information regarding diabetes related distress is limited in Ethiopia.
Objective
The present study aimed to assess the prevalence of diabetes related distress and associated factors among type 2 diabetes patients attending hospitals in Southwest Ethiopia.
Methods
A cross-sectional study was employed on 360 type 2 diabetes patients attending hospitals from January 1 to March 30, 2020. Convenient sampling technique was used to select study participants. Data were entered into EpiData manager version 4.2.2 and exported to Statistical Package for the Social Sciences (SPSS) version 20.0 and analyzed using descriptive statistics, bivariate and multivariate logistic regressions. The statistical significance was set at P < 0.05.
Results
Out of a total 360 patients recruited, 321 (89.2%) patients (201 male and 120 female) were involved in the study. The mean age of the participants was 41.3 (SD = 12.8) years. The prevalence of diabetes related distress was 118 (36.8%) in which emotional distress was the most prevalent (43.6%) domain. Level of education [AOR 4.55; 95% CI: 1.28–16.19], family or social support [AOR 0.62; 95% CI: 0.33–1.06], duration of diabetes [AOR 0.75; 95% CI: 0.35–1.55], having diabetes complications [AOR 1.98; 95% CI: 1.0–3.86], smoking status [AOR 1.6; 95% CI: 1.12–2.97] and alcohol consumption status [AOR 1.4; 95% CI: 1.07–2.53] were the identified factors of diabetes related distress.
Conclusion
Diabetes related distress was highly prevalent in type 2 diabetes patients. Healthcare providers need to address this through integrating psychosocial care with collaborative medical care.
“…By itself, pharmacologic management does not ensure improvement in long-term patient-oriented outcomes such as the quality of life or all-cause mortality. Additional nonpharmacologic interventions are needed to empower individuals to improve their quality of life [2]. Yet, a majority of these individuals remain nonadherent to lifestyle guidelines [3].…”
<b><i>Objectives:</i></b> Lifestyle factors such as nutrition and physical activity play an important role in the management of diabetes mellitus. Unfortunately, adherence to lifestyle change remains low among patients with diabetes. The aim of this study was to evaluate the effectiveness of the Diabetes Score questionnaire in a clinical setting. <b><i>Methods:</i></b> The Diabetes Score is a 10-item shared decision-making tool designed to empower lifestyle change in individuals with diabetes. It yields an intuitive score from 0 to 100 based on a patient’s adherence to lifestyle recommendations. An observational study was conducted at an ambulatory health care center. After obtaining written informed consent, adult patients with type 2 diabetes mellitus were interviewed by a trained researcher using the Diabetes Score questionnaire. Patients’ Diabetes Score values were analyzed in reference to their glycemic control and other clinical and demographic factors. <b><i>Results:</i></b> A total of 60 individuals with type 2 diabetes participated in the study. The mean age was 56 years (minimum 43 years, maximum 70 years) with 60% being males. Higher Diabetes Scores correlated with better glycemic control (hemoglobin A1C; <i>r</i> = −0.23, <i>p</i> = 0.044) indicating the effect of lifestyle factors such as healthy nutrition, smaller portion sizes, active lifestyle, and aerobic exercise. The questionnaire showed internal consistency (alpha 0.66), construct validity, and high patient satisfaction (98%). <b><i>Conclusion:</i></b> Diabetes Score, a behavioral lifestyle questionnaire, correlates with glycemic control in type 2 diabetes. Diabetes Score can be used in clinical settings for measuring, discussing, and setting targets for lifestyle change among patients with diabetes.
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