Diabetes-related burden and distress in people with diabetes mellitus at primary care level in Germany

Kuniß, Nadine; Rechtacek, T; Kloos, C; Müller, Ulrich A.; Roth, Johannes; Burghardt, K; Kramer, G

doi:10.1007/s00592-017-0972-3

Cited by 26 publications

(30 citation statements)

References 24 publications

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“…It was noted that those who had high levels of DDS had poor glycemic control. Similar finding was also observed in other populations (Islam et al, 2013;Kuniss et al, 2017;Aljuaid et al, 2018). Diabetes related distress generally shows a closer association with glycemic control.…”

Section: Discussionsupporting

confidence: 89%

Assessment of diabetes related distress among subjects with type 2 diabetes in South India

Hemavathi¹,

Kumpatla²,

Smina³

et al. 2019

Int. J. Psychol. Couns.

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Diabetes is a complex chronic disease that affects not only an individual's physical health, but can also have a profound impact on mental wellbeing. The aim of this study was to assess the prevalence of DRD among subjects with type 2 diabetes (T2DM) using Diabetes Distress Scale-17 (DDS-17) and to see its correlation with glycemic control and treatment modalities. A cross-sectional study of 400 T2DM subjects (200 men and 200 women) aged between 25 to 65 years who visited the tertiary care centre for diabetes in South India between April 2017 and May 2018 were included in this study. Subjects with T1DM, gestational diabetes mellitus (GDM) and psychiatric illness were excluded. The total score of DDS-17 was calculated by taking a sum of the 17 items' results and then dividing the total by 17. Clinical validation of the DDS suggests that the following thresholds of severity should be applied when interpreting the scores: little or no distress < 2.0, moderate distress = 2.0-2.9, and high distress ≥ 3.0. The mean age of men and women was 52.0 ± 8.4 and 51.7 ± 8.1 years, respectively. The mean score in women was 2.79 ± 1.52 as compared to men (1.62 ± 0.83) (p<0.001). The study findings highlighted that women had high levels of distress in managing diabetes as compared to men. Diabetes distress should be considered as a significant health problem and steps should be taken for effective management by lifestyle modifications, coping with their stress and diabetes.

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Section: Discussionsupporting

confidence: 89%

Assessment of diabetes related distress among subjects with type 2 diabetes in South India

Hemavathi¹,

Kumpatla²,

Smina³

et al. 2019

Int. J. Psychol. Couns.

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“…Conversely, a study in Germany conducted at a tertiary care facility reported the prevalence of DRD was 8.9% using the Problem Area in Diabetes (PAID) questionnaire, the same level found in this study. However, another German study conducted at the primary care level reported only a 1.2% prevalence of DRD using the PAID scale [39,40]. The differences in DRD prevalence might result from differences in the assessment tools, i.e., the PAID and the DDS-17 questionnaires, which could potentially affect prevalence, e.g., sample size, access to health care, care setting [39], and demographic variables, e.g., education level and family support, as well as health status, e.g., HbA1c level, and co-morbidity [24,41,42].…”

Section: Discussionmentioning

confidence: 96%

“…The differences in DRD prevalence might result from differences in the assessment tools, i.e., the PAID and the DDS-17 questionnaires, which could potentially affect prevalence, e.g., sample size, access to health care, care setting [39], and demographic variables, e.g., education level and family support, as well as health status, e.g., HbA1c level, and co-morbidity [24,41,42]. The findings of these studies are consistent with our finding that DRD prevalence is higher in people with type 2 diabetes treated in a secondary and tertiary care setting than in those treated in a primary care setting [39,43].…”

Section: Discussionmentioning

confidence: 99%

Type 2 Diabetes Mellitus Related Distress in Thailand

Tunsuchart

Lerttrakarnnon

Srithanaviboonchai

et al. 2020

IJERPH

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This study aimed to investigate prevalence and factors potentially associated with diabetes-related distress (DRD) among type 2 diabetes mellitus (T2DM) patients in a primary health care center in Thailand. This cross-sectional study was conducted with a total of 370 patients with T2DM. Data were collected at primary health care centers in Hang Dong District, Chiang Mai Province, Thailand. DRD was assessed using the Diabetes Distress Scale (DDS-17). The association between sociodemographic characteristics and other factors with DRD was analyzed using the Fisher t-test, Chi-square test, and Pearson’s correlation coefficient test. The association between Hemoglobin A1c (HbA1c) and DRD was analyzed using multiple linear regression analysis. The participants had a mean age of 60.95 ± 7.96, and most were female (68.1%). Of the participants with DRD, 8.9% had moderate to high levels of distress. Education level and family support were significantly associated with the overall level of DRD. Additionally, HbA1c and co-morbidity were also significantly associated with DRD, as were emotional burden and regimen distress. Multiple linear regression analysis found that increased HbA1c was positively associated with increased DRD after adjusting for age, sex, education, duration of T2DM, co-morbidity, diabetic complications, and family support. Screening with DRD may be beneficial in T2DM patients.

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“…Similarly, distress proportions were 48.5%, 43%, and 39% in three different studies using DDS-17 from Bangladesh, China, and Canada, respectively [ 11 – 13 ]. On the other hand, two studies from Germany used Problem Areas in Diabetes Questionnaire (PAID) to show that 8.9% and 10.7% of their sample were distressed [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Diabetes-Related Distress Assessment among Type 2 Diabetes Patients

Aljuaid

Almutairi

Assiri

et al. 2018

Journal of Diabetes Research

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Background and Objectives Diabetes is one of the most common chronic diseases; it is a debilitating and hard to live with. Diabetes-related distress (DRD) refers to the emotional and behavioral changes caused by diabetes. Our study aims to assess the prevalence of DRD among type 2 diabetes (T2D) patients using Diabetes Distress Scale-17 items (DDS-17) and its relation to complications and treatment modalities. Methods A cross-sectional study of adult T2D patients with follow-up visits at the Diabetes and Endocrinology Center in Taif, Saudi Arabia, between January and July 2017. We excluded patients with other forms of diabetes, untreated hypothyroidism, and psychiatric illness. The total score of DDS-17 was calculated by summing the 17 items' results and then dividing the total by 17. If the total score was >2, then it was considered as clinically significant results (moderate distress), but if it is ≥3, then it is classified as a high distress. Results A total of 509 T2D patients with a mean age of 58 ± 14 years were included. The majority of participants were male, married, not college educated, and reported a sedentary lifestyle. We found 25% of the screened T2D patients have moderate to high DRD. Regarding the DRD components, emotional distress was the most prevalent followed by physician-related distress. HabA1c was significantly higher in those with high combined distress and high emotional distress compared to those with mild/moderate distress (p = 0.015 and 0.030, resp.). Conclusion Our study shows that DRD is a medically relevant issue that clinicians need to address. Despite observing a low prevalence of DRD compared to other studies, we found significant correlations between DRD scores and HabA1c, triglyceride levels, BMI, T2D duration, and interval between visits.

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Diabetes-related burden and distress in people with diabetes mellitus at primary care level in Germany

Abstract: Only 1.2% of our outpatients with diabetes on primary care level showed high diabetes-related distress. Higher rates in the current literature are probably due to not investigating on primary care level. Guidelines should consider this.

Cited by 26 publications

References 24 publications

Assessment of diabetes related distress among subjects with type 2 diabetes in South India

Assessment of diabetes related distress among subjects with type 2 diabetes in South India

Type 2 Diabetes Mellitus Related Distress in Thailand

Diabetes-Related Distress Assessment among Type 2 Diabetes Patients

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