Diabetes-related distress and its associated factors among patients with type 2 diabetes mellitus in China

Zhou, Huanhuan; Zhu, Jun; Liu, Lin; Fan, Li; Fish, Anne F.; Chen, Tao; Lou, Qingqing

doi:10.1016/j.psychres.2017.02.049

Cited by 58 publications

(80 citation statements)

References 32 publications

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“…Prevalence of distress in other Asian countries was reported to be higher, ranging from 19-23%. 6,7 A study conducted in South Africa revealed that 44% of subjects suffered from moderate to high level of distress and also higher scores of emotional burden dimension and regimen distress, in congruence with the study results. 10 In a North Indian study by Gahlan, et al the prevalence was 18% with the highest subscale being emotional burden dimension.…”

Section: Discussionsupporting

confidence: 82%

“…Here the distress has more prevalence than depression in a diabetes individual, and other than HbA1c, factors like age, gender treatment adherence and social support also has an influence on the distress. 6 Advanced age, being unmarried, having more complications and co morbidities, having less family support, and being depressed are associated with higher levels of distress. 7 In order to maintain better glycaemic control, good diabetes self-care behaviours like patient's knowledge and physical skills, and social and emotional factors should be favourable.…”

Section: Introductionmentioning

confidence: 99%

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Diabetes related distress in adults with type 2 diabetes mellitus: a community-based study

Symon

Vargese

Bahar

et al. 2018

Int J Community Med Public Health

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Background: Living with diabetes can be difficult, since it can affect the patient physically as well as psychologically. Patients with diabetes face psychological issues which may be part of the spectrum of disease experience, distinct from depression, which hinder glycaemic control. The objective of the study was to determine the prevalence of diabetes related distress, and its association with socio-demographic characteristics, in adults with type 2 diabetes.Methods: A community based cross sectional study was conducted among 250 individuals of 30-60 years, with type 2 diabetes.Results: The prevalence of diabetes related distress in the study population was 13.3%; among the sub scales highest reported was regimen related distress 21.6%, followed by physician related 17.2%, emotional burden 16.4%, and inter personal distress 14.8%. Diabetes related distress was found to have significant statistical association with occupational class. In occupational class, distress was higher among unemployed while least in unskilled workers. It was higher among older (above 50 years) participants, males, members of joint family, unmarried and those with more years of education though there was no significant difference.Conclusions: The prevalence of diabetes related distress (13.2%) especially regimen and physician related, underscores need for better clinician involvement paying appropriate attention to systematic diabetes self-care and management education, and timely diagnosis of distress for positive clinical outcome.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Diabetes related distress in adults with type 2 diabetes mellitus: a community-based study

Symon

Vargese

Bahar

et al. 2018

Int J Community Med Public Health

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“…An earlier study conducted in USA (Fisher et al, 2012) using the DDS-17 scale showed that 51.3% of the screened participants have moderate to high DRD. Similar distress proportions were shown from the studies conducted in Bangladesh (48.5%), China (43%) and Canada (39%) using DDS-17 (Islam et al, 2013;Wong et al, 2017;Zhou et al, 2017). Emotional burden was considered as the most important domain in measuring diabetes distress especially among women.…”

Section: Discussionsupporting

confidence: 76%

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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“…Karakteristik sosio-demografi responden secara detail, disampaikan pada tabel 1. Lloyd, Smith, & Weinger, 2005;Zhou et al, 2017). Fenomena tentang stres pada penyandang DM cenderung diidentifikasi sebagai hal yang baru dibandingkan dengan gangguan psikologis lain yang pernah ditemukan (Rariden, 2019).…”

Section: Hasilunclassified

Pengkajian Stres pada Penyandang Diabetes Mellitus

Naibaho

Kusumaningrum

2020

Jurnal Ilmu Keperawatan Jiwa

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Stres dapat dialami oleh penyandang Diabetes Mellitus atau DM karena harus menjalankan perubahan pola hidup seperti pengaturan pola makan, kontrol gula darah, mengkonsumsi obat-obatan, dan memperbanyak aktivitas yang bertujuan agar tidak terjadi peningkatan gula darah. Penelitian ini bertujuan untuk mengidentifikasi tingkat stres yang dialami oleh penyandang DM. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional dan menggunakan instrumen penelitian berupa kuesioner Depression Anxiety Stres Scale (DASS). Pengambilan sampel dilaksanakan selama bulan Mei 2018 menggunakan teknik consecutive sampling pada pasien di Rowosari, Semarang. Sebanyak 112 responden telah berpartisipasi dalam penelitian ini. Analisis data dilakukan secara univariat yang memaparkan frekuensi dan persentase. Hasil penelitian ini menunjukkan bahwa mayoritas responden yang berpartisipasi adalah perempuan (77,7%) dan mengalami komplikasi (82,1%). Temuan lainnya menunjukkan bahwa lebih banyak penyandang DM yang mengalami stres sedang (32,1%) daripada stres normal, ringan, berat atau sangat berat. Penyandang DM yang memiliki tingkat stres sedang memiliki ciri-ciri mudah marah, mudah sensitif, sulit beristirahat, merasa lelah karena cemas, tidak sabar, gelisah, dan tidak dapat memaklumi hal yang dapat menganggu. Secara umum, kebanyakan penyandang DM sering kali menghabiskan banyak energi untuk merasa cemas dan juga sulit untuk beristirahat. Kata kunci: diabetes mellitus, glukosa darah, kadar glukosa darah, stres ASSESSMENT OF STRESS IN PATIENTS WITH DIABETES MELLITUS ABSTRACTStress can be experienced by patients with Diabetes Mellitus or DM because they have to run lifestyle changes such as diet, blood sugar control, drugs consumption, and reproduce activities aimed at not increasing blood sugar. The study aimed to determine level of stress in diabetes patients in patients with DM. This research was a quantitative research with cross sectional approach and using Depression Anxiety Stress Scale (DASS) questionnaire. Consecutive sampling technique was used to gather the data from respondents in Rowosari Semarang in May 2018. One hundred and twelve patients full-filed the questionnaire. Data analysis was carried out univariately which explained the frequency and percentage. The majority of respondents were women (77.7%) and had complication of DM (82.1%). Findings also revealed that more of diabetes patients have experienced moderate stress (32.1%) than normal, mild, severe, or very severe. Patients with diabetes who have moderate levels of stress have characteristics of easy irritated, sensitive, difficult to rest, displeasure, anxious, and cannot understand things easily. Generally speaking, more diabetes patients consume more energy for worry something easily irritated and difficult to rest. Keywords: diabetes mellitus, blood glucose, blood glucose level, stress

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Diabetes-related distress and its associated factors among patients with type 2 diabetes mellitus in China

Cited by 58 publications

References 32 publications

Diabetes related distress in adults with type 2 diabetes mellitus: a community-based study

Diabetes related distress in adults with type 2 diabetes mellitus: a community-based study

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

Pengkajian Stres pada Penyandang Diabetes Mellitus

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