Prevalence and correlates of psychological distress among diabetes mellitus adults in the Jilin province in China: a cross-sectional study

Abstract

BackgroundPsychological disorders are common in diabetes mellitus (DM) patients, and the aim of this study was to estimate the prevalence of psychological distress and to determine the influence factors associated with psychological distress among DM patients in the Jilin province of China.Methods and MaterialsMultistage, stratified cluster sampling was used in this cross-sectional study. The 12-item General Health Questionnaire (GHQ-12) was used to assess psychological status with the total score of ≥4 as the threshold for psychological distress.ResultsA total of 1,956 subjects with DM were included in the study. Out of this total diabetic participants, 524 (26.8%) had psychological distress. Multiple logistic regression analysis showed that low educational level, divorce or separation from one’s spouse, low family average monthly income, short sleep duration, being aware of DM status, and multiple co-morbidities are positively associated with psychological distress (all P < 0.05).ConclusionsThis study revealed a high rate of psychological distress among DM population in Jilin province. Low educational level, divorce or separation from one’s spouse, low family average monthly income, short sleep duration, awareness of DM status, and multiple co-morbidities are all associated with psychological distress among our study subjects. Interventions to control these factors are needed to address the psychological problems among diabetics in Jilin Province.

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

“…16 Also, separated and divorced had significantly higher distress in other researches. 4,5 The present study showed a significant association between occupational classes and diabetes related distress (p<0.004). Distress was significantly higher among unemployed (25%) as well as semi-professionals and professionals (21.5%) may be through different mechanisms.…”

“…This also favours the risk of serious complications and may reduce the quality of life and lead to early death. 5 Due to emotional burden achievement adequate blood sugar level becomes difficult due to decreased self-management and limited management of self-care activities. 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.…”

Psychosomatic complaints profile in patients with type 2 diabetes: a matched case-control study

“…In addition, they showed that the risk for type 2 diabetes increased by a hazard ratio (HR) of 1.03 for a one unit increase of the somatization score [19]. As it was mentioned, previous studies showed that psychological problems are common among diabetic patients [9][10][11][12]. It is believed that high prevalence of psychological symptoms among diabetic patients is related to poor glycemic control, diabetes complications, worsened prognosis, and quality of life [34].…”

“…Previous evidences suggested that psychological problems are common among diabetic patients, and they are at substantial risk of enhanced depression, anxiety, and stress. It is reported that depressive symptoms are two times more common in patients with diabetes; in addition, they are more susceptible to anxiety symptoms, anxiety disorders, stress reactivity, and psychological distress than population without diabetes [9][10][11][12]. The detrimental effects of these comorbidities in people with diabetes can be seen in a reduced quality of life, an increased risk for micro-and macro-vascular complications, poorer self-care behavior, and early mortality [13].…”

Diyabete Eşlik Eden Ruhsal Sorunlar ve Diyabet Yönetimi

“…45 Qiu ve arkadaşlarının 1956 diyabet hastası ile yaptığı bir çalışmada hastaların %26.8'inde ruhsal sıkıntı belirlenmiş ve ruhsal sıkıntının düşük eğitim düzeyi, boşanma/ayrılma, düşük gelir, kısa uyku süresi, hastalığın farkındalığı ve eşlik eden hastalık varlığı ile pozitif yönlü önemli bir ilişki gösterilmiştir. 46 Akılcı olmayan sağlık inançları: Özellikle bazı kültürel gruplarda insülin kullanımına ilişkin akılcı olmayan sağlık inançları yaygındır. Örneğin; diyabet yaygınlığının yüksek olduğu nüfusta bireyler, kronolojik olarak insülin ile eş zamanlı ilerlemiş komplikasyonu olan aile üyelerini görerek insülin ile bu komplikasyonları ilişkilendirebilirler.…”