Prevalence and predictors of diabetes-related distress in adults with type 1 diabetes

Grulovic, Natasa; Kuzman, Martina Rojnić; Baretić, Maja

doi:10.1038/s41598-022-19961-4

Cited by 7 publications

(7 citation statements)

References 29 publications

(38 reference statements)

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“…Most studies have reported on either diabetes distress or depression in people with type 1 diabetes. Recent studies from Norway have shown elevated levels of diabetes distress in 21.7% of people with type 1 diabetes ( 31), while a study from Croatia showed elevated level of diabetes distress in 36% of people with type 1 diabetes (32). Compared to both studies, the present study showed a high diabetes distress rate using the same cut-point.…”

Section: Discussioncontrasting

confidence: 45%

Prevalence and predictors of diabetes distress and depression in people with type 1 diabetes

AlOzairi,

Irshad,

AlKandari

et al. 2024

Front. Psychiatry

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BackgroundPeople living with diabetes often encounter psychosocial challenges, including diabetes distress and depression. Despite this, little research has focused on the co-occurrence of these conditions. This study aimed to explore the prevalence of depressive symptoms and diabetes distress in people with type 1 diabetes in Kuwait and to identify clinical and demographic factors associated with these conditions.MethodsA total of 832 people with type 1 diabetes (females: 54.1%, mean age: 29 ± 8.5 years), were invited to participate in Dose Adjustment for Normal Eating (DAFNE) course. Diabetes distress was measured using the Problem Areas in Diabetes (PAID) scale and depressive symptoms were measured using the Patient Health Questionnaire-9 (PHQ-9). Depressive symptoms were defined as PHQ-9 scores ≥10. Data on biomedical outcomes, lifestyle factors, and sociodemographic information were collected.ResultsThe prevalence rates of diabetes distress and depressive symptoms were 27.8% and 38.3%, respectively. Notably, 19.6% of people experienced both conditions. In the regression analysis, PAID scale and PHQ-9 scores were significantly associated, patients with higher score on depressive symptoms scale were more likely to suffer diabetes distress (B= 2.65, p < 0.001). Female sex (odds ratio [OR]= 2.2, 95% CI= 1.5, 3.2), higher hemoglobin A1c levels (OR= 1.6, 95% CI= 1.0, 2.5), obesity (OR= 1.7, 95% CI= 1.1, 2.8), inactivity (OR= 2.4, 95% CI= 1.6, 3.6), microvascular complications (OR= 2.8, 95% CI= 1.5, 5.4), and lipohypertrophy (OR= 1.7, 95% CI= 1.1, 2.5) were associated with greater odds for the co-occurrence of diabetes distress and depressive symptoms (p< 0.05 for all).ConclusionThe majority of people with type 1 diabetes in Kuwait experience both diabetes distress and depressive symptoms. The strong correlation between diabetes distress and depressive symptoms suggests mutual predictability. The co-occurrence of both symptoms is associated with many sociodemographic and clinical factors.

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Section: Discussioncontrasting

confidence: 45%

Prevalence and predictors of diabetes distress and depression in people with type 1 diabetes

AlOzairi,

Irshad,

AlKandari

et al. 2024

Front. Psychiatry

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“…12 In addition to the physical challenges of managing T1D, individuals with the condition may also experience DRD, which can have a significant impact on their quality of life. 13,14 DRD can be caused by factors such as the constant need for selfmanagement, fear of hypoglycaemia and anxiety about long-term complications. 14 The prevalence of DRD among adults with T1D ranges from 10% to 45%, depending on the measurement tool used.…”

Section: Introductionmentioning

confidence: 99%

“…13,14 DRD can be caused by factors such as the constant need for selfmanagement, fear of hypoglycaemia and anxiety about long-term complications. 14 The prevalence of DRD among adults with T1D ranges from 10% to 45%, depending on the measurement tool used. 3,15 Recognizing the significant psychological burden that people with T1D face, in 2019 the National Health Service England published national guidance to support glucose monitoring in this population.…”

Section: Introductionmentioning

confidence: 99%

“…According to the International Diabetes Federation, the global prevalence of T1D is estimated to be approximately one in 300 people, with an estimated 1.1 million children and adolescents living with T1D worldwide 12 . In addition to the physical challenges of managing T1D, individuals with the condition may also experience DRD, which can have a significant impact on their quality of life 13,14 . DRD can be caused by factors such as the constant need for self‐management, fear of hypoglycaemia and anxiety about long‐term complications 14 .…”

Section: Introductionmentioning

confidence: 99%

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Effect of intermittently scanned continuous glucose monitoring in people with diabetes with a psychosocial indication for initiation

Ssemmondo,

Deshmukh,

Wilmot

et al. 2024

Diabetes Obesity Metabolism

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AimTo understand the effect of intermittently scanned continuous glucose monitoring (isCGM) in people with diabetes with a ‘psychosocial’ indication for access.MethodsThe study utilized baseline and follow‐up data from the Association of British Clinical Diabetologists nationwide audit of people with diabetes in the UK. Diabetes‐related distress (DRD) was assessed using the two‐item diabetes‐related distress scale (DDS). Participants were categorized into two groups: high DRD (DDS score ≥ 3) and lower DRD (DDS score < 3). The t‐test was used to assess the difference in the pre‐ and post‐isCGM continuous variables.ResultsThe study consisted of 17 036 people with diabetes, with 1314 (7%) using isCGM for ‘psychosocial’ reasons. Follow‐up data were available for 327 participants, 322 (99%) of whom had type 1 diabetes with a median diabetes duration of 15 years; 75% (n = 241) had high levels of DRD. With the initiation of isCGM, after a mean follow‐up period of 6.9 months, there was a significant reduction in DDS score; 4 at baseline versus 2.5 at follow‐up (P < .001). The prevalence of high DRD reduced from 76% to 38% at follow‐up (50% reduction in DRD, P < .001). There was also a significant reduction in HbA1c (78.5 mmol/mol [9.3%] at baseline vs. 66.5 mmol/mol [8.2%] at follow‐up; P < .001). This group also experienced an 87% reduction in hospital admissions because of hyperglycaemia/diabetic ketoacidosis (P < .001).ConclusionPeople with diabetes who had isCGM initiated for a psychosocial indication had high levels of DRD and HbA1c, which improved with the use of isCGM.

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“…The association is more pronounced than the link between depression and glycemic levels [ 9 , 10 ]. Moreover, microvascular complications and high HbA1c are significant predictors of severe diabetes distress [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Living with Type 1 Diabetes as Experienced by Adults with Prolonged Elevated HbA1c: A Qualitative Study

et al. 2023

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Introduction High HbA1c levels in type 1 diabetes (T1D) are associated with increased risk of micro- and macrovascular complications and severe diabetes distress. A more comprehensive understanding of the adult perspective of living with T1D can improve the quality of care. We aimed to describe experiences of living with T1D as an adult with prolonged elevated HbA1c. Methods Thirteen adults with T1D and HbA1c > 60 mmol/mol (7.6%) for at least 1 year were individually interviewed via a digital platform. The interviews were transcribed verbatim and analyzed using qualitative content analysis. Results The analysis identified an overarching theme, “a lifelong follower”, and generated two main categories describing study participants’ experience: constraining and manageable. Constraining experiences were explained in obligated control, loss of control, environmental impact, and consequences of diabetes. Manageable experiences were described in everyday life, approach to diabetes, and support in life. Diabetes knowledge in health care and in the general public, and individualized care were important factors in feeling understood, safe, and supported. Conclusions The findings revealed the diverse experiences of adults with prolonged elevated HbA1c. Living with T1D, a lifelong non-chosen follower, could be perceived as constraining but manageable in different degrees. A person-centered care approach addressing both dimensions may be beneficial. Experiences of living with and managing diabetes are multifaceted and intertwined with life context and medical prerequisites. Supplementary Information The online version contains supplementary material available at 10.1007/s13300-023-01443-z.

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Prevalence and predictors of diabetes-related distress in adults with type 1 diabetes

Cited by 7 publications

References 29 publications

Prevalence and predictors of diabetes distress and depression in people with type 1 diabetes

Prevalence and predictors of diabetes distress and depression in people with type 1 diabetes

Effect of intermittently scanned continuous glucose monitoring in people with diabetes with a psychosocial indication for initiation

Living with Type 1 Diabetes as Experienced by Adults with Prolonged Elevated HbA1c: A Qualitative Study

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