Psychological effects of prevention: do participants of a type 2 diabetes prevention program experience increased mental distress?

Giel, Katrin Elisabeth; Enck, Paul; Zipfel, Stephan; Schrauth, Markus; Bury, Anna; Graf, Marjo; Kümmerle, Sabine; Guthoff, Martina; Stefan, Norbert; Häring, Hans-Ulrich; Fritsche, Andreas

doi:10.1002/dmrr.917

Cited by 11 publications

(5 citation statements)

References 20 publications

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“…It revealed that after 9 months of lifestyle intervention on individuals without prior mental pathology, there was a significant reduction of mood disorders such as depression, anxiety, and distress. 68 The relationship between people's instinctive perception and the real risk of contracting cardiovascular disease was assessed in a Dutch cross-sectional study conducted using a questionnaire during medical consultations involving 490 patients between 40 and 70 years of age. 69 The recognition of the risk condition was most evident in smokers, hypertensive and obese patients than in diabetic patients.…”

Section: New Technological Approachesmentioning

confidence: 99%

Educational strategies for the prevention of diabetes, hypertension, and obesity

Machado

Lima

Laureano

et al. 2016

Rev. Assoc. Med. Bras.

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Objective:The main goal of this work was to produce a review of educational strategies to prevent diabetes, hypertension, and obesity. Method: PubMed database was consulted using combined descriptors such as [Prevention] Results: A total of 8,908 articles were found, of which 1,539 were selected about diabetes mellitus (DM, n=369), arterial systemic hypertension (ASH, n=200), and obesity (OBES, n=970). The number of free full text articles available was 1,075 (DM = 276, ASH = 118 and OBES = 681). In most of these studies, demographic characteristics such as gender and age were randomized, and the population mainly composed by students, ethnic groups, family members, pregnant, health or education professionals, patients with chronic diseases (DM, ASH, OBES) or other comorbidities. Group dynamics, physical activity practices, nutritional education, questionnaires, interviews, employment of new technologies, people training and workshops were the main intervention strategies used. Conclusion:The most efficient interventions occurred at community level, whenever the intervention was permanent or maintained for long periods, and relied on the continuous education of community health workers that had a constant interference inside the population covered. Many studies focused their actions in children and adolescents, especially on students, because they were more influenced by educational activities of prevention, and the knowledge acquired by them would spread more easily to their family and to society.

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Section: New Technological Approachesmentioning

confidence: 99%

Educational strategies for the prevention of diabetes, hypertension, and obesity

Machado

Lima

Laureano

et al. 2016

Rev. Assoc. Med. Bras.

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“…To our knowledge, no published study to date has examined the psychological effects of receiving a diagnosis of dysglycemia. However, after 9 months in a 24-month lifestyle intervention for T2DM prevention in a high-risk (with or without dysglycemia) German population, participation was not associated with higher levels of anxiety, depression, or overall psychological distress than in the general population (210).…”

Section: Effectiveness Of Screening For Hyperglycemia: Potential Benementioning

confidence: 77%

Screening for Type 2 Diabetes and Dysglycemia

Echouffo‐Tcheugui¹,

Ali²,

Griffin³

et al. 2011

Epidemiologic Reviews

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Type 2 diabetes mellitus (T2DM) and dysglycemia (impaired glucose tolerance and/or impaired fasting glucose) are increasingly contributing to the global burden of diseases. The authors reviewed the published literature to critically evaluate the evidence on screening for both conditions and to identify the gaps in current understanding. Acceptable, relatively simple, and accurate tools can be used to screen for both T2DM and dysglycemia. Lifestyle modification and/or medication (e.g., metformin) are cost-effective in reducing the incidence of T2DM. However, their application is not yet routine practice. It is unclear whether diabetes-prevention strategies, which influence cardiovascular risk favorably, will also prevent diabetic vascular complications. Cardioprotective therapies, which are cost-effective in preventing complications in conventionally diagnosed T2DM, can be used in screen-detected diabetes, but the magnitude of their effects is unknown. Economic modeling suggests that screening for both T2DM and dysglycemia may be cost-effective, although empirical data on tangible benefits in preventing complications or death are lacking. Screening for T2DM is psychologically unharmful, but the specific impact of attributing the label of dysglycemia remains uncertain. Addressing these gaps will inform the development of a screening policy for T2DM and dysglycemia within a holistic diabetes prevention and control framework combining secondary and high-risk primary prevention strategies.

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“… 27 Another trial showed that the implementation of a diabetes prevention program was associated with a decrease in depressive symptoms in the intervention group compared with the control group. 28 The authors of both trials suggest that decreased depressive symptoms may be related to a heightened sense of control over diabetes. 27 , 28 However, a meta-analysis of web-based interventions that promoted better diabetes care did not show that such interventions were associated with decreased depression.…”

Section: Discussionmentioning

confidence: 99%

“… 28 The authors of both trials suggest that decreased depressive symptoms may be related to a heightened sense of control over diabetes. 27 , 28 However, a meta-analysis of web-based interventions that promoted better diabetes care did not show that such interventions were associated with decreased depression. 29 …”

Section: Discussionmentioning

confidence: 99%

The association between diabetes and depressive symptoms varies by quality of diabetes care across Europe

Graham

Thomson

Bambra

2018

European Journal of Public Health

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BackgroundDepressive symptoms are more common in adults with diabetes and may arise from the physical and psychosocial burden of disease. Better quality of diabetes care may be associated with a reduced disease burden and fewer depressive symptoms.MethodsThis cross-sectional study included 34 420 participants from 19 countries in the European Social Survey Round 7 (2014–2015). Countries were grouped into quartiles based on their quality of diabetes care as measured in the Euro Diabetes Index 2014. Individual-level depressive symptoms were measured using the 8-item Center for Epidemiologic Studies—Depression Scale. Negative binomial regression was used to compare the number of depressive symptoms between adults with and without diabetes in each quartile of diabetes care quality. Analyses included adjustment for covariates and survey weights.ResultsIn countries with the highest quality of diabetes care, having diabetes was associated with only a 3% relative increase in depressive symptoms (95% CI 1.00–1.05). In countries in the second, third and fourth (lowest) quartiles of diabetes care quality, having diabetes was associated with a 13% (95% CI 1.08–1.17), 13% (1.08–1.19) and 22% (1.14–1.31) relative increase in depressive symptoms, respectively.ConclusionThe association between diabetes and depressive symptoms appears stronger in European countries with lower quality of diabetes care. Potential pathways for this association include the financial aspects of diabetes care, access to services and differential exposure to the social determinants of heath. Further research is needed to unpack these mechanisms and improve the quality of life of people with diabetes across Europe.

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Psychological effects of prevention: do participants of a type 2 diabetes prevention program experience increased mental distress?

Cited by 11 publications

References 20 publications

Educational strategies for the prevention of diabetes, hypertension, and obesity

Educational strategies for the prevention of diabetes, hypertension, and obesity

Screening for Type 2 Diabetes and Dysglycemia

The association between diabetes and depressive symptoms varies by quality of diabetes care across Europe

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