Psychosocial problems in patients with newly diagnosed diabetes: Number and characteristics

Rane, Kristina; Wajngot, Alexandre; Wändell, Per; Gåfvels, Catharina

doi:10.1016/j.diabres.2011.05.009

Cited by 32 publications

(35 citation statements)

References 32 publications

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“…All measurements were performed at inclusion and after 24 months. DM patients in the study were recruited from the Diabetes Outpatient Centre at Karolinska University Hospital, Solna (Rane et al, 2011), and RA patients were recruited from the Early Arthritis Clinic at the Department of Rheumatology, Karolinska University Hospital, Solna (Gafvels et al, 2012). Recruitment took place between January 2001 and December 2004.…”

Section: Methodsmentioning

confidence: 99%

Depression and anxiety after 2 years of follow-up in patients diagnosed with diabetes or rheumatoid arthritis

Gåfvels

Hägerström

Rane

et al. 2016

Health Psychology Open

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We studied emotional health in patients with diabetes mellitus (n = 89) or rheumatoid arthritis (n = 100) aged 18–65 years, at the time of diagnosis and after 24 months. Predictors for depression or anxiety according to the Hospital Anxiety and Depression scale after 2 years were assessed by logistic regression, with psychosocial factors and coping as dependent factors. There were many similarities between patients with diabetes mellitus or rheumatoid arthritis. Having children at home, low score on the Sense of Coherence scale, and high score on the coping strategy “protest” were important risk factors for depression and anxiety after 2 years.

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Section: Methodsmentioning

confidence: 99%

Depression and anxiety after 2 years of follow-up in patients diagnosed with diabetes or rheumatoid arthritis

Gåfvels

Hägerström

Rane

et al. 2016

Health Psychology Open

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“…After inclusion, an experienced medical social worker, not part of the research group, performed a structured diagnostic interview as previously described (Rane et al, 2011). In agreement with the patient, the interviewer assessed whether the patient had PSPs or not.…”

Section: Collection Of Psychosocial Datamentioning

confidence: 99%

Coping strategies among patients newly diagnosed with diabetes or rheumatoid arthritis at baseline and after 24 months

et al. 2016

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Patients aged 18-65 years with newly diagnosed diabetes mellitus ( n = 89) or rheumatoid arthritis ( n = 100) were studied by the General Coping Questionnaire at baseline and after 24 months. In total, 34 diabetes mellitus and 46 rheumatoid arthritis patients were diagnosed with psychosocial problems. The use of negative coping strategies, such as protest, isolation, and intrusion, was associated mostly with being classified as having psychosocial problems. With the risk of experiencing a strong impact of the disease at 2 years of follow-up as outcome, intrusion was a significant and independent risk factor, while minimization was a significant and independent protective factor.

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“…There is a paucity of literature characterizing the psychosocial impacts, including depressive symptoms, of new onset diabetes among adults (12) with the majority of psychosocial studies utilizing samples with a wide range of diabetes duration. Development theories have posited that the onset of diabetes is characterized by emotional adjustment that may include a period of grief and mourning or denial of the illness and its consequences (13).…”

Section: Introductionmentioning

confidence: 99%

Depressive Symptoms, Antidepressant Medication Use, and New Onset of Diabetes in Participants of the Diabetes Prevention Program and the Diabetes Prevention Program Outcomes Study

Marrero

Groot

et al. 2015

Psychosomatic Medicine

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Objective To assess in participants in the Diabetes Prevention Program and Diabetes Prevention Program Outcomes Study (DPP/DPPOS) whether diagnosis of diabetes predicted: elevated depressive symptoms (DS) or antidepressant medicine (ADM) use after diagnosis; diabetes status or duration had significant effect on DS or ADM use; and associations between A1C, fasting plasma glucose (FPG), normalization of FPG and DS or ADM use post diagnosis. Methods DPP participants in 3 treatment arms [intensive lifestyle (ILS), metformin (MET), placebo (PLC)] were assessed semiannually or annually for diabetes, glucose control, ADM use, and DS. DS was measured using Beck Depression Inventory (BDI) questionnaire. Among the total 3234 enrolled participants, 1285 developed diabetes whose levels of depression were measured before and after their diabetes diagnosis. Results Neither DS nor ADM use increased significantly following diabetes diagnosis. After diabetes diagnosis, higher FPG was associated with greater ADM use in the ILS arm independent of potential confounders; a 10 mg/dl higher in FPG is associated with 8.8% more odds of ADM use. Higher FPG, and higher A1C were associated with higher BDI scores in all three arms. On average, a participant with 10 mg/dl higher rise in FPG had a 0.07 increase in BDI score. Similarly, 1% higher A1c was associated with a 0.21 point increase in BDI score. On contrary, normalization of FPG was associated with lower BDI scores. In participants with FPG that had normalized, there was a decrease of 0.30 points in the BDI score compared to those whose FPG had not normalized. Conclusions Contrary to clinical attributions, the diagnosis of diabetes did not show an immediate impact on BDI scores or ADM use. However, higher glucose levels after diagnosis were associated with small but significant higher BDI score and more ADM use.

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Psychosocial problems in patients with newly diagnosed diabetes: Number and characteristics

Cited by 32 publications

References 32 publications

Depression and anxiety after 2 years of follow-up in patients diagnosed with diabetes or rheumatoid arthritis

Depression and anxiety after 2 years of follow-up in patients diagnosed with diabetes or rheumatoid arthritis

Coping strategies among patients newly diagnosed with diabetes or rheumatoid arthritis at baseline and after 24 months

Depressive Symptoms, Antidepressant Medication Use, and New Onset of Diabetes in Participants of the Diabetes Prevention Program and the Diabetes Prevention Program Outcomes Study

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