Quality of life and mental health measurements among patients with type 2 diabetes mellitus: a systematic review

Abstract

Background Over the past few decades the benefits of assessing Quality of Life (QoL) and mental health in patients with Type 2 Diabetes Mellitus (T2DM) have steadily increased with limited studies relating to the most useful method to assess these patients. This study aims to identify, review, summarise, and evaluate the methodological quality for the most validated commonly used health-related QoL and mental health assessment measurements in diabetic patients. Methods All original articles published on PubMed, MedLine, OVID, The Cochrane Register, Web of Science Conference Proceedings and Scopus databases were systematically reviewed between 2011 and 2022. A search strategy was developed for each database using all possible combinations of the following keywords: “type 2 diabetes mellitus”, “quality of life”, mental health”, and “questionnaires”. Studies conducted on patients with T2DM of ≥ 18 years with or without other clinical illnesses were included. Articles designed as a literature or systematic review conducted on either children or adolescents, healthy adults and/or with a small sample size were excluded. Results A total of 489 articles were identified in all of the electronic medical databases. Of these articles, 40 were shown to meet our eligibility criteria to be included in this systematic review. Approximately, 60% of these studies were cross-sectional, 22.5% were clinical trials, and 17.5% of cohort studies. The top commonly used QoL measurements are the SF-12 identified in 19 studies, the SF-36, included in 16 studies, and the EuroQoL EQ-5D, found in 8 studies. Fifteen (37.5%) studies used only one questionnaire, while the remaining reviewed (62.5%) used more than one questionnaire. Finally, the majority (90%) of studies reported using self-administered questionnaires and only 4 used interviewer mode of administration. Conclusion Our evidence highlights that the commonly used questionnaire to evaluate the QoL and mental health is the SF-12 followed by SF-36. Both of these questionnaires are validated, reliable and supported in different languages. Moreover, using single or combined questionnaires as well as the mode of administration depends on the clinical research question and aim of the study.

Socio-behavioral determinants of health-related quality of life among patients with type 2 diabetes: comparison between 2015 and 2018

“…In both univariable and multivariable models, sex, BMI, and the presence of CVD and CKD showed notable associations with changes in RP. Consistent with our research, prior cross-sectional studies have similarly emphasized that sex, BMI, and sufficient physical activity are significant factors associated with PCS [ 32 – 34 ]. A study from Stanford also showed that in diabetics, the presence of obesity significantly impairs HRQoL [ 35 ].…”

Factors Associated with the Frequency of Medical Consultations in 1,355,354 Patients with Various Types of Diabetes Mellitus

“…Patients with mental health problems may need additional support, including frequent medical consultations to manage their psychological conditions and diabetes. Moreover, mental health problems can increase the perception of symptom severity, leading to greater utilization of healthcare services (30,31) .…”

Más allá del control glucémico: beneficios de la actividad física en la calidad de vida de personas con diabetes mellitus tipo 2: una revisión narrativa (Beyond glycemic control: benefits of physical activity on the quality of life of people with type 2 dia-betes mellitus: a narrative review)

“…Estas complicaciones, que varían desde alteraciones microvasculares, como la retinopatía diabética y la nefropatía, hasta macrovasculares, como enfermedades cardiovasculares y arteriales periféricas, representan un desafío considerable en el manejo clínico de la DM2 (Yapanis et al, 2022). Además, la carga emocional y psicológica asociada con la DM2, exacerbada por estas complicaciones, puede llevar a trastornos del ánimo, como la depresión y la ansiedad (Alzahrani et al, 2023).…”