The prevalence and predictors of diabetes distress in elderly with type 2 diabetes mellitus

Azadbakht, Mojtaba; Tanjani, Parisa Taheri; Fadayevatan, Reza; Froughan, Mahshid; Zanjari, Nasibeh

doi:10.1016/j.diabres.2020.108133

Cited by 14 publications

(14 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, age difference was not a predictor of DD. Several studies showed that patients in the higher age group had higher DD risks, but few studies also found no significant difference between different age groups [ 3 , 28 ]. Younger age was associated with a higher DDS score stated by Chew et al [ 23 ] and could be explained by the stressors of family responsibilities, work, and financial challenges.…”

Section: Discussionmentioning

confidence: 99%

“…Similar to Huynh et al, we observed no influence of gender on the risk of DD [ 24 ]. However, few studies have reported that women are at higher risk of DD [ 2 , 3 , 9 ]. Women tend to have greater stress reactivity to various situations, such as stressful life and work events [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…The term ‘diabetes distress’ (DD) refers to an emotional response characterized by extreme apprehension, discomfort, or dejection due to the perceived inability to cope with the challenges and demands of living with diabetes mellitus (DM) [ 1 ]. DD includes a wide range of emotions, such as negative feelings, anger, fear, guilt, frustration, and shame, that may arise from the negative emotional burden of diabetes and concerns of the patient about blood sugar control, existing comorbidity, presence of complications, the indication of complications and access to treatments [ 2 , 3 ]. DD is a common psychological state found in persons with DM and their caregivers [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence and predictors of diabetes distress among adults with type 2 diabetes mellitus: a facility-based cross-sectional study of Bangladesh

et al. 2022

View full text Add to dashboard Cite

Introduction Diabetes distress (DD) is common and has considerable impacts on diabetes management. Unfortunately, DD is less discussed and frequently underestimated. This study evaluated the prevalence and predictors of DD in adults with type 2 diabetes mellitus (T2DM). Methods A cross-sectional study was conducted at several specialized endocrinology outpatient clinics in Bangladesh from July 2019 to June 2020; 259 adults with T2DM participated. Participants’ DD and depression were measured using the 17-item Diabetes Distress Scale (DDS-17) and 9-item Patient Health Questionnaire (PHQ-9), respectively. DDS-17 scores ≥2 and PHQ-9 scores ≥10 were the cutoffs for DD and significant depression, respectively. Results The mean (±SD) age of the participants was 50.36 (±12.7) years, with the majority (54.8%) being male; their median (IQR) duration of diabetes was 6 (3–11) years. Among the study participants, 52.5% had DD (29.7% moderate and 22.8% high DD). The prevalence of emotional burden, physician-related distress, regimen-related distress, and interpersonal distress was 68.7, 28.6, 66, and 37.7%, respectively. Depression was present in 40.5%; 28.6% of the participants had DD and depression. The total DDS-17 score was positively correlated with the PHQ-9 score (r = 0.325, p < 0.001). Rural residence (OR 1.94), presence of any diabetic complication (OR 3.125), insulin use (OR 2.687), and presence of major depression (OR 4.753) were positive predictors of DD. In contrast, age ≥ 40 years at diabetes diagnosis (OR 0.047) and diabetes duration of > 10 years (OR 0.240) were negative predictors of DD (p < 0.05 in all instances). Conclusions The prevalence of DD in our setting is notably high; DD and depression frequently overlap. Screening for diabetes distress may be considered, especially in high-risk patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and predictors of diabetes distress among adults with type 2 diabetes mellitus: a facility-based cross-sectional study of Bangladesh

et al. 2022

View full text Add to dashboard Cite

show abstract

“…2,3 Diabetes-related distress, emotional distress in response to the burden of diabetes management, 4 is estimated to affect up to 49% of persons with T2DM. 5-9 In addition to being a risk factor for developing T2DM, advancing age is also a risk factor for greater mood disturbance. 10,11 However, it is unclear whether older adults with T2DM may be at higher risk of having impaired mood and diabetes-related distress.…”

Section: Introductionmentioning

confidence: 99%

Age-Related Differences in Mood, Diabetes-Related Distress, and Functional Outcomes in Adults With Type 2 Diabetes Mellitus and Comorbid Obstructive Sleep Apnea and Insomnia

et al. 2020

View full text Add to dashboard Cite

Purpose The purpose of this study was to examine age-related differences in mood, diabetes-related distress, and functional outcomes in activities sensitive to impaired sleep in adults with type 2 diabetes mellitus (T2DM) and comorbid obstructive sleep apnea (OSA) and insomnia. This study also evaluated the associations of age, insomnia severity, and OSA severity on outcome variables. Methods This study was a secondary analysis of pooled baseline data from 2 randomized controlled trials among adults with T2DM with symptoms of sleep disorders (N = 145,109 younger adults, 36 older adults; 46.2% male; 67.6% white). Comorbid OSA and insomnia was defined as Apnea-Hypopnea Index ≥5 events per hour and Insomnia Severity Index ≥10. Outcome variables included mood, diabetes-related distress, and functional outcomes. Results Older adults reported better mood, lower diabetes-related distress, and higher functional outcomes relative to younger adults (all Ps < .05). Insomnia severity was associated with worse mood ( b = 2.59, P < .001) and diabetes-related distress ( b = 1.40, P < .001) and lower functional outcome ( b = −0.22, P < .001). Older age was associated with lower diabetes-related distress ( b = −0.44, P = .040). Conclusion Older age was a protective factor of mood disturbance, diabetes-related distress, and functional impairment in adults with T2DM and comorbid OSA and insomnia. Insomnia severity was associated with greater mood disturbance, diabetes-related distress, and functional impairment when OSA and insomnia coexist. The results suggest that diabetes care and education specialists should assess patients for impaired sleep.

show abstract

“…7 Female gender and depression were the only factors identified in the meta-analysis of Perrin et al as being associated with DRD, but a plethora of other factors emerged from the literature such as age, body mass index (BMI), glycemic control, duration of diabetes, lifestyle habits, treatment regimens, level of education etc. 7,[10][11][12][13][14][15][16] DRD has important health-related consequences such as worse glycemic outcomes, poorer medication adherence and diabetes self-care, and poorer quality of life. 5,17 A recent study reported that in patients with T2DM, depressive symptoms were associated with lower self-management behavior and higher glycated hemoglobin (HbA1c), while DRD was associated with higher HbA1c, suggesting that patients with both depression and DRD might have worse outcomes.…”

mentioning

confidence: 99%

Factors Associated with Diabetes-Related Distress in Patients with Type 2 Diabetes Mellitus

Duka¹,

Onea²

2021

Journal of Interdisciplinary Medicine

View full text Add to dashboard Cite

Introduction: The aim of this study was to identify factors associated with diabetes-related distress (DRD) in adult patients with type 2 diabetes mellitus (T2DM). Material and Methods: This was an analysis of data previously obtained from two cross-sectional studies, in which medical charts review and direct interviews were employed to obtain medical and demographic data. Vital status assessment and anthropometric measurements were performed. The patients filled out specific questionnaires for DRD (DDS-17), symptoms of depression (PHQ-9), and of anxiety (GAD-7). A clinical meaningful threshold for DRD was set at ≥2.0 points. Symptoms of depression and anxiety, number of chronic complications, therapy for T2DM, anthropometric and cardio-metabolic parameters, as well as demographic, socio-economic data, and lifestyle habits were evaluated as factors possibly associated with DRD by univariate and multiple regression analyses. Results: A total of 271 patients with T2DM were included in this analysis, of whom 25.1% presented a DDS-17 score ≥2 points (and 9.96% a DDS-17 score ≥3). Subjects with a DDS-17 score ≥2 had higher HbA1c levels (p = 0.018), PHQ-9 and GAD-7 scores (p <0.0001 for both). The multiple regression model indicated that anxiety (p = 0.026), depression (p = 0.001), and ethnicity (p = 0.002) were significantly correlated with DRD (p <0.0001). With regards to subscales, the HbA1c (p = 0.005) and PHQ-9 score (p <0.0001) were significantly associated with emotional burden, ethnicity (p = 0.001) and depression (p = 0.004) with regimen-related distress, whereas ethnicity (p = 0.010) and GAD-7 score (p = 0.012) with interpersonal distress. Conclusions: Psychosocial factors like depression, anxiety, or ethnicity significantly contribute to DRD in patients with T2DM, and worse glycemic control is associated with emotional burden.

show abstract

The prevalence and predictors of diabetes distress in elderly with type 2 diabetes mellitus

Cited by 14 publications

References 45 publications

Prevalence and predictors of diabetes distress among adults with type 2 diabetes mellitus: a facility-based cross-sectional study of Bangladesh

Prevalence and predictors of diabetes distress among adults with type 2 diabetes mellitus: a facility-based cross-sectional study of Bangladesh

Age-Related Differences in Mood, Diabetes-Related Distress, and Functional Outcomes in Adults With Type 2 Diabetes Mellitus and Comorbid Obstructive Sleep Apnea and Insomnia

Factors Associated with Diabetes-Related Distress in Patients with Type 2 Diabetes Mellitus

Contact Info

Product

Resources

About