Who’s distressed? A comparison of diabetes-related distress by type of diabetes and medication

Wardian, Jana L.; Tate, Joshua; Folaron, Irene; Graybill, Sky; True, Mark W.; Sauerwein, Tom J.

doi:10.1016/j.pec.2018.03.001

Cited by 22 publications

(19 citation statements)

References 25 publications

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“…Distress in this sample was highest in the subscales EB and RD. Additionally, women reported greater distress than men, which is consistent with other studies ( 18 , 23 , 24 , 26 – 28 ).…”

Section: Discussionsupporting

confidence: 91%

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Is It Distress, Depression, or Both? Exploring Differences in the Diabetes Distress Scale and the Patient Health Questionnaire in a Diabetes Specialty Clinic

et al. 2019

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IN BRIEF Patients (n = 314) completed the Patient Health Questionnaire and the Diabetes Distress Scale as part of standard care. Although most patients (70.4%) had no symptoms of depression or diabetes-related distress, 23.9% scored high on the distress questionnaire in at least one of its four domains. Regular screening for distress related to the demands of living with diabetes is crucial in identifying and preventing poor health outcomes associated with diabetes-related distress.

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Section: Discussionsupporting

confidence: 91%

“…Higher DDS-17 scores were found in women and younger patients ( 18 , 23 – 25 ). More specifically, significantly higher RD and ID scores were found in women ( 26 ) than for men. However, despite the utility of the DDS-17, it has not been widely adopted in primary care or specialty settings.…”

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confidence: 93%

Is It Distress, Depression, or Both? Exploring Differences in the Diabetes Distress Scale and the Patient Health Questionnaire in a Diabetes Specialty Clinic

et al. 2019

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“…Other potential influencing factors for a wider gender gap in patients with diabetes include women being psychologically more affected by diabetes distress. [41][42][43] Furthermore, it has been reported in previous studies that the frequency of doctor visits increases the probability of being diagnosed with depression. 44 Men are known to visit the doctor less often, possibly resulting in an underdiagnosis of depression in male patients.…”

Section: Discussionmentioning

confidence: 99%

Diabetes mellitus is associated with a higher risk for major depressive disorder in women than in men

Deischinger

Dervić

Leutner

et al. 2020

BMJ Open Diab Res Care

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IntroductionBoth diabetes mellitus and being female significantly increase the risk of being diagnosed with major depressive disorder (MDD). The diagnosis of MDD, combined with diabetes mellitus, can be detrimental in terms of mortality and morbidity. We aimed at investigating the impact of diabetes mellitus on the gender gap in MDD over the course of a human lifetime.Research design and methodsIn a cross-sectional study over the course of 17 years, medical claims data of the general Austrian population (n=8 996 916) between 1997 and 2014 was analyzed. Of these, 123 232 patients with diabetes mellitus were extracted and compared with non-diabetic controls.ResultsIn a cohort of 123 232 patients with diabetes mellitus and 1 933 218 controls (52% females, 48% males), women with diabetes had 2.55 times increased ORs to be diagnosed with MDD compared with women without diabetes (95% CI 2.48 to 2.62, p<0.001) between the age of 30 and 69 years. The effect of diabetes mellitus on the prevalence of MDD was significantly smaller in men (OR=1.85, 95% CI 1.80 to 1.91, p<0.001). Between 0 and 30 years and after age 70 years, the gender gap of MDD was not different between patients with and without diabetes mellitus. The peak of the gender gap in MDD in patients with diabetes mellitus was around the age of 40–49 years. A sensitivity analysis identified overweight, obesity and alcohol dependence as the most potent influencing factors of the widening of the gender gap among patients with diabetes mellitus.ConclusionsDiabetes mellitus is a stronger risk factor for MDD in women than in men, with the greatest width of the gender gap between 40 and 49 years. High-risk patients for MDD, such as overweight female patients with diabetes, should be more carefully assessed and monitored.

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“…'Feeling that I am not testing my blood sugars frequently enough', 'Feeling that I am failing with my diabetes') [39]. A recent study found, for example, that people with Type 2 diabetes reported more regimenrelated distress than people with Type 1 diabetes (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…A recent study found, for example, that people with Type 2 diabetes reported more regimenrelated distress than people with Type 1 diabetes (e.g. 'Feeling that I am not testing my blood sugars frequently enough', 'Feeling that I am failing with my diabetes') [39]. People with Type 1 diabetes may experience more worries about hypoglycaemia and frustration around 'unexplainable' blood glucose excursions [40].…”

Section: Discussionmentioning

confidence: 99%

Systematic review and meta‐analysis of psychological interventions in people with diabetes and elevated diabetes‐distress

Schmidt

Loon

Vergouwen³

et al. 2018

Diabet. Med.

121

105

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Who’s distressed? A comparison of diabetes-related distress by type of diabetes and medication

Cited by 22 publications

References 25 publications

Is It Distress, Depression, or Both? Exploring Differences in the Diabetes Distress Scale and the Patient Health Questionnaire in a Diabetes Specialty Clinic

Is It Distress, Depression, or Both? Exploring Differences in the Diabetes Distress Scale and the Patient Health Questionnaire in a Diabetes Specialty Clinic

Diabetes mellitus is associated with a higher risk for major depressive disorder in women than in men

Systematic review and meta‐analysis of psychological interventions in people with diabetes and elevated diabetes‐distress

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