Diabetes related distress in adults with type 2 diabetes mellitus: a community-based study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20185234Keywords:
Diabetes related distress, Adults, Type II diabetes mellitus, CommunityAbstract
Background: Living with diabetes can be difficult, since it can affect the patient physically as well as psychologically. Patients with diabetes face psychological issues which may be part of the spectrum of disease experience, distinct from depression, which hinder glycaemic control. The objective of the study was to determine the prevalence of diabetes related distress, and its association with socio-demographic characteristics, in adults with type 2 diabetes.
Methods: A community based cross sectional study was conducted among 250 individuals of 30-60 years, with type 2 diabetes.
Results: The prevalence of diabetes related distress in the study population was 13.3%; among the sub scales highest reported was regimen related distress 21.6%, followed by physician related 17.2%, emotional burden 16.4%, and inter personal distress 14.8%. Diabetes related distress was found to have significant statistical association with occupational class. In occupational class, distress was higher among unemployed while least in unskilled workers. It was higher among older (above 50 years) participants, males, members of joint family, unmarried and those with more years of education though there was no significant difference.
Conclusions: The prevalence of diabetes related distress (13.2%) especially regimen and physician related, underscores need for better clinician involvement paying appropriate attention to systematic diabetes self-care and management education, and timely diagnosis of distress for positive clinical outcome.
References
International Diabetes Federation, 8th ed. International Diabetes Federation. IDF Diabetes Atlas. 2017. Available from: http://www.idf.org/ diabetesatlas. Accessed on 13 September 2018.
Fisher L, Gonzalez JS, Polonsky WH. The confusing tale of depression and distress in patients with diabetes: a call for greater clarity and precision. Diabetic medicine : a journal of the British Diabetic Association. 2014;31(7):764-72.
Polonsky WH, Fisher L, Earles J, Dudl RJ, Lees J, Mullan J, Jackson RA. Assessing psychosocial distress in diabetes: development of the diabetes distress scale. Diabetes Care. 2005;28(3):626–31.
Chasens ER, Korytkowski M, Sereika SM, Burke LE. Effect of Poor Sleep Quality and Excessive Daytime Sleepiness on Factors Associated with Diabetes Self-Management. The Diabetes educator. 2013;39(1):74-82.
Qiu S, Sun H, Liu Y, Kanu JS, Li R, Yu Y, et al. Prevalence and correlates of psychological distress among diabetes mellitus adults in the Jilin province in China: a cross-sectional study. 2017;5:e2869. Zhou H, Zhu J, Liu L, Li F, Fish AF, Chen t, et al. Diabetes-related distress and its associated factors among patients with type 2 diabetes mellitus in China. Psychiatry Res. 2017;252:45–50.
Tan ML, Tan CS, Griva K, Lee YS, Lee J, Tai ES, et al. Factors associated with diabetes-related distress over time among patients with T2DM in a tertiary hospital in Singapore. BMC Endocrine Disorders. 2017;17:36.
Sekhar STVD, Kodali M, Burra KC, Muppalla BS, Gutta P, Bethanbhatla MK. Self Care Activities, Diabetes Distress and other Factors Affecting Glycemic Control in a Tertiary Care Teaching Hospital in South India. J Clin Diagnos Res. 2013;7(5):857-60.
Rehan S, Naz H. Diabetes Self Care and Diabetic Distress in Patients with Type 2 diabetes. Pakistan J Professional Psycholo. 2015;6(1):61-73.
Ramkissona S, Pillaya BJ, Sartorius B. Diabetes distress and related factors in South African adults with type 2 diabetes. J Endocrinol Metabol Diabetes South Africa. 2016;21(2):35–9.
Fisher L, Mullan JT, Skaff MM, Glasgow RE, Arean P, and Hessler D. Treatment Predicting diabetes distress in patients with Type 2 diabetes: a longitudinal study. Diabet. Med. 2009;26:622–7.
Karlsen B, Oftedal B, Bru E. The relationship between clinical indicators, coping styles, perceived support and diabetes-related distress among adults with type 2 diabetes. J Adv Nursing. 2012;68(2):391–40.
Baradaran HR, Mirghorbani SM, Javanbakht A, Yadollahi Z, Khamseh ME. Diabetes Distress and its Association with Depression in Patients with Type 2 Diabetes in Iran. Int J Prevent Med. 2013;4(5):580-4.
Gahlan D, Rajput R, Gehlawat P, Gupta R. Prevalence and determinants of diabetes distress in patients of diabetes mellitus in a tertiary care centre. Diabetes Metab Syndr. 2018;12(3):333-6.
Chin YW, Lai PSM, Chia YC. The validity and reliability of the English version of the diabetes distress scale for type 2 diabetes patients in Malaysia. BMC Family Practice. 2017;18:25.
Dogra P, Rajendra Prasad S, Subhashchandra BJ. Assessment of depression and diabetes distress in type 2 diabetes mellitus patients in a tertiary care hospital of South India. International Journal of Research in Medical Sciences. 2017;5(9):3880-6.
Karlsen B, Bru E. The relationship between diabetes-related distress and clinical variables and perceived support among adults with type 2 diabetes: A prospective study. Int J Nursing Studies. 2014;51:438–47.
