Assessment of Diabetes-Related Distress

Polonsky, William H.; Anderson, Barbara J.; Lohrer, Patricia A; Welch, Garry; Jacobson, Alan M.; Aponte, Jennifer E; Schwartz, Carolyn E.

doi:10.2337/diacare.18.6.754

Cited by 1,209 publications

(1,184 citation statements)

References 22 publications

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“…Depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale [16,17]. Diabetes-specific emotional distress was assessed by the Problem Areas In Diabetes (PAID) measure [18]. Each item is scored 0 to 4 ("not a problem" to "serious problem").…”

Section: Participant Characteristicsmentioning

confidence: 99%

Low-carbohydrate and high-fat intake among adult patients with poorly controlled type 2 diabetes mellitus

Olendzki

Hafner

et al. 2006

Nutrition

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Objective-This study examined baseline dietary intake, body weight, and physiologic status in patients enrolled in a dietary intervention for type 2 diabetes mellitus (T2DM).Methods-Dietary, physiologic, and demographic information were collected at baseline from 40 adult patients with poorly controlled T2DM (glycosylated hemoglobin >7%) who participated in a clinical trial at an academic medical center in Worcester, Massachusetts, USA.Results-The average age at enrollment was 53.5 y (SD 8.4), average body mass index was 35.48 kg/m 2 (SD 7.0), and glycosylated hemoglobin was 8.3% (SD 1.2). Participants were predominantly white, married, and employed full time. Forty-eight percent were men. Seventy-eight percent had hyperlipidemia, and 68% had hypertension. Reported baseline daily average energy intake was 1778 kcal (SD 814), daily carbohydrate was 159 g (SD 71.5), and dietary fiber was 11.4 g (SD 5.2). The dietary composition was 35% carbohydrate, 45% fat (15% saturated fat), and 20% protein. The American Diabetes Association (ADA) guidelines recommends 45-65% of energy from carbohydrate, 20-35% from fat (<7% saturated), and 20% from protein.Conclusion-These patients reported a low-carbohydrate, low-fiber, high-fat (especially saturated) diet, although they stated they are not following any of the popular low-carbohydrate diets. Patients with T2DM may find the current trend toward reducing weight through low-carbohydrate diets attractive for control of blood glucose, despite ADA recommendations. This dietary pattern may represent a popular trend that extends beyond our particular study and, if so, has serious cardiovascular implications in this vulnerable population of T2DM patients.

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Section: Participant Characteristicsmentioning

confidence: 99%

Low-carbohydrate and high-fat intake among adult patients with poorly controlled type 2 diabetes mellitus

Olendzki

Hafner

et al. 2006

Nutrition

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“…According to de Groot et al (2010), such problems are more prevalent among people with type 2 diabetes than in those of the general population. Moreover, diabetes-related distress has mainly been studied in relation to diabetesmanagement and metabolic control and, to some extent, in relation to perceived social support (Lloyd et al, 2005;Polonsky et al, 1995;Snoek et al, 2000a;Welch et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

“…Thus, glycosylated hemoglobin (HbA1c), diabetes treatment, diabetes-related complications, disease duration and body mass index (BMI) were selected as five important clinical variables to reflect regulation of type 2 diabetes, since they may deteriorate the management of the disease and thus have a negative influence on individuals' psychological well-being. First, glycaemic control has been found to be a modest but significant factor related to diabetes-related distress (Fisher et al, 2010;Polonsky et al, 1995;Welch et al, 1997). This relationship could be due to diabetes-related stress leading to poor self-regulation.…”

Section: Introductionmentioning

confidence: 99%

The relationship between diabetes-related distress and clinical variables and perceived support among adults with type 2 diabetes: A prospective study

Karlsen

Bru

2014

International Journal of Nursing Studies

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This version is made available in accordance with publisher policies. It is the author's last version of the article after peer-review, usually referred to as postprint. Please cite only the published version using the reference above.The relationship between diabetes-related distress and clinical variables and perceived support among adults with type 2 diabetes: A prospective study Bjørg Karlsen, Edvin Bru A B S T R A C T Background: Diabetes-related distress is a prevalent emotional state experienced among people living with type 2 diabetes. It has predominantly been studied in relation to diabetes management and metabolic control and to some extent in relation to perceived social support. Little is known about the relative prospective contribution of clinical variables and perceived support on diabetes-related distress. Objective: To investigate the predictive influence of clinical variables and perceived support from health care professionals and family on diabetesrelated distress. Design: The study has a prospective, longitudinal design. Settings: The participants were recruited from seven general practitioners in the south western part of Norway and from members of the Norwegian Diabetes Association. Participants: The sample comprised 296 people with type 2 diabetes. Inclusion criteria were: adults (30-70 years) diagnosed with type 2 diabetes who were willing and able to complete a questionnaire written in Norwegian. Methods: Data were collected by postal questionnaires assessing perceived support from health care professionals and family and diabetes-related distress measured by the Problem Areas in Diabetes Scale at two time points separated by an interval of one year (October 2008 and. Clinical data were collected by self-report. The follow-up group, for which both assessment data were available, constituted our sample comprising 296 adults. Results: Descriptive results and findings from correlations and prospective multivariate associations indicate small changes in diabetes-related distress over a period of one year. In total, multiple regression analyses showed that clinical variables were very weak predictors of diabetes-related distress, whereas perceived social support emerged as statistically significant although a moderate predictor of distress. Among the support variables, only 'constructive support from health care professionals' and 'non-supportive family behaviour' accounted for changes in diabetes-related distress. Conclusions: Findings suggest that diabetes-related distress among adults with type 2 diabetes is relatively stable over time and may be difficult to alter. Health care professionals should therefore be aware that stimulating people to change is challenging and complex. Moreover, they should devote more attention to non-clinical factors such as social support when addressing diabetes-related distress.What is already known about the topic?• Type 2 diabetes involves a complex and life-long process requiring a large degree of self-management with the goal of achieving adequate metab...

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“…The Problem Areas in Diabetes (PAID) is the most widely used measure for assessing the emotional impact of living with diabetes [1] and is considered as a key diabetesspecific instrument in terms of its validity and appropriateness for clinical use [2].…”

Section: Introductionmentioning

confidence: 99%

Validation of the Spanish version of the Problem Areas in Diabetes (PAID-SP) Scale

Vázquez

Hernández‐Mijares

Marco

et al. 2014

Diabetes Research and Clinical Practice

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Assessment of Diabetes-Related Distress

Cited by 1,209 publications

References 22 publications

Low-carbohydrate and high-fat intake among adult patients with poorly controlled type 2 diabetes mellitus

Low-carbohydrate and high-fat intake among adult patients with poorly controlled type 2 diabetes mellitus

The relationship between diabetes-related distress and clinical variables and perceived support among adults with type 2 diabetes: A prospective study

Validation of the Spanish version of the Problem Areas in Diabetes (PAID-SP) Scale

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