Changing the Conversation: Diabetes Management in Adults With Severe Mental Illnesses and Type 2 Diabetes

Knyahnytska, Yuliya; Williams, Charmaine C.; Dale, Craig; Webster, Fiona

doi:10.1016/j.jcjd.2018.02.001

Cited by 21 publications

(48 citation statements)

References 20 publications

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“…For the qualitative studies, interviews, focus group discussions and observations, or a combination of these, were used. One study described the philosophical approach, as it used phenomenology [29], and one employed critical ethnography as a methodology [9]. Two other studies only described their analytical approaches, as one made use of theories of behaviour change [30] and one employed thematic analysis [31].…”

Section: Qualitative Studiesmentioning

confidence: 99%

“…Two other studies only described their analytical approaches, as one made use of theories of behaviour change [30] and one employed thematic analysis [31]. The aims of the qualitative studies were to explore everyday experiences of diabetes selfmanagement [9], diabetes self-care-related beliefs and practices [29,31], as well as barriers to and enablers of effective diabetes management [30] among people with type 2 diabetes and severe mental illness. In all four studies, the definition of severe mental illness involved various mental illnesses.…”

Section: Qualitative Studiesmentioning

confidence: 99%

“…The barriers to diabetes self-care were explored using both qualitative and quantitative methods. The focus of the qualitative studies included in this review was on the participants' everyday experience with diabetes self-management [9,31], related beliefs and practices [29], and the barriers and enablers of effective diabetes management [30]. The quantitative studies focused on attitudes towards hypoglycaemic and antipsychotic medications and medicationtaking [43], knowledge of diabetes and diabetes self-care activities [39], and barriers to and enablers of diabetes management [37].…”

Section: Research Themesmentioning

confidence: 99%

“…The quantitative studies focused on attitudes towards hypoglycaemic and antipsychotic medications and medicationtaking [43], knowledge of diabetes and diabetes self-care activities [39], and barriers to and enablers of diabetes management [37]. The included studies indicated that people with type 2 diabetes have similar experiences of psychological, physical and social barriers [9,[29][30][31], however, some additional barriers to diabetes self-management were related to severe mental illness specifically. The barriers identified are listed below.…”

Section: Research Themesmentioning

confidence: 99%

“…They receive less diabetes education than those without severe mental illness [7]. Furthermore, their mental and physical symptoms may hamper their utilization of healthcare services and navigation of the multiple healthcare services offered [8,9]. The self-management of type 2 diabetes in everyday life is fundamental to decreasing mortality and preventing complications [10].…”

Section: Introductionmentioning

confidence: 99%

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Perceptions and experiences of living with coexisting type 2 diabetes and severe mental illness: a scoping review

et al. 2020

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Aims To map existing research‐based knowledge of everyday life and illness management among people with coexisting type 2 diabetes and severe mental illness, and to identify study designs, aims, populations and themes. Methods A systematic literature search was performed on 16 April 2019 using Medline, Embase, PsycINFO, Cinahl, the Cochrane Library, and the Web of Science to conduct a scoping review. Included studies were summarized with regard to the quantity of research, the study designs, aims, populations and themes Results From 3406 records, we included 23 studies about everyday life and illness management among people with coexisting type 2 diabetes and severe mental illness. Four studies were qualitative (observations, interviews and focus groups), and 19 were quantitative (observational and interventions) and used questionnaires. Five themes emerged in the findings: (1) diet and exercise, but not other diabetes self‐care activities, are consistently compromised in the target group; (2) psychiatric exacerbation diminishes diabetes self‐care; (3) social support and high self‐efficacy improve diabetes self‐care; (4) use of healthcare services is compromised; and (5) quality of life and well‐being is poor. Conclusions The limited research into the studied population’s experiences with coexisting type 2 diabetes and severe mental illness is characterized by its heterogeneity in aims and methods and a strong focus on diabetes management and treatment. Further research focusing on the management of both conditions in everyday life is needed to improve specialized and integrated care targeting the population.

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Section: Qualitative Studiesmentioning

confidence: 99%

Section: Qualitative Studiesmentioning

confidence: 99%

Section: Research Themesmentioning

confidence: 99%

Section: Research Themesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Perceptions and experiences of living with coexisting type 2 diabetes and severe mental illness: a scoping review

et al. 2020

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Birth dimensions, severe mental illness and risk of type 2 diabetes in a cohort of Danish men born in 1953

Garriga

Wium‐Andersen

et al. 2019

Eur. psychiatr.

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Background: Birth dimensions have been associated with increased risk of both, severe mental illness and type 2 diabetes in adulthood, however, any influence on their co-occurrence has never been examined. This cohort study examine whether birth weight/ponderal index explain or modify the later association between severe mental illness and risk of type 2 diabetes. Methods: The Metropolit cohort included 10,863 Danish men born in 1953 with information from age at conscription (between1971-84) until February 15th, 2018. Severe mental illness was defined as the exposure and information was retrieved from the national Danish health registries. Information on type 2 diabetes diagnosis or oral antidiabetic prescriptions was also obtained, as they were the outcome of interest. Information on birth weight/ponderal index was available from birth certificates. Cox proportional hazards regression models were used to estimate the associations and interactions were tested. Results: After 47.1 years of follow-up, 848 (7.8%) and 1320 (12.2%) men developed a severe mental illness or diabetes, respectively. Men with severe mental illness presented higher risk of subsequent diabetes (HR = 1.92; 95%CI, 1.61–2.30). This association was stronger in severe mental ill men with low birth weight (HR = 3.58; 95%CI, 2.11–6.07), than in those normal birth weight (HR = 1.79; 95%CI, 1.45–2.20). This effect modification was most evident for men diagnosed with schizophrenia. Conclusions: Birth information on birth weight/ponderal index could be of interest in diabetes screening on severe mental ill populations (especially in schizophrenia) since they might play a critical role in the increased risk of type 2 diabetes following severe mental illness.

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Association of pre-existing mental illness with all-cause and cancer-specific mortality among Medicare beneficiaries with pancreatic cancer

Paredes

Hyer

Tsilimigras

et al. 2021

HPB

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Changing the Conversation: Diabetes Management in Adults With Severe Mental Illnesses and Type 2 Diabetes

Cited by 21 publications

References 20 publications

Perceptions and experiences of living with coexisting type 2 diabetes and severe mental illness: a scoping review

Perceptions and experiences of living with coexisting type 2 diabetes and severe mental illness: a scoping review

Birth dimensions, severe mental illness and risk of type 2 diabetes in a cohort of Danish men born in 1953

Association of pre-existing mental illness with all-cause and cancer-specific mortality among Medicare beneficiaries with pancreatic cancer

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