Depression and diabetes distress in adults with type 2 diabetes: results from the Australian National Diabetes Audit (ANDA) 2016

Nanayakkara, Natalie; Pease, Anthony; Ranasinha, Sanjeeva; Wischer, Natalie; Andrikopoulos, Sofianos; Speight, Jane; Courten, Barbora de; Zoungas, Sophia

doi:10.1038/s41598-018-26138-5

Cited by 94 publications

(91 citation statements)

References 51 publications

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“…In addition, age and duration of DM were not significantly associated with DRD, EB, PD, RD, or ID. Previous studies have reported that DRD is associated with HbA1c [42], that EB is associated with high HbA1c levels [49], and that RD is associated with high HbA1c values in hospital [50]. The present study found that both HbA1c and co-morbidity are associated with DRD.…”

Section: Discussionsupporting

confidence: 66%

Type 2 Diabetes Mellitus Related Distress in Thailand

Tunsuchart

Lerttrakarnnon

Srithanaviboonchai

et al. 2020

IJERPH

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This study aimed to investigate prevalence and factors potentially associated with diabetes-related distress (DRD) among type 2 diabetes mellitus (T2DM) patients in a primary health care center in Thailand. This cross-sectional study was conducted with a total of 370 patients with T2DM. Data were collected at primary health care centers in Hang Dong District, Chiang Mai Province, Thailand. DRD was assessed using the Diabetes Distress Scale (DDS-17). The association between sociodemographic characteristics and other factors with DRD was analyzed using the Fisher t-test, Chi-square test, and Pearson’s correlation coefficient test. The association between Hemoglobin A1c (HbA1c) and DRD was analyzed using multiple linear regression analysis. The participants had a mean age of 60.95 ± 7.96, and most were female (68.1%). Of the participants with DRD, 8.9% had moderate to high levels of distress. Education level and family support were significantly associated with the overall level of DRD. Additionally, HbA1c and co-morbidity were also significantly associated with DRD, as were emotional burden and regimen distress. Multiple linear regression analysis found that increased HbA1c was positively associated with increased DRD after adjusting for age, sex, education, duration of T2DM, co-morbidity, diabetic complications, and family support. Screening with DRD may be beneficial in T2DM patients.

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Section: Discussionsupporting

confidence: 66%

Type 2 Diabetes Mellitus Related Distress in Thailand

Tunsuchart

Lerttrakarnnon

Srithanaviboonchai

et al. 2020

IJERPH

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“…showing that education has had more effect on women in relation to emotional distress. Our results are in contrast with a study which found that female gender and older age were associated with greater odds of diabetes distress [29]. The finding of our study emphasizes even more the role that health education has in reducing emotional distress and better control of glycemia in type 2 diabetic patients.…”

Section: Discussioncontrasting

confidence: 99%

Effects of Diabetes Education on Emotional Distress in Patients with Type 2 Diabetes—An Experimental Study

Ramaj¹,

Kamberi²,

Behrens³

2019

OJEMD

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Objective: It was to evaluate the effect of diabetes education on emotional distress in type 2 diabetes patients treated with oral medications. Methods: The experimental study took place in Albania and overall, 200 type 2 diabetes patients were enrolled (in both groups, intervention, and control) treated with oral medications, having levels of Glycated hemoglobin HbA1c > 6.5% as well the absence of associated diseases such as dementia and psychiatric disorders. Patients were randomly selected from the medical registry of family physicians in the Tirana region. Patients were screened for the emotional distress before and after the intervention with the self-administered questionnaire Problem Areas in Diabetes PAID 5. In addition, the levels of HbA1c in % were evaluated before and after intervention in both groups. Only intervention group underwent four diabetes education sessions offered by trained nursing staff while the control group continued the previous regime. The questionnaire reliability analysis was estimated by the Cronbach alpha coefficient. To compare the groups the t-test was used and the value of p < 0.05 was considered significant. Results: Mean age of patients in intervention and control group was respectively 54.03 ±9.57 and 55.82 ± 7.86. Before and after health education PAID 5 scores for the intervention group were respectively 11.3 vs. 8.75 while for the control group 11.9 vs. 11.35, p = 0.018. Levels of HbA1c% before and after education for the intervention group were 7.02 vs. 6.2 while for the control group 6.9 vs. 6.8, p = 0.001. Positive and significant correlation (r = 0.321, p = 0.001) was between level of emotional distress and the age of the patients. Conclusions: The study found that besides better control of diabetes, additional education of diabetic patients seemed to sig-

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“…Diabetes distress is a common health problem which frequently co-exists with T2DM (Islam et al, 2013;Lloyd et al, 2018;Nanayakkara et al, 2018). The present study highlighted that 22.5% of men and about 55% of women were screened positive for moderate to high DRD on a DDS-17 scale.…”

Section: Discussionmentioning

confidence: 59%

Assessment of diabetes related distress among subjects with type 2 diabetes in South India

Hemavathi¹,

Kumpatla²,

Smina³

et al. 2019

Int. J. Psychol. Couns.

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Diabetes is a complex chronic disease that affects not only an individual's physical health, but can also have a profound impact on mental wellbeing. The aim of this study was to assess the prevalence of DRD among subjects with type 2 diabetes (T2DM) using Diabetes Distress Scale-17 (DDS-17) and to see its correlation with glycemic control and treatment modalities. A cross-sectional study of 400 T2DM subjects (200 men and 200 women) aged between 25 to 65 years who visited the tertiary care centre for diabetes in South India between April 2017 and May 2018 were included in this study. Subjects with T1DM, gestational diabetes mellitus (GDM) and psychiatric illness were excluded. The total score of DDS-17 was calculated by taking a sum of the 17 items' results and then dividing the total by 17. Clinical validation of the DDS suggests that the following thresholds of severity should be applied when interpreting the scores: little or no distress < 2.0, moderate distress = 2.0-2.9, and high distress ≥ 3.0. The mean age of men and women was 52.0 ± 8.4 and 51.7 ± 8.1 years, respectively. The mean score in women was 2.79 ± 1.52 as compared to men (1.62 ± 0.83) (p<0.001). The study findings highlighted that women had high levels of distress in managing diabetes as compared to men. Diabetes distress should be considered as a significant health problem and steps should be taken for effective management by lifestyle modifications, coping with their stress and diabetes.

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Depression and diabetes distress in adults with type 2 diabetes: results from the Australian National Diabetes Audit (ANDA) 2016

Cited by 94 publications

References 51 publications

Type 2 Diabetes Mellitus Related Distress in Thailand

Type 2 Diabetes Mellitus Related Distress in Thailand

Effects of Diabetes Education on Emotional Distress in Patients with Type 2 Diabetes—An Experimental Study

Assessment of diabetes related distress among subjects with type 2 diabetes in South India

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