Depressive Symptoms and Social Support in Adolescents With Type 2 Diabetes

Cullum, Kristiana G.H.; Howland, Lois C.; Instone, Susan

doi:10.1016/j.pedhc.2015.06.008

Cited by 10 publications

(14 citation statements)

References 21 publications

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“…The risk and prevalence of diabetes mellitus has dramatically increased over the past decade [1, 2]. According to the International Diabetes Federation (IDF), the number of individuals affected by diabetes was over 425 million in 2017 and is predicted to surge to 642 million by 2040 [3].…”

Section: Introductionmentioning

confidence: 99%

An integrated model to evaluate the impact of social support on improving self-management of type 2 diabetes mellitus

Wang

Zhang

et al. 2019

BMC Med Inform Decis Mak

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BackgroundType 2 Diabetes Mellitus (T2DM) is a chronic disease closely related to personal life style. Therefore, achieving effective self-management is one of the most important ways to control it. There is evidence that social support can help to improve the self-management ability of patients with T2DM, but which social support is more effective has been rarely explored. The purpose of this study is to construct an integrated model to analyze which social support has more significant impact on self-management of T2DM, and provide reasonable suggestions to health care providers on how to effectively play the role of social support.MethodsWe established a social support indicator evaluation system and proposed an integrated model that combines ANP (Analytical Network Process) and CRITIC (CRiteria Importance through Intercriteria Correlation) methods to evaluate the impact of social support on T2DM self-management from both subjective and objective perspectives. The weights calculated by the model will serve as the basis for us to judge the importance of different social support indicators.ResultsInformational support (weighting 49.26%) is the most important criteria, followed by tangible support (weighting 39.24%) and emotional support (weighting 11.51%). Among 11 sub-criteria, guidance (weighting 23.05%) and feedback (weighting 14.68%) are two most relevant with T2DM self-management. This result provides ideas and evidence for health care providers on how to offer more effective social support.ConclusionTo our knowledge, this is the first study in which Multi-Criteria Decision Making (MCDM) tools, specifically ANP and CRITIC, are used to evaluate the impact of social support on improving self-management of type 2 diabetes. The study suggests that incorporating two sub-indicators of guidance and feedback into the diabetes care programs may have great potential to improve T2DM self-management and further control patient blood glucose and reduce complications.

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Section: Introductionmentioning

confidence: 99%

An integrated model to evaluate the impact of social support on improving self-management of type 2 diabetes mellitus

Wang

Zhang

et al. 2019

BMC Med Inform Decis Mak

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“…In youth with T2D, psychosocial factors were inversely associated depressive symptoms, that is, youth with less psychosocial support showed more symptoms of depression. 15,17,[21][22][23][24] Families with several generations of early onset T2D also displayed higher rates of depressive symptoms in youth within those families at risk for T2D. In addition, there was a trend towards youth with T2D and depression having more difficulty with blood sugar control, but it did not reach statistical significance.…”

Section: Walders-abramson 2014 19mentioning

confidence: 93%

Mental health comorbidity and youth onset type 2 diabetes: A systematic review of the literature

McVoy

Hardin

Fulchiero

et al. 2022

Int J Psychiatry Med

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Background Type 2 diabetes (T2D) is a burgeoning epidemic in children and adolescents. Adult T2D doubles the risk of depression and mental health comorbidity makes it more difficult to make the lifestyle, medication adherence and health behavior changes needed to optimize outcomes. There is limited research on the impact of depression and depressive symptoms on youth T2D. Methods A search of the literature in the last 10 years regarding youth with depression and T2D was conducted. Abstracts were screened by 2 randomly assigned authors for inclusion, and disagreement was resolved by a third author. Selected full-text articles were divided among all authors for review. Results 13 publications from 8 studies (N=2244, age 6–17) were included. 6 of 13 publications utilized Treatment Options for Type 2 Diabetes in Youth (TODAY) study data. While studies included evaluation of depressive symptoms, most did not formally assess for major depressive disorder (MDD) and excluded participants with a previous diagnosis of MDD. Depressive symptoms were common in this population and were associated with negative T2D outcomes. Conclusions While there is a growing body of adult literature highlighting the extensive relationship between T2D and mental health, there is a dearth of data in youth. Future studies are needed that include, 1.) youth with diagnosed MDD, 2.) treatment studies of both T2D and MDD, 3.) larger, more racially diverse samples of youth with T2D, and 4.) studies that evaluate the impact of social determinants of health, including mental health comorbidity on outcomes of T2D.

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“…Most participants (23) reported that they had experienced a traumatic or very stressful event shortly before they were diagnosed with the illness (usually up to a year beforehand). They believed these stressors led to the onset of the disease.…”

Section: Stressful Life Events Before the Diabetes Diagnosismentioning

confidence: 99%

“…24,28 It is important to note that members of the Arab minority in Israel have significantly higher rates of T2DM than the Jewish majority. 26 As observed with other minority groups, such as Latinos and African Americans in the United States, 23 these higher rates of T2DM could partially result from differences in lifestyles (eg, smoking, diet), socioeconomic status, and exposure to stressors. However, it is also possible that familial patterns 24 play an important role in their heightened risk of T2DM.…”

mentioning

confidence: 95%

“…17 Yet, the effectiveness of family support may depend on the nature of the relationships in the family, as evident by data suggesting that patients with T2DM who engage in an open and collaborative form of spousal involvement in their coping with the disease demonstrate better adherence to a healthy diet and lower diabetic distress. [18][19][20] Although family patterns, to which the individual was exposed to as a child, have a longterm impact, 21 both on his or her interpersonal interactions 22 and on physical 23 and mental health in adulthood, 24,25 the specific familial patterns (in the current family and in the original family of the individual) that may be associated with the development of T2DM and with coping with the disease remain largely unknown.…”

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confidence: 99%

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Individuals With Type 2 Diabetes: An Exploratory Study of Their Experience of Family Relationships and Coping With the Illness

2019

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Purpose The purpose of this qualitative study is to explore familial patterns that may be related to type 2 diabetes (T2DM) and to patients’ ways of coping with the illness. Methods A purposive sample of 32 Israeli Jewish (n = 12) and Arab (n = 20) individuals with T2DM were recruited from a community population and interviewed about their familial experiences and their illness. Interview data were analyzed using Colaizzi’s phenomenological method. Results Many participants, particularly from the Arab society, reported familial patterns that suggest fused relationships and emotional cutoff. They described highly close and positive family relationships, on one hand, but demonstrated unwillingness to share their difficulties with their family members, on the other hand. Precipitating stressful or traumatic events and day-to-day stress appeared as leading perceived causes of the illness. Maintaining an appropriate lifestyle, stress reduction, and family support were the main coping strategies with the illness. Conclusions The findings suggest a possible avenue in which fusion with family members and inability to attenuate emotional distress by sharing difficulties with others may contribute to the development of T2DM. Assessment of such family dynamics and ways of coping with stress could lead to more appropriately nuanced treatment for individuals with T2DM and prediabetes.

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Depressive Symptoms and Social Support in Adolescents With Type 2 Diabetes

Cited by 10 publications

References 21 publications

An integrated model to evaluate the impact of social support on improving self-management of type 2 diabetes mellitus

An integrated model to evaluate the impact of social support on improving self-management of type 2 diabetes mellitus

Mental health comorbidity and youth onset type 2 diabetes: A systematic review of the literature

Individuals With Type 2 Diabetes: An Exploratory Study of Their Experience of Family Relationships and Coping With the Illness

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