Diabetes Distress and Depression in South Asian Canadians with Type 2 Diabetes

Sidhu, Rawel; Tang, Tricia S.

doi:10.1016/j.jcjd.2016.07.008

Cited by 17 publications

(12 citation statements)

References 22 publications

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“…The association of increased diabetes distress with poor glycaemic control corroborates findings by Cummings et al [ 5 ] and Hayashino et al [ 6 ] but is contrary to reports of no association between the variables [ 32 – 34 ]. When people with diabetes are distressed or experience depressive symptoms, their treatment regimen is likely to be affected and this can result in poor self-care and thus poor diabetes control.…”

Section: Discussionsupporting

confidence: 88%

Psychosocial distress, clinical variables and self-management activities associated with type 2 diabetes: a study in Ghana

Amankwah‐Poku

Amoah

Sefa-Dedeh

et al. 2020

Clin Diabetes Endocrinol

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Aim: Psychosocial distress can act as a barrier to diabetes self-care management and thus compromise diabetes control. Yet in Ghana, healthcare centres mainly focus on the medical aspect of diabetes to the neglect of psychosocial care. This study determined the relationship amongst psychosocial distress, clinical variables, and selfmanagement activities associated with type 2 diabetes management. Method: Questionnaires were administered to 162 patients from four hospitals in Accra, Ghana, to assess psychosocial distress (e.g. diabetes distress), clinical variables (e.g. glycaemic control), and self-management activities (e.g. medication intake) related to diabetes. In assessing diabetes distress, the use of the PAID allowed evaluation of broader range of emotional concerns (diabetes-related emotional distress), while the DDS allowed evaluation of factors more closely related to diabetes self-management (diabetes distress). Results: Diabetes-related emotional distress, diabetes distress and depressive symptoms were reciprocally positively correlated, while non-supportive family behaviour correlated negatively with these psychological variables. Diabetes-related emotional distress correlated positively with systolic and diastolic blood pressure, and correlated negatively with exercise regimen. On the other hand, diabetes distress correlated negatively with dietary and exercise regimen and correlated positively with glycaemic levels, while depressive symptoms correlated positively with glycaemic levels, diabetes complication and systolic blood pressure. Contrary to the literature, non-supportive family behaviour correlated positively with diet, exercise and medication regimen. Conclusion: The positive association of psychological variables with glycaemic levels and blood pressure levels, and the positive association of non-supportive family behaviour with self-management activities suggests the need for psychosocial care to be incorporate in the management of type 2 diabetes in Ghana. Patients can be screened for diabetes-related distress and symptoms of depression and provided psychosocial care where necessary.

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Section: Discussionsupporting

confidence: 88%

Psychosocial distress, clinical variables and self-management activities associated with type 2 diabetes: a study in Ghana

Amankwah‐Poku

Amoah

Sefa-Dedeh

et al. 2020

Clin Diabetes Endocrinol

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“…Previous studies have adopted an average DDS score of 2 as the cutoff point to evaluate the level of diabetes distress in Chinese patients with T2DM (Bao et al, 2018;Wang, 2017;Zhang et al, 2013). There is a close relationship between diabetes distress and depression (Sidhu & Tang, 2017;Zhang et al, 2013), and our data showed a significant correlation (r = 0.510, p < .001). Using the PHQ-9 results as criterion validity, we found the average DDS score of 1.93 showed the highest Youden's index of 0.415, with a sensitivity of 0.687 and specificity of 0.728, and the area under the receiver operating characteristic curve (AUC) was 0.782.…”

Section: Measurementssupporting

confidence: 49%

The Association between Diabetes Complications, Diabetes Distress, and Depressive Symptoms in Patients with Type 2 Diabetes Mellitus

et al. 2020

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This study investigated the association between diabetes complications, diabetes distress, and depressive symptoms in patients with type 2 diabetes mellitus. A total of 600 patients with type 2 diabetes mellitus were included in this study. Data were collected using the Diabetes Distress Scale and the nine-item Patient Health Questionnaire. The results showed that both diabetes complications and diabetes distress were positively associated with depressive symptoms, and diabetes distress attenuated the association between diabetes complications and depressive symptoms. The Sobel test confirmed the mediating effect of diabetes distress. Patients with both diabetes complications and diabetes distress had a higher risk of depressive symptoms than those with diabetes complications or diabetes distress alone. This study indicates that the positive association between diabetes complications and depressive symptoms is persistent and mediated by diabetes distress, and the comorbidity of diabetes complications and diabetes distress has an additive interaction effect on depressive symptoms.

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“…4 Sebanyak 52,5% pasien dengan diabetes melitus tipe 2 mengalami diabetes distress yang disertai dengan meningkatnya kadar HbA1c. 5 Hasil penelitian lain mengatakan 18,0% pasien diabetes melitus mengalami diabetes distress yang disertai dengan meningkatnya nilai HbA1c. 6 Penelitian di RSUD dr Soebandi Jember diperoleh data 93,3% pasien yang dirawat dengan diabetes melitus mengalami diabetes distress sedang dan sebagian besar pasien diabetes melitus tipe 2 mengatakan kalau mereka membutuhkan dukungan untuk perawatan dan manajemen diri yang bagus terhadap penyakitnya sehingga pasien mampu untuk mengontrol kadar gula darahnya.…”

Section: Diabetes Distressunclassified

Peran Dukungan Keluarga Dalam Menurunkan Diabetes Distress Pada Pasien Diabetes Mellitus Tipe II

Rahmi

Malini

Huriani

2020

JKA

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AbstrakPenderita Diabetes Mellitus (DM) sering mengalami masalah psikologis yang berhubungan langsung dengan beban dan kekhawatiran karena tuntutan penyakit. Diabetes distress merupakan kekhawatiran pasien tentang manajemen diri, dukungan keluarga, beban emosional dan akses keperawatan. Dukungan keluarga diperlukan dalam mengatasi kekhawatiran dan beban emosional pasien diabetes mellitus. Tujuan: Menganalisis peran dukungan keluarga terhadap penurunan tingkat diabetes distress pada pasien diabetes mellitus tipe 2 di Puskesmas Kota Padang tahun 2019. Metode: Desain penelitian ini adalah quasi experimental dengan pre dan post test control group. Pengambilan sampel secara simple random sampling untuk mendapatkan 64 orang (32 orang tiap kelompok). Data dikumpulkan menggunakan Diabetes Distress Scale (DDS-17). Hasil: Analisis data menggunakan Wilcoxon test menunjukan terdapat pengaruh dukungan keluarga terhadap Diabetes Distress (p=0,000). Simpulan: Dukungan keluarga berupa dukungan emosional/rasa empati dan dukungan penghargaan membuat pasien merasa lebih baik, diperhatikan dan dimengerti, merasa dimiliki dan dicintai sehingga pasien memiliki motivasi dan memperoleh kembali keyakinannya dalam menghadapi kekhawatiran karena penyakitnya.

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Diabetes Distress and Depression in South Asian Canadians with Type 2 Diabetes

Cited by 17 publications

References 22 publications

Psychosocial distress, clinical variables and self-management activities associated with type 2 diabetes: a study in Ghana

Psychosocial distress, clinical variables and self-management activities associated with type 2 diabetes: a study in Ghana

The Association between Diabetes Complications, Diabetes Distress, and Depressive Symptoms in Patients with Type 2 Diabetes Mellitus

Peran Dukungan Keluarga Dalam Menurunkan Diabetes Distress Pada Pasien Diabetes Mellitus Tipe II

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