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

Sidhu, Rawel; Tang, Tricia S.

doi:10.1016/j.jcjd.2016.08.200

Cited by 5 publications

(6 citation statements)

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“…Also, it is probable that participants' distress went beyond living with and managing diabetes (as measured by the PAID) to include more specific distress related to their diabetes care such as frustrations with physicians' care, emotional burden of having diabetes, lack of support from family and friends and regimen-related distress (as measured by the DDS). 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][33][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: Psychosocial Distress and Diabetes-related Clinical Variablessupporting

confidence: 81%

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: Psychosocial Distress and Diabetes-related Clinical Variablessupporting

confidence: 81%

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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“…Our mean HbA1c was however close to what was reported by Tsujii et al (mean HbA1c 7.5%). [26] The rate of diabetes distress (54.8%) in this study was almost similar to that from a study conducted among South Asian Canadians [27] and slightly higher than what was reported in a study done in Bangladesh. [28] Of all the patients with Type 2 diabetes, 29.6% were found to suffer from depressive symptoms, with a cutoff point score >16 as suggested to be accurate among patients with diabetes.…”

Section: Discussionsupporting

confidence: 85%

Diabetes distress and depression among patients with type 2 diabetes: A cross-sectional study

Saad

Younes

Abuali

et al. 2021

Journal of Diabetes and Endocrine Practice

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Purpose: The purpose of this study is to identify the rates of diabetes distress and depression in patients with Type 2 diabetes and to explore the relationship between glycemic control, depression, and diabetes distress. Patients and Methods: One hundred and fifteen adults with Type 2 diabetes were recruited for this cross-sectional study from the Dubai Diabetes Center in Dubai, United Arab Emirates. The Arabic version of the Diabetes Distress Scale was used to assess diabetes distress, and the Arabic version of the Beck Depression Inventory-II scale was used to assess depression symptoms. Results: Our study population consisted of 63 males (54.8%) and 52 females (45.2%). We found that, out of this study population, 54.3% had uncontrolled diabetes with glycosylated hemoglobin (HbA1c) >7% (53 mmol/mol), 54.8% exhibited diabetes distress, and 29.6% showed depression. Using a combined oral and insulin treatment was found to be significant independent predictors of poor glycemic control as defined by an HbA1c >7% (53 mmol/mol). Conclusion: This study has identified psychosocial issues as a significant health problem among adult patients with type 2 diabetes and offers data confirming the relevance of diabetes distress and depression among them. This finding can help clinicians have a better understanding of the extent to which psychosocial issues influence diabetes management so as to develop effective and appropriate treatment approaches.

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“…Meanwhile, high social support also correlates with low diabetes distress (Baek et al., ; Ikeda et al., ). A previous study found that the higher the diabetes distress, the worse the QoL (Chew, Mohd‐Sidik, & Shariff‐Ghazali, ) and the higher the HbA1C levels (Sidhu & Tang, ) in patients with T2DM. Social support might also indirectly affect HbA1C levels and QoL through the mediation of diabetes distress.…”

Section: Introductionmentioning

confidence: 99%

Influencing Pathways to Quality of Life and HbA1c in Patients With Diabetes: A Longitudinal Study That Inform Evidence‐Based Practice

Hsu

Lee

Wang

2018

Worldviews Ev Based Nurs

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

Cited by 5 publications

References 0 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

Diabetes distress and depression among patients with type 2 diabetes: A cross-sectional study

Influencing Pathways to Quality of Life and HbA1c in Patients With Diabetes: A Longitudinal Study That Inform Evidence‐Based Practice

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