Diabetes Distress, Depression and Glycemic Control in a Canadian-Based Specialty Care Setting

Wong, Eric; Afshar, Rowshanak; Qian, Hong; Zhang, Mira; Elliott, Thomas; Tang, Tricia S.

doi:10.1016/j.jcjd.2016.11.006

Cited by 52 publications

(59 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An earlier study conducted in USA (Fisher et al, 2012) using the DDS-17 scale showed that 51.3% of the screened participants have moderate to high DRD. Similar distress proportions were shown from the studies conducted in Bangladesh (48.5%), China (43%) and Canada (39%) using DDS-17 (Islam et al, 2013;Wong et al, 2017;Zhou et al, 2017). Emotional burden was considered as the most important domain in measuring diabetes distress especially among women.…”

Section: Discussionsupporting

confidence: 76%

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

Hemavathi¹,

Kumpatla²,

Smina³

et al. 2019

Int. J. Psychol. Couns.

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 76%

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

Hemavathi¹,

Kumpatla²,

Smina³

et al. 2019

Int. J. Psychol. Couns.

View full text Add to dashboard Cite

show abstract

“…A study that was done in the USA using the DDS-17 scale showed that 51.3% of the screened participants have moderate to high DRD [ 9 ] Another study in Malaysia revealed that about 49.2% of their T2D population has moderate distress on a DDS-17 scale [ 10 ]. Similarly, distress proportions were 48.5%, 43%, and 39% in three different studies using DDS-17 from Bangladesh, China, and Canada, respectively [ 11 – 13 ]. On the other hand, two studies from Germany used Problem Areas in Diabetes Questionnaire (PAID) to show that 8.9% and 10.7% of their sample were distressed [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Diabetes-Related Distress Assessment among Type 2 Diabetes Patients

Aljuaid

Almutairi

Assiri

et al. 2018

Journal of Diabetes Research

View full text Add to dashboard Cite

Background and Objectives Diabetes is one of the most common chronic diseases; it is a debilitating and hard to live with. Diabetes-related distress (DRD) refers to the emotional and behavioral changes caused by diabetes. Our study aims to assess the prevalence of DRD among type 2 diabetes (T2D) patients using Diabetes Distress Scale-17 items (DDS-17) and its relation to complications and treatment modalities. Methods A cross-sectional study of adult T2D patients with follow-up visits at the Diabetes and Endocrinology Center in Taif, Saudi Arabia, between January and July 2017. We excluded patients with other forms of diabetes, untreated hypothyroidism, and psychiatric illness. The total score of DDS-17 was calculated by summing the 17 items' results and then dividing the total by 17. If the total score was >2, then it was considered as clinically significant results (moderate distress), but if it is ≥3, then it is classified as a high distress. Results A total of 509 T2D patients with a mean age of 58 ± 14 years were included. The majority of participants were male, married, not college educated, and reported a sedentary lifestyle. We found 25% of the screened T2D patients have moderate to high DRD. Regarding the DRD components, emotional distress was the most prevalent followed by physician-related distress. HabA1c was significantly higher in those with high combined distress and high emotional distress compared to those with mild/moderate distress (p = 0.015 and 0.030, resp.). Conclusion Our study shows that DRD is a medically relevant issue that clinicians need to address. Despite observing a low prevalence of DRD compared to other studies, we found significant correlations between DRD scores and HabA1c, triglyceride levels, BMI, T2D duration, and interval between visits.

show abstract

“…According to a recent study [ 12 ], depression and other psychosocial factors were not associated with the HbA 1c level in patients with T2D. Diabetes distress has recently been suggested to be more important for glycaemic control in patients with diabetes than clinical depression or depressive symptoms [ 13 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

Managing patients with prediabetes and type 2 diabetes after coronary events: individual tailoring needed - a cross-sectional study

Munkhaugen¹,

Hjelmesæth²,

Otterstad³

et al. 2018

BMC Cardiovasc Disord

View full text Add to dashboard Cite

BackgroundUnderstanding the determinants associated with prediabetes and type 2 diabetes in coronary patients may help to individualize treatment and modelling interventions. We sought to identify sociodemographic, medical and psychosocial factors associated with normal blood glucose (HbA1c < 5.7%), prediabetes (HbA1c 5.7–6.4%), and type 2 diabetes.MethodsA cross-sectional explorative study applied regression analyses to investigate the factors associated with glycaemic status and control (HbA1c level) in 1083 patients with myocardial infarction and/or a coronary revascularization procedure. Data were collected from hospital records at the index event and from a self-report questionnaire and clinical examination with blood samples at 2–36 months follow-up.ResultsIn all, 23% had type 2 diabetes, 44% had prediabetes, and 33% had normal blood glucose at follow-up. In adjusted analyses, type 2 diabetes was associated with larger waist circumference (Odds Ratio 1.03 per 1.0 cm, p = 0.001), hypertension (Odds Ratio 2.7, p < 0.001), lower high-density lipoprotein cholesterol (Odds Ratio 0.3 per1.0 mmol/L, p = 0.002) and insomnia (Odds Ratio 2.0, p = 0.002). In adjusted analyses, prediabetes was associated with smoking (Odds Ratio 3.3, p = 0.001), hypertension (Odds Ratio 1.5, p = 0.03), and non-participation in cardiac rehabilitation (Odds Ratio 1.7, p = 0.003). In patients with type 2 diabetes, a higher HbA1c level was associated with ethnic minority background (standardized beta [β] 0.19, p = 0.005) and low drug adherence (β 0.17, p = 0.01). In patients with prediabetes or normal blood glucose, a higher HbA1c was associated with larger waist circumference (β 0.13, p < 0.001), smoking (β 0.18, p < 0.001), hypertension (β 0.08, p = 0.04), older age (β 0.16, p < 0.001), and non-participation in cardiac rehabilitation (β 0.11, p = 0.005).ConclusionsAlong with obesity and hypertension, insomnia and low drug adherence were the major modifiable factors associated with type 2 diabetes, whereas smoking and non-participation in cardiac rehabilitation were the factors associated with prediabetes. Further research on the effect of individual tailoring, addressing the reported significant predictors of failure, is needed to improve glycaemic control.Trial registrationRetrospectively registered at ClinicalTrials.gov: NCT02309255, December 5th 2014.

show abstract

Diabetes Distress, Depression and Glycemic Control in a Canadian-Based Specialty Care Setting

Cited by 52 publications

References 24 publications

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

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

Diabetes-Related Distress Assessment among Type 2 Diabetes Patients

Managing patients with prediabetes and type 2 diabetes after coronary events: individual tailoring needed - a cross-sectional study

Contact Info

Product

Resources

About