Diabetes Distress in Young Adults with Type 2 Diabetes: A Cross-Sectional Survey in China

Abstract

Background. Diabetes distress is a negative emotion related to diabetes management, which can compromise self-care and management of diabetes. However, few studies on diabetes distress have focused on young adults with type 2 diabetes in China. Methods. A cross-sectional survey was conducted. Using a convenient sampling method, 98 young adults with type 2 diabetes who were admitted to our hospital from June 2017 to July 2018 were selected as research subjects. They were investigated using a basic demographic questionnaire, Diabetes Distress Scale, Summary of Diabetes Self-Care Activities Measure, and Audit of Disease Knowledge. Pearson’s correlation analysis and regression analysis were used to analyze the influencing factors of diabetic distress. Results. Among participants, 90.82% suffered from diabetes distress with an average score of 3.01±0.58. Regimen-related, emotional burden-related, and interpersonal-related distress were the most frequently reported as severe. The results of the single-factor analysis showed that gender (P=0.019), age (P=0.003), occupation (P=0.022), smoking (P<0.001), and diabetes complications (P=0.001) were the main factors affecting diabetes distress. The correlation analysis showed that diabetes distress was negatively correlated with the level of diabetic self-management (P<0.001, r=−0.377) but not with the level of diabetes knowledge (P=0.052, r=−0.197). The results of a multiple regression analysis showed that self-management level (P=0.001, 95% CI: -0.039-0.011), age (P=0.002, 95% CI: -0.463-0.104), smoking (P=0.018, 95% CI: -0.504-0.048), and complications (P=0.009, 95% CI: -0.517-0.076) accounted for 35.42% of the total variation in diabetes distress. Conclusion. Young adults with type 2 diabetes reported severe diabetes distress. Age, smoking, and diabetes complications were the main factors influencing diabetes distress in young adults with type 2 diabetes. Results of the present study are fundamental in selecting targeted measures for alleviating diabetes distress and thus improving the quality of life in these patients.

Prevalence of Diabetes Related Distress and Associated Factors Among Type 2 Diabetes Patients Attending Hospitals, Southwest Ethiopia, 2020: A Cross-Sectional Study

“…This finding was consistent with the results of prior studies. 39 , 47 , 48 However, some studies have found no association between having diabetic complications and DRD. 13 , 20 , 49 In contrast to previous studies, lower education level was a major factor for high diabetes distress scores in the present study.…”

Дистрес При Цукровому Діабеті

“…У 2005 році була розроблена спеціалізована шкала дослідження діабетичного дистресу (Diabetes Distress Scale, DDS), надійність та валідність якої знайшли підтвердження в багатьох роботах [23][24][25][26][27][28][29][30][31][32][33]. З методом дослідження дистресу при ЦД за шкалою DDS, який широко використовується у всьому світі, можна ознайомитися на сайтах https://diabetesdistress.…”

“…Проведене в Китаї обстеження 98 госпіталізованих молодих хворих на ЦД2 виявило діабетичний дистрес, у розвитку якого важливу роль відіграли переживання, пов'язані з режимом, емоційними навантаженнями та міжособистісними відносинами [32]. Результати п'ятидесяти п'яти досліджень із залученням 36 998 осіб встановили наявність діабетичного дистресу в 36% хворих на ЦД2, який був значно виразнішим у хворих із депресивними симптомами та в жінок [31].…”

The Chinese version of the revised Diabetes Distress Scale for adults with type 2 diabetes: Translation and validation study

“…A systematic review found that the overall global prevalence of DD was 36.0% in patients with T2D [ 5 ]. A study also showed that approximately 42.5%–77.2% of Chinese people with T2D experienced DD [ 6 ]. DD is a negative emotional response that includes worries, fears, and frustrations caused by the perceived burden from living with and managing diabetes on a daily basis [ 7 , 8 ].…”

“…In China, the DDS17 was first translated by Yang and Liu in 2010 [ 16 ]. The Cronbach’s α coefficient of the Chinese DD Scale ranged from 0.84 to 0.95 [ 6 ]. Although it demonstrated good psychometric properties and has been used in observational and experimental studies for several years, the language accuracy and understandability still had room for improvement.…”