Diabetes-related symptoms and negative mood in participants of a targeted population-screening program for type 2 diabetes: The Hoorn Screening study

Adriaanse, Marcel C.; Dekker, Joost; Spijkerman, Annemieke M.W.; Twisk, Jos W. R.; Nijpels, Giel; Ploeg, Henk M. van der; Heine, Robert J.; Snoek, Frank J.

doi:10.1007/s11136-004-0028-3

Cited by 40 publications

(34 citation statements)

References 39 publications

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“…This was also found in studies evaluating the questionnaires in both type 2 diabetes patients [8,23,26,27] and in the general population [28]. However, the mean score of several items in the SF-36 questionnaire was lower in our study population compared with the general Danish population but higher compared with a study population of uncontrolled type 2 diabetes patients [8,28].…”

Section: Discussionsupporting

confidence: 85%

“…However, the mean score of several items in the SF-36 questionnaire was lower in our study population compared with the general Danish population but higher compared with a study population of uncontrolled type 2 diabetes patients [8,28]. The mean score of several items in the DSC-R questionnaire was lower in our population compared with newly diagnosed type 2 diabetes patients but higher than a population of insufficient controlled type 2 diabetes on oral therapy [26,27]. …”

Section: Discussioncontrasting

confidence: 57%

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Health-related quality of life and self-related health in patients with type 2 diabetes: Effects of group-based rehabilitation versus individual counselling

Vadstrup

Frølich

Perrild

et al. 2011

Health and Quality of Life Outcomes

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BackgroundType 2 diabetes can seriously affect patients' health-related quality of life and their self-rated health. Most often, evaluation of diabetes interventions assess effects on glycemic control with little consideration of quality of life. The aim of the current study was to study the effectiveness of group-based rehabilitation versus individual counselling on health-related quality of life (HRQOL) and self-rated health in type 2 diabetes patients.MethodsWe randomised 143 type 2 diabetes patients to either a six-month multidisciplinary group-based rehabilitation programme including patient education, supervised exercise and a cooking-course or a six-month individual counselling programme. HRQOL was measured by Medical Outcomes Study Short Form 36-item Health Survey (SF-36) and self-rated health was measured by Diabetes Symptom Checklist - Revised (DCS-R).ResultsIn both groups, the lowest estimated mean scores of the SF36 questionnaire at baseline were "vitality" and "general health". There were no significant differences in the change of any item between the two groups after the six-month intervention period. However, vitality-score increased 5.2 points (p = 0.12) within the rehabilitation group and 5.6 points (p = 0.03) points among individual counselling participants.In both groups, the highest estimated mean scores of the DSC-R questionnaire at baseline were "Fatigue" and "Hyperglycaemia". Hyperglycaemic and hypoglycaemic distress decreased significantly after individual counselling than after group-based rehabilitation (difference -0.3 points, p = 0.04). No between-group differences occurred for any other items. However, fatigue distress decreased 0.40 points within the rehabilitation group (p = 0.01) and 0.34 points within the individual counselling group (p < 0.01). In the rehabilitation group cardiovascular distress decreased 0.25 points (p = 0.01).ConclusionsA group-based rehabilitation programme did not improve health-related quality of life and self-rated health more than an individual counselling programme. In fact, the individual group experienced a significant relief in hyper- and hypoglycaemic distress compared with the rehabilitation group.However, the positive findings of several items in both groups indicate that lifestyle intervention is an important part of the management of type 2 diabetes patients.

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Section: Discussionsupporting

confidence: 85%

Section: Discussioncontrasting

confidence: 57%

Health-related quality of life and self-related health in patients with type 2 diabetes: Effects of group-based rehabilitation versus individual counselling

Vadstrup

Frølich

Perrild

et al. 2011

Health and Quality of Life Outcomes

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“…Because previous studies suggest that depression is associated with increased levels of symptom distress (11,12), we included depression as a covariate in the ANOVA to sort out the potential interaction between the DSC-R total scores and NGM, IGM, and diabetes. Mann-Whitney U tests were performed for betweengroup comparisons regarding DSC-R, i.e., 1) diabetes versus IGM and 2) diabetes versus NGM.…”

Section: Research Design and Methods -mentioning

confidence: 99%

Diabetes-Related Symptom Distress in Association With Glucose Metabolism and Comorbidity

Adriaanse¹,

Pouwer

Dekker

et al. 2008

Diabetes Care

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OBJECTIVE -The purpose of this study was to determine the associations between diabetesrelated symptom distress, glucose metabolism status, and comorbidities of type 2 diabetes.RESEARCH DESIGN AND METHODS -This was a cross-sectional sample of 281 individuals with normal glucose metabolism (NGM), 181 individuals with impaired glucose metabolism (IGM), and 107 subjects with type 2 diabetes. We used the revised type 2 Diabetes Symptom Checklist (DSC-R) to assess diabetes-related symptom distress.RESULTS -The total symptom distress score (range 0 -100) was relatively low for diabetic subjects (mean Ϯ SD 8.4 Ϯ 9.4), although it was significantly different from that for subjects with IGM (6.5 Ϯ 7.1) and NGM (6.1 Ϯ 7.9) (F ϭ 3.1, 2 d.f., P ϭ 0.046). Ischemic heart disease was associated with elevated DSC-R scores on three subscales, whereas depression showed higher symptom distress levels across all DSC-R domains.CONCLUSIONS -Worsening glucose metabolism is associated with increasing diabetesrelated symptom distress. This relationship is attenuated by ischemic heart disease and particularly by depression.

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“…Hyperglycemia (and insulin resistance) may contribute to depression by two mechanisms: 1 ) through its impact on symptoms, such as fatigue and difficulty concentrating (10), complications, and fear of complications (11), and 2 ) through physiological pathways, including inflammatory processes, and reductions in neurotrophic function (12–14), which in turn may lead to reduced plasticity of neuronal networks and subsequently depression (15). …”

mentioning

confidence: 99%

Prevalence of Depression in Individuals With Impaired Glucose Metabolism or Undiagnosed Diabetes

Nefs²,

et al. 2011

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OBJECTIVEMeta-analyses have shown that the risk for depression is elevated in type 2 diabetes. Whether this risk in individuals with impaired glucose metabolism (IGM) or undiagnosed diabetes (UDD) is elevated relative to normal glucose metabolism (NGM) or decreased relative to previously diagnosed type 2 diabetes (PDD) has not been the subject of a systematic review/meta-analysis. This study examined the prevalence of depression in IGM and UDD subjects relative to each other and to NGM and PDD subjects by reviewing the literature and conducting a meta-analysis of studies on this topic.RESEARCH DESIGN AND METHODSEMBASE and MEDLINE databases were searched for articles published up to May 2010. All studies that compared the prevalence of depression in subjects with IGM and UDD were included. Odds ratios (ORs) were calculated using fixed and random-effects models.RESULTSThe meta-analysis showed that the risk for depression was not increased in IGM versus NGM subjects (OR 0.96, 95% CI 0.85–1.08). Risk for depression did not differ between individuals with UDD and individuals with either NGM (OR 0.94, 95% CI 0.71–1.25) or IGM (OR 1.16, 95% CI 0.88–1.54). Finally, individuals with IGM or UDD both had a significantly lower risk of depression than individuals with PDD (OR 0.59, 95% CI 0.48–0.73, and OR 0.57, 95% CI 0.45–0.74, respectively).CONCLUSIONSResults of this meta-analysis show that the risk of depression is similar for NGM, IGM, and UDD subjects. PDD subjects have an increased risk of depression relative to IGM and UDD subjects.

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Diabetes-related symptoms and negative mood in participants of a targeted population-screening program for type 2 diabetes: The Hoorn Screening study

Cited by 40 publications

References 39 publications

Health-related quality of life and self-related health in patients with type 2 diabetes: Effects of group-based rehabilitation versus individual counselling

Health-related quality of life and self-related health in patients with type 2 diabetes: Effects of group-based rehabilitation versus individual counselling

Diabetes-Related Symptom Distress in Association With Glucose Metabolism and Comorbidity

Prevalence of Depression in Individuals With Impaired Glucose Metabolism or Undiagnosed Diabetes

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