Factors associated with loneliness in patients with diabetes mellitus

Kobos, Ewa; Szewczyk, Alicja; Kokoszka‐Paszkot, Janina; Dziedzic, Beata

doi:10.1002/nop2.655

Cited by 16 publications

(11 citation statements)

References 44 publications

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“…Loneliness has been defined as ‘a subjective feeling of the absence of a social network or a companion’ and has been negatively associated with cardiovascular and mental health outcomes [60]. In cancer survivors [61], stroke survivors [62] and diabetes [63], loneliness has impacted health outcomes negatively. We found that reducing loneliness was related to the reflection on challenges prompted by the reflection sheets both individually and in groups.…”

Section: Discussionmentioning

confidence: 99%

Impact of the person‐centred intervention guided self‐determination across healthcare settings—An integrated review

Olesen

Jørgensen

2022

Scandinavian Caring Sciences

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Aim:To review the evidence of the existing literature on the impact of guided selfdetermination across methodologies in different healthcare settings.Methods: An integrated five-stage review.Results: Forty-five eligible papers were included. Guided self-determination was applied in full-or small-scale, or combined with another intervention or approach in different healthcare settings handling, for example diabetes, stroke survivorship, schizophrenia, attention-deficit hyperactivity disorder and medical disorder, gynaecological and breast cancer, endometriosis, persons with chronic pain, persons in haemodialysis and intensive care survivors. The included studies covered 12 randomised trials, 26 qualitative and seven papers of different methodology. A statistically significant effect was found in three trials. Six main themes describe the qualitative findings across papers on patients: (1) Guided self-determination reduces disease-related loneliness, (2) Insight enables integration of life and disease, (3) Reflection sheetsappreciated but challenging tool to prompt insights and person-specific knowledge, (4) New person-specific knowledge enables person-centred support, (5) Feeling seen and believed in a new and trusted relationship and (6) Exchange of knowledge enables the development of life skills. Four themes describe the healthcare professionals' experience: (1) Change of usual practice-a decision from above, (2) A new roleunlearning previous behaviour and need for support, (3) Reflection sheets as facilitators and barriers and (4) Discovering the benefits of changing to a person-centred approach. Conclusion:Overall, guided self-determination proved to have a great impact on patient important outcomes and was useful and well-accepted by the majority of patients and healthcare professionals. Albeit guided self-determination is not a 'one size fits all' method. Continuous training and supervision of professionals are a necessary mean when implementing guided self-determination to enhance adoption and sustainability in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Impact of the person‐centred intervention guided self‐determination across healthcare settings—An integrated review

Olesen

Jørgensen

2022

Scandinavian Caring Sciences

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“…This stigmatization can come both from other people as well as from patients themselves 10 , and people with diabetes may generally show reduced self-esteem 26 . Previous studies have also shown a link between diabetes and loneliness 27 , 28 , with a 20-year follow up study from Sweden confirming that loneliness increases the risk for developing type 2 diabetes. 29 Likewise, social support plays an increased role for people with diabetes 30 , for example, a Dutch study links social isolation, social network and work-related provisions with diabetes type 2, which the authors attribute to symptoms such as tiredness or general feelings of being unwell.…”

Section: Introductionmentioning

confidence: 66%

Social exclusion in people with diabetes: cross-sectional and longitudinal results from the German Ageing Survey (DEAS)

Prell

Stegmann

Schönenberg

2023

Sci Rep

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As social exclusion can be linked to worse health and overall reduced quality of life, we describe social exclusion in people with diabetes and assess whether diabetes can be considered as a risk factor for social exclusion. We analyzed two waves (2014, 2017, N = 6604) from a survey of community-dwelling people aged > 40 using linear regression, group comparison and generalized estimating equations to explore the association between diabetes, social exclusion, socioeconomic, physical and psychosocial variables. In the entire cohort, diabetes was cross-sectionally associated with social exclusion after adjusting for covariates (p = 0.001). In people with diabetes, social exclusion was further associated with self-esteem (p < 0.001), loneliness (p = < 0.001), income (p = 0.017), depression (p = 0.001), physical diseases (p = 0.04), and network size (p = 0.043). Longitudinal data revealed that higher levels of social exclusion were already present before the diagnosis of diabetes, and future social exclusion was predicted by self-esteem, loneliness, depression, and income, but not by diabetes (p = .221). We conclude that diabetes is not a driver of social exclusion. Instead, both seem to co-occur as a consequence of health-related and psychosocial variables.

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“…In a study that was conducted by Joensen et al, it was reported that Type 1 and Type 2 diabetes patients experienced more anxiety about COVID-19 and diabetes during the process of pandemic, and most of them felt lonely and needed care for loneliness (Joensen et al, 2020 ). Kobos et al reported that there was no significant difference between the loneliness levels of Type 1 and Type 2 diabetic patients, and patients generally experienced moderate level of loneliness, and approximately one-fifth (16%) of the patients experienced intense loneliness (Kobos et al, 2021 ). Kusaslan Avci conducted a study before the pandemic and, like this study, found that the loneliness levels of individuals with Type 1 and Type 2 diabetes were below the moderate level, while, unlike this study, individuals with Type 1 diabetes had higher loneliness levels (Kusaslan Avci, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

The Effect of COVID -19 Crisis on Hopelessness, Loneliness and Spiritual Well-Being of Patients with Type 1 and Type 2 Diabetes in Turkey

et al. 2022

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This study aims to examine the relationship between the levels of hopelessness, loneliness, and spiritual well-being of patients with Type 1 and Type 2 diabetes during the process of COVID-19 outbreak. The study was carried out with diabetic patients living in three different cities that are in the Eastern Anatolia region of Turkey between the dates of 15 of November and 30 of November 2020. The sample of the study consisted of 500 (Type 1, n = 218, Type 2, n = 282) diabetes patients. Data were collected using a demographic information form, Beck Hopelessness Scale (BHS), Loneliness Scale (UCLA-LS), and Spiritual Well-being Scale (FACIT–Sp). While the mean scores of hopelessness and loneliness of type 1 patients were below the moderate level, the mean scores of their spiritual well-being were found to be above the moderate level. Moreover, while the mean scores of hopelessness and loneliness in type 2 patients were below the moderate level, the mean scores of their spiritual well-being were found above the moderate level. A significant relationship was found between Type 1 and Type 2 diabetes patients' levels of hopelessness, loneliness, and spiritual well-being during the COVID-19 outbreak. It was found that as the spiritual well-being levels of Type 1 and Type 2 diabetic patients increased, the levels of their loneliness and hopelessness decreased. It is recommended that mass communication that includes spiritual care practices can be used effectively to reduce diabetes patients’ levels of loneliness and hopelessness during the pandemic. In addition, while providing care to diabetes patients, it can be suggested that health professionals offer a holistic approach with initiatives that will increase diabetes patients’ spiritual well-being.

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Factors associated with loneliness in patients with diabetes mellitus

Cited by 16 publications

References 44 publications

Impact of the person‐centred intervention guided self‐determination across healthcare settings—An integrated review

Impact of the person‐centred intervention guided self‐determination across healthcare settings—An integrated review

Social exclusion in people with diabetes: cross-sectional and longitudinal results from the German Ageing Survey (DEAS)

The Effect of COVID -19 Crisis on Hopelessness, Loneliness and Spiritual Well-Being of Patients with Type 1 and Type 2 Diabetes in Turkey

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