“Mental Health Professionals Have Never Mentioned My Diabetes, They Don’t Get Into That”: A Qualitative Study of Support Needs in Adults With Type 1 and Type 2 Diabetes and Severe Mental Illness

Stenov, Vibeke; Joensen, Lene Eide; Knudsen, Lenette; Hansen, Dorte L.; Willaing, Ingrid

doi:10.1016/j.jcjd.2020.02.006

Cited by 23 publications

(68 citation statements)

References 46 publications

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“…Approximately 5% of the adults with type 1 diabetes are in need of psychiatric treatment, the third level, which may involve psychotropic medication that can have an impact on glycaemic management. Psychiatric comorbidities, such as anorexia nervosa and schizophrenia, require close collaboration between the mental health specialist and diabetes care team [ 207 , 208 ].…”

Section: Section 10: Psychosocial Carementioning

confidence: 99%

The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

et al. 2021

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The American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) convened a writing group to develop a consensus statement on the management of type 1 diabetes in adults. The writing group has considered the rapid development of new treatments and technologies and addressed the following topics: diagnosis, aims of management, schedule of care, diabetes self-management education and support, glucose monitoring, insulin therapy, hypoglycaemia, behavioural considerations, psychosocial care, diabetic ketoacidosis, pancreas and islet transplantation, adjunctive therapies, special populations, inpatient management and future perspectives. Although we discuss the schedule for follow-up examinations and testing, we have not included the evaluation and treatment of the chronic microvascular and macrovascular complications of diabetes as these are well-reviewed and discussed elsewhere. The writing group was aware of both national and international guidance on type 1 diabetes and did not seek to replicate this but rather aimed to highlight the major areas that healthcare professionals should consider when managing adults with type 1 diabetes. Though evidence-based where possible, the recommendations in the report represent the consensus opinion of the authors.

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Section: Section 10: Psychosocial Carementioning

confidence: 99%

The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

et al. 2021

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“…Of the included studies, four included people with a diagnosis of schizophrenia or schizoaffective disorder [ 37 , 48 – 50 ], three included adults with bipolar disorder [ 35 , 41 , 54 ], three included adults with schizophrenia, schizoaffective disorder and bipolar disorder [ 39 , 56 , 58 ], two included adults with any psychotic disorder [ 55 , 57 ], and one study included young people (aged 18–35) with first episode psychosis [ 47 ]. The other eight studies used the term severe mental illness to describe the participants without specifying diagnoses [ 36 , 40 , 42 – 46 , 52 , 53 ].…”

Section: Resultsmentioning

confidence: 99%

“…‘SMI symptoms’ were commonly reported to impact on people’s motivation and capacity for self-management and self-care generally [ 35 – 37 , 40 , 42 , 45 , 46 , 48 , 50 , 51 , 53 , 56 , 57 , 59 ]. This finding is exemplified by this account from a participant from a study about strategies for undertaking physical activity:…”

Section: Resultsmentioning

confidence: 99%

Exploring the facilitators, barriers, and strategies for self-management in adults living with severe mental illness, with and without long-term conditions: A qualitative evidence synthesis

Balogun-Katung¹,

Carswell²,

Brown³

et al. 2021

PLoS ONE

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Background People living with severe mental illness (SMI) have a reduced life expectancy by around 15–20 years, in part due to higher rates of long-term conditions (LTCs) such as diabetes and heart disease. Evidence suggests that people with SMI experience difficulties managing their physical health. Little is known, however, about the barriers, facilitators and strategies for self-management of LTCs for people with SMI. Aim To systematically review and synthesise the qualitative evidence exploring facilitators, barriers and strategies for self-management of physical health in adults with SMI, both with and without long-term conditions. Methods CINAHL, Conference Proceedings Citation Index- Science, HMIC, Medline, NICE Evidence and PsycInfo were searched to identify qualitative studies that explored barriers, facilitators and strategies for self-management in adults with SMI (with or without co-morbid LTCs). Articles were screened independently by two independent reviewers. Eligible studies were purposively sampled for synthesis according to the richness and relevance of data, and thematically synthesised. Results Seventy-four articles met the inclusion criteria for the review; 25 articles, reporting findings from 21 studies, were included in the synthesis. Seven studies focused on co-morbid LTC self-management for people with SMI, with the remaining articles exploring self-management in general. Six analytic themes and 28 sub-themes were identified from the synthesis. The themes included: the burden of SMI; living with co-morbidities; beliefs and attitudes about self-management; support from others for self-management; social and environmental factors; and routine, structure and planning. Conclusions The synthesis identified a range of barriers and facilitators to self-management, including the burden of living with SMI, social support, attitudes towards self-management and access to resources. To adequately support people with SMI with co-morbid LTCs, healthcare professionals need to account for how barriers and facilitators to self-management are influenced by SMI, and meet the unique needs of this population.

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“…Approximately 5% of the adults with type 1 diabetes are in need of psychiatric treatment, the third level, which may involve psychotropic medication that can have an impact on glycemic management. Psychiatric comorbidities, such as anorexia nervosa and schizophrenia, require close collaboration between the mental health specialist and diabetes care team (207,208).…”

Section: Simultaneousmentioning

confidence: 99%

The Management of Type 1 Diabetes in Adults. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

et al. 2021

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Type 1 diabetes is a condition caused by autoimmune damage of the insulinproducing b-cells of the pancreatic islets, usually leading to severe endogenous insulin deficiency. Type 1 diabetes accounts for approximately 5-10% of all cases of diabetes. Although the incidence peaks in puberty and early adulthood, new-onset type 1 diabetes occurs in all age-groups and people with type 1 diabetes live for many decades after onset of the disease, such that the overall prevalence of type 1 diabetes is higher in adults than in children, justifying our focus on type 1 diabetes in adults (1). The global prevalence of type 1 diabetes is 5.9 per 10,000 people, while the incidence has risen rapidly over the last 50 years and is currently estimated to be 15 per 100,000 people peryear(2).

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“Mental Health Professionals Have Never Mentioned My Diabetes, They Don’t Get Into That”: A Qualitative Study of Support Needs in Adults With Type 1 and Type 2 Diabetes and Severe Mental Illness

Cited by 23 publications

References 46 publications

The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

Exploring the facilitators, barriers, and strategies for self-management in adults living with severe mental illness, with and without long-term conditions: A qualitative evidence synthesis

The Management of Type 1 Diabetes in Adults. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

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