Prevalence and associations of psychological distress in young adults with Type 1 diabetes

Hislop, A. L.; Fegan, P. Gerry; Schlaeppi, M; Duck, Mary M; Yeap, Bu B.

doi:10.1111/j.1464-5491.2007.02310.x

Cited by 138 publications

(112 citation statements)

References 49 publications

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“…High rates of depression have also been observed in Australia in both individuals with type 1 and type 2 diabetes (Hislop et al, 2008, Goldney et al, 2004, Jordan (AlAmer et al, 2011), Pakistan and Qatar (Bener et al, 2011).…”

Section: International Variations In Prevalence Of Depression In Diabmentioning

confidence: 96%

Epidemiology of depression in diabetes: International and cross-cultural issues

Lloyd¹,

Roy²,

Nouwen³

et al. 2012

Journal of Affective Disorders

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This paper reviews the most up-to-date epidemiological evidence of the relationship between depression and diabetes, and considers the risk factors for the development of depression and the consequences of depression in diabetes with an emphasis on international and cross-cultural data. The difficulties that researchers face when epidemiological studies require assessment of psychological phenomena, such as depression, across different cultural settings are explored. Methods:Relevant papers were sought on the epidemiology of diabetes and depression in people with diabetes by undertaking a literature search of electronic databases including MEDLINE, Psych-INFO, CINAHL and EMBASE. These papers were assessed by the authors and a narrative review of the relevant literature was composed.Results: Systematic reviews of the prevalence of depression in people with diabetes have focused on studies conducted in English speaking countries and emerging data suggest that there may be international variations in prevalence and also in how symptoms of depression are reported. There appears to be a bi-directional relationship between depression and diabetes, with one influencing the other; however, research in this area is further complicated by the fact that potential risk factors for depression in people with diabetes often interact with each other and with other factors. Further research is needed to elucidate the causal mechanisms underlying these associations. Limitations:Data from non-English speaking countries remain scarce and so it is difficult to come to any firm conclusions as to the international variation in prevalence rates of comorbid diabetes and depression in these countries until further research has been conducted. Conclusion:It is important to take a culture-centered approach to our understanding of mental health and illness and has outlined some of the key issues related to the development of culturally sensitive depression screening tools. In order to come to any firm conclusions about the international variation in prevalence of co-morbid diabetes and depression, issues of culture and diversity must be taken into account prior to conducting international epidemiological studies.

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Section: International Variations In Prevalence Of Depression In Diabmentioning

confidence: 96%

Epidemiology of depression in diabetes: International and cross-cultural issues

Lloyd¹,

Roy²,

Nouwen³

et al. 2012

Journal of Affective Disorders

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“…There is considerable research support for the direct association between chronic stress and poor glycaemic control in diabetic adults (e.g., Hislop et al 2008;Inui et al 1998;Lloyd et al 1999). For example, Inui et al (1998) examined the long-term effects of the Kobe, Japan, earthquake, a life-threatening event, on stress and glycaemic control in people with T1DM and T2DM.…”

Section: Life Stressmentioning

confidence: 98%

Stress and Chronic Illness: the Case of Diabetes

2011

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Globally, Type 2 Diabetes Mellitus (T2DM) is one of the most prevalent chronic illnesses. Managing T2DM is a major challenge now affecting the lives of around 200 million people. Even when medication, diet, and physical activity regimens are maintained, blood sugar levels might not be effectively controlled because stress triggers the release of sugar into the blood. This makes the management of stress an important adjunct to the treatment of T2DM. Stress includes both life stress, the major issues that people face in their lives, such as job loss, divorce, or death of a loved one, and daily hassles, smaller everyday problems, such as deadlines for work, traffic hold-ups, or family disagreements. The stress levels created by these events are exacerbated by the stress created by the demands of managing diabetes. In this paper, we first examine the evidence for the relationship between stress and poor blood sugar control in people with T2DM. Then, we consider research that has examined the impact of various stress management strategies on blood sugar level. Finally, we discuss some promising psychological techniques for managing stress that could be helpful for people with diabetes or pre-diabetes. We note the double benefit of physical activity, which directly assists in the metabolism of sugar from the blood and indirectly reduces acute stress and chronic stress reactivity, thus providing a buffer against the effects of stress for people with T2DM.

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“…Young adults with diabetes are also more likely to face psychological issues hindering their care and management, as evidenced by any patients challenging chronic long-term conditions [24,25] . Thus efficient delivery of care is crucial to allow for this vulnerable patient group in a susceptible period where their lives are simultaneously changing.…”

Section: Psychosocial Stressors As Barriersmentioning

confidence: 99%

Challenges of emerging adulthood-transition from paediatric to adult diabetes

Gill

Nayak

Wilkins

et al. 2014

WJD

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Diabetes mellitus is a complex condition with far reaching physical, psychological and psychosocial effects. These outcomes can be significant when considering the care of a youth transferring from paediatric through to adult diabetes services. The art of mastering a smooth care transfer is crucial if not pivotal to optimising overall diabetic control. Quite often the nature of consultation varies between the two service providers and the objectives and outcomes will mirror this. The purpose of this review is to analyse the particular challenges and barriers one might expect to encounter when transferring these services over to an adult care provider. Particular emphasis is paid towards the psychological aspects of this delicate period, which needs to be recognised and appreciated appropriately in order to understand the particular plights a young diabetic child will be challenged with. We explore the approaches that can be positively adopted in order to improve the experience for child, parents and also the multi-disciplinary team concerned with the overall delivery of this care. Finally we will close with reflection on the potential areas for future development that will ultimately aim to improve long-term outcomes and experiences of the young adolescent confronted with diabetes as well as the burden of disease and burden of cost of disease.

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Prevalence and associations of psychological distress in young adults with Type 1 diabetes

Cited by 138 publications

References 49 publications

Epidemiology of depression in diabetes: International and cross-cultural issues

Epidemiology of depression in diabetes: International and cross-cultural issues

Stress and Chronic Illness: the Case of Diabetes

Challenges of emerging adulthood-transition from paediatric to adult diabetes

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