Psychological distress, self-efficacy and glycemic control in type 2 diabetes

Indelicato, Liliana; Dauriz, Marco; Santi, Lorenza; Bonora, Federica; Negri, Carlo; Cacciatori, V.; Targher, Giovanni; Trento, Marina; Bonora, Enzo

doi:10.1016/j.numecd.2017.01.006

Cited by 58 publications

(60 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Poor glycaemic control in adults with type 2 diabetes mellitus is common in those with low perceived self‐efficacy (D'Souza et al., 2017;Walker, Gebregziabher, Martin‐Harris, & Egede, 2014). Indelicato et al (2017) noted that low perceived self‐efficacy was associated with HbA1C levels greater than 7.7% [61 mmol/mol] in 33% of their study participants. Interventions successful in increasing self‐efficacy address education and self‐monitoring and provide feedback and reminders.…”

Section: Introductionmentioning

confidence: 96%

Making sense of blood glucose data and self‐management in individuals with type 2 diabetes mellitus: A qualitative study

Despins

Wakefield

2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To describe individuals' with type 2 diabetes mellitus sense‐making of blood glucose data and other influences impacting self‐management behaviour. Background Type 2 diabetes mellitus prevalence is increasing globally. Adherence to effective diabetes self‐management regimens is an ongoing healthcare challenge. Examining individuals’ sense‐making processes can advance staff knowledge of and improve diabetes self‐management behaviour. Design A qualitative exploratory design examining how individuals make sense of blood glucose data and symptoms, and the influence on self‐management decisions. Methods Sixteen one‐on‐one interviews with adults diagnosed with type 2 diabetes mellitus using a semi‐structured interview guide were conducted from March–May 2018. An inductive–deductive thematic analysis of data using the Sensemaking Framework for Chronic Disease Self‐Management was used. The consolidated criteria for reporting qualitative research (COREQ) checklist were used in completing this paper. Results Three main themes described participants’ type 2 diabetes mellitus sense‐making and influences on self‐management decisions: classifying blood glucose data, building mental models and making self‐management decisions. Participants classified glucose levels based on prior personal experiences. Participants learned about diabetes from classes, personal experience, health information technology and their social network. Seven participants expressed a need for periodic refreshing of diabetes knowledge. Conclusion Individuals use self‐monitored glucose values and/or HbA1C values to evaluate glucose control. When using glucose values, they analyse the context in which the value was obtained through the lens of personal parameters and expectations. Understanding how individuals make sense of glycaemic data and influences on diabetes self‐management behaviour with periodic reassessment of this understanding can guide the healthcare team in optimising collaborative individualised care plans. Relevance to clinical practice Nurses must assess sense‐making processes in self‐management decisions. Periodic “refresher” diabetes education may be needed for individuals with type 2 diabetes mellitus.

show abstract

Section: Introductionmentioning

confidence: 96%

Making sense of blood glucose data and self‐management in individuals with type 2 diabetes mellitus: A qualitative study

Despins

Wakefield

2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…In addition, they showed that the risk for type 2 diabetes increased by a hazard ratio (HR) of 1.03 for a one unit increase of the somatization score [19]. As it was mentioned, previous studies showed that psychological problems are common among diabetic patients [9][10][11][12]. It is believed that high prevalence of psychological symptoms among diabetic patients is related to poor glycemic control, diabetes complications, worsened prognosis, and quality of life [34].…”

Section: Discussionmentioning

confidence: 96%

“…Previous evidences suggested that psychological problems are common among diabetic patients, and they are at substantial risk of enhanced depression, anxiety, and stress. It is reported that depressive symptoms are two times more common in patients with diabetes; in addition, they are more susceptible to anxiety symptoms, anxiety disorders, stress reactivity, and psychological distress than population without diabetes [9][10][11][12]. The detrimental effects of these comorbidities in people with diabetes can be seen in a reduced quality of life, an increased risk for micro-and macro-vascular complications, poorer self-care behavior, and early mortality [13].…”

Section: Introductionmentioning

confidence: 99%

Psychosomatic complaints profile in patients with type 2 diabetes: a matched case-control study

Heidari

Feizi

Keshteli

et al. 2019

Egypt J Neurol Psychiatry Neurosurg

View full text Add to dashboard Cite

Objective: To compare the prevalence of psychosomatic symptoms and their mean scores of profiles in diabetic patients and sample of sex-age-matched healthy controls. Methods: This case-control study was conducted on 87 patients with type 2 diabetes. The control group consisted of 259 age-and gender-matched healthy participants. Psychosomatic symptoms were assessed using a comprehensive 31-item questionnaire, and psychological problems were evaluated by 12-item General Health Questionnaire and Hospital Anxiety and Depression Scale. Factor analysis, independent Student's t test, analysis of variance, and chi-square test were used for analyzing of data. Results: The frequency of 18 psychosomatic symptoms was significantly higher in diabetic patients with psychological problems compared with controls (P < 0.05), and the most frequent were "severe fatigue" (54.3%), "feeling low on energy" (48.6%), "disturbing thoughts" (45.7%), "pain in the joints" (34.3%), and "eyesore" (32.4%). There were significant differences in terms of "psycho-fatigue" (P ≤ 0.0001), "gastrointestinal" (P = 0.018), "neuroskeletal" (P = 0.001), and "pharyngeal-respiratory" (P = 0.009) profiles between studied groups. Conclusions: In conclusion, diabetic patients with psychological problems had a higher frequency of psychosomatic symptoms and also higher scores of psychosomatic disorder profiles than control participants. However, further prospective investigations are required to assess whether the psychosomatic disorder/symptom pattern was caused by conditions of diabetes disease.

show abstract

“…Their comprehensive knowledge and experience in diabetes were very influential in stress management. Indelicato et al reported that the lower self-efficacy and the higher diabetes distress, the poorer glycemic control [14].…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study Discovering the Common Medication-Therapy Problems in Patients With Type 2 Diabetes Mellitus (T2dm) in Indonesia

Wahyuningrum

Wahyono

Mustofa

et al. 2017

Asian J Pharm Clin Res

View full text Add to dashboard Cite

Objective: Type 2 diabetes mellitus (T2DM) is a chronic and non-communicable diseases caused by insulin resistance. The management of the disease is not only carried out by administering pharmacological therapies, but also non-pharmacological. The aim of the overall study was to develop a model to improve the quality of counseling practice in pharmacies. The research question addressed in this substudy was to identify the medication therapy problems (MTPs) of T2DM.Methods: A total of 42 participants were interviewed between November 2015 and May 2016 through semi-structured surveys. Face-to-face interviews were conducted with patients who visited the internal clinic in the three general hospitals at Yogyakarta. It emphasized on the patient’s drug-related experiences, knowledge, perceptions, problems, and actions. The analysis was done thematically using the interpretative phenomenological analysis technique.Results: The average age of participants was 57.7 years, and more than half were women (55.5%). The most common therapy-related problems are related to individual factors, in term of inappropriate lifestyle choices, which include smoking, having a body mass index value over 25, lack of exercise, lack of knowledge about the nature of their disease, some did not know about the influence of foods on blood glucose level, the effect of the medicines on the disease and/or complications. The interviewees had realized that psychological stress enhanced their blood glucose.Conclusion: Pharmacists need to pay attention to the management of non-pharmacological when giving advice to patients with T2DM.

show abstract

Psychological distress, self-efficacy and glycemic control in type 2 diabetes

Cited by 58 publications

References 28 publications

Making sense of blood glucose data and self‐management in individuals with type 2 diabetes mellitus: A qualitative study

Making sense of blood glucose data and self‐management in individuals with type 2 diabetes mellitus: A qualitative study

Psychosomatic complaints profile in patients with type 2 diabetes: a matched case-control study

A Qualitative Study Discovering the Common Medication-Therapy Problems in Patients With Type 2 Diabetes Mellitus (T2dm) in Indonesia

Contact Info

Product

Resources

About