Psychological Factors in Diabetes Mellitus

Greydanus, Donald E.; Hofmann, Adele D.

doi:10.1001/archpedi.1979.02130100085017

Cited by 42 publications

(7 citation statements)

References 64 publications

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“…Early research efforts repeatedly failed to identify a personality type which might predispose persons to diabetes (1,2). This initial failure may in part explain why personality measures were not routinely incorporated into clinical and research evaluations of patients with diabetes.…”

Section: Introductionmentioning

confidence: 99%

Relationship of personality characteristics to glucose regulation in adults with diabetes.

Lustman

Frank

McGill

1991

Psychosomatic Medicine

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Personality characteristics were assessed in 139 diabetic adults (insulin-dependent diabetes mellitus = 84, non-insulin-dependent diabetes mellitus = 55) to determine whether a relationship existed between glucose regulation and the measured psychological features. Cloninger's Tridimensional Personality Questionnaire (TPQ) was used to evaluate personality while glycated hemoglobin provided an estimate of recent glucose control. Mean glycated hemoglobin (gHb) for the sample was 11.4%. A significant difference (p = 0.03) in gHb levels was observed comparing subjects with extreme personality features (mean = 11.9%) with those subjects with average personality profiles (mean = 10.9%). Post hoc statistical testing identified opportunistic, alienated, and explosive temperaments as the personality features most often associated with poor glucose control. The TPQ appeared to be a particularly useful predictor of poorer glucose regulation in the subset of patients who were self-referred.

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Section: Introductionmentioning

confidence: 99%

Relationship of personality characteristics to glucose regulation in adults with diabetes.

Lustman

Frank

McGill

1991

Psychosomatic Medicine

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“…According to a controlled study (Greydanus and Hofmann 1979), diabetics, in particular those with poor control or long duration, are more depressive. Roger (1980) has reported recently that treatment with anti-depressant resulted in complete remission of PDN with concomitant relief of depression and return of depression test score.…”

Section: Results Of Psychological Testsmentioning

confidence: 99%

A follow-up study of painful diabetic neuropathy: Physical and psychological aspects.

Takahashi¹,

Hirata²

1983

Tohoku J. Exp. Med.

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“…1994,24(4) study where the predisease period was 6 -10 years, Stein and Charles (1971) showed that 45% of diabetics had had an incidence of parental loss and family disturbance as compared to 16% of a control group. On the other hand, Kimball (1971) and Greydanus et al, (1979) argued that the relationship between the onset of diabetes and emotional stress has not yet been established. The subjects in the present study do not seem to have been subjected to undue stress before the onset of their illnesses although this was not specifically assessed.…”

Section: Discussionmentioning

confidence: 99%

“…The fact that such events are not mentioned could be seen as a shortcoming in the method used in this investigation in which unstructured questions elicit only that which the subject regards as important. On the other hand, the role played by stress in the onset of diabetes is by no means certain (Greydanus et al, 1979). There is a growing body of evidence which suggests that viruses or chemicals affect the immune system of people who may be genetically susceptible to diabetes (Craighead, 1978).…”

Section: Discussionmentioning

confidence: 99%

“…Kimball (1971), however, in his discussion of a number of studies on diabetes states that a correlation between emotional shocks and upsets and the onset of the disease is 'far from the rule and has not held up in statistical epidemiologic surveys' (p. 1007). Greydanus, Adele and Hofmann (1979), in a thorough review of the literature, conclude that a relationship between the phenomenon of stress and the onset of diabetes remains to be shown. The effects of various stress factors have also been considered to influence the control (glycaemic fluctuations) of diabetes.…”

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confidence: 99%

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Diabetes Mellitus: Experiencing a Chronic Illness

Cleaver

Pallourios

1994

South African Journal of Psychology

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Diabetes is a chronic, complex disease involving numerous pathophysiological features. There is a paucity of studies relating to psychological factors. The available research is not conclusive and in addition is largely quantitative in nature. The aim of this investigation was to gain an understanding of the life-world of people with diabetes and to acquire insight into the demanding aspects of their lives. The research procedure involved interviewing subjects who suffer from diabetes. A pilot study was conducted in order to test a number of openended questions. On the basis of these results, a set of semi-structured questions was formulated for the main study. The main study involved interviews with 13 subjects aged between 20 and 45 years who belonged to a diabetic organization and who volunteered for the investigation. The interviews were recorded on audiotape and later transcribed. Five of the protocols obtained were analyzed according to the method outlined by Giorgi and they produced an encompassing description of the life-world of a diabetic. The themes which emerged included the appearance of the first symptoms and their effect on people with diabetes, the impact of the diagnosis, the emerging pattern of the life-world of people with diabetes and the prospects for the future. The phenomenological approach proved valuable in highlighting many aspects of diabetes. Recommendations are made which may be of benefit to people with diabetes and their families.Diabetes is 'n chroniese, komplekse siekte waarby verskeie patofisiologiese verskynsels betrokke is. Daar is baie min studies in verband met psigologiese faktore. Beskikbare navorsing lewer nie afdoende antwoorde nie en is boonop meestal kwantitatief van aard. As prosedure vir die huidige navorsing is onderhoude met mense met diabetes gevoer. Nadat 'n reeks loodsvrae vooraf getoets is, is 'n stel oop vrae gebaseer op die resultate van die toetsvrae vir die hoofstudie geformuleer. Die hoofstudie het onderhoude behels met 13 Iyers, tussen die ouderdomme van 20 en 45 jaar, en wat aan 'n organisasie vir diabete behoort en wat vrywillig aan die studie deelgeneem het. Die onderhoude is op oudioband opgeneem en later oorgetik. Die protokolle is ontleed volgens Giorgi se metode en het 'n omvattende beskrywing van die leet-wereld van 'n diabeet daargestel. Temas wat duidelik opval, sluit in die verskyning van die eerste simptome en die effek daarvan op die persoon, die skok wat met die diagnose gepaard gaan, die nuwe lewenspatroon wat die persoon moet volg en die vooruitsigte vir die toekoms. Die fenomenologiese benadering het waardevolle lig gewerp op baie van die aspekte van die siekte. Aanbevelings word gedoen wat moontlik vir persone met diabetes en hul gesinne van waarde kan wees.

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Psychological Factors in Diabetes Mellitus

Cited by 42 publications

References 64 publications

Relationship of personality characteristics to glucose regulation in adults with diabetes.

Relationship of personality characteristics to glucose regulation in adults with diabetes.

A follow-up study of painful diabetic neuropathy: Physical and psychological aspects.

Diabetes Mellitus: Experiencing a Chronic Illness

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