Psychosocial screening and management of young people aged 18–25 years with diabetes

D'Emden, Helen; McDermott, Brett; D'Silva, Neisha; Dover, Tom; Ewais, Tatjana; Gibbons, Kristen; O’Moore-Sullivan, Trisha

doi:10.1111/imj.13375

Cited by 24 publications

(30 citation statements)

References 30 publications

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“…In line with the findings of a systematic review that showed no benefit of patient‐held records, we found no association between the PAID scale total score and use of a diabetes passport. As in our study, other studies found that suboptimal glycaemic control was weakly associated with higher PAID scale total scores . In addition, close associations between depressive symptoms and diabetes distress have been reported previously and discussed intensively.…”

Section: Discussionsupporting

confidence: 91%

“…The diabetes distress prevalence in the analysed samples of 18–27‐year‐olds (12–16%) was lower than that commonly observed in older adults with later onset . We suspect that the Type 1 diabetes onset early in childhood partly explains the difference.…”

Section: Discussionmentioning

confidence: 58%

“…More than 20 years ago, diabetes distress, as measured by the Problem Areas in Diabetes (PAID) scale, was found to contribute uniquely to participants' adherence to self-care behaviours [11]. Several cross-sectional studies have analysed diabetes distress in adults with Type 1 diabetes [12][13][14][15][16][17][18]. However, few longitudinally designed studies have examined whether diabetes distress is prospectively related to HbA 1c in adults with Type 1 diabetes [17,19].…”

Section: Introductionmentioning

confidence: 99%

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Diabetes distress in young adults with early‐onset Type 1 diabetes and its prospective relationship with HbA_1cand health status

Stahl‐Pehe

Glaubitz²,

Bächle

et al. 2019

Diabet. Med.

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Aim This study aimed to determine cross‐sectional relationships between diabetes distress and health‐related variables, and prospective associations between diabetes distress and future glycaemic control (HbA1c) and health status among young adults with early‐onset Type 1 diabetes. Methods Data were collected from a nationwide cohort study of adults whose Type 1 diabetes onset occurred from 0 to 4 years of age during 1993–2002. Questionnaire surveys were conducted in 2012–2013 and 2015–2016 (N = 584). Diabetes distress was assessed via the Problem Areas in Diabetes (PAID) scale (0–100 points), depressive symptoms via the Patient Health Questionnaire‐9 (PHQ‐9) and health status via the 12‐Item Short Form Health Survey (SF‐12) questionnaire. Multivariable linear regression analyses were applied to cross‐sectional and longitudinal data. Results In the cross‐sectional analyses, higher PAID scale total scores (representing higher distress levels) were observed in women than in men and in participants with more severe depressive symptoms. PAID scores were lower in individuals with better physical and mental health. A 1 mmol/mol increase in HbA1c was associated with a 0.28‐point increase [95% confidence interval (95% CI) 0.20, 0.36] in diabetes distress. In longitudinal analyses adjusting for age, sex, socio‐economic index and HbA1c at baseline, a 10‐point higher PAID score at baseline was associated with a 1.82 mmol/mol higher HbA1c level (95% CI 0.43, 3.20) and a 2.48‐point lower SF‐12 mental health score (95% CI −3.55, −1.42) three years later. Conclusions The cross‐sectional and longitudinal analyses results suggest that diabetes distress impairs health‐related outcomes in young adults with early‐onset diabetes.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 58%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Diabetes distress in young adults with early‐onset Type 1 diabetes and its prospective relationship with HbA_1cand health status

Stahl‐Pehe

Glaubitz²,

Bächle

et al. 2019

Diabet. Med.

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“…1,8,10 It shows the vulnerability of this group and the need to screen for and address mental wellbeing at clinic visits. A total of 19.4% indicated severe diabetes-related stress on the PAID-20 score, 11% were identified as likely having depression and PHQ-4 identified 25.8 and 16.1% with anxiety and depression respectively.…”

Section: Discussionmentioning

confidence: 99%

“…5 Transition programmes have resulted in improvement of diabetes care for young adults with type 1 DM with higher clinic attendance, reduction in admissions with diabetic ketoacidosis (DKA) and a fall in HbA1c. 10 With this study, we aim to investigate young adults aged 18-25 years at a large tertiary diabetes clinic and report physical and psychosocial baseline characteristics of this group. 8 Identifying the mental health burden is important to provide a comprehensive health service and diabetes guidelines recommend routine psychological assessment and treatment.…”

Section: Introductionmentioning

confidence: 99%

Diabetes care: addressing psychosocial well‐being in young adults with a newly developed assessment tool

Bachmeier

Waugh

Vitanza

et al. 2020

Internal Medicine Journal

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Background Psychosocial assessment should be part of clinic visits for people with diabetes mellitus (DM). Aims To assess the usage and acceptance of a diabetes psychosocial assessment tool (DPAT) and to profile the clinical and psychosocial characteristics of young people with diabetes. Methods Over a 12‐month period, young adults (18–25 years) attending diabetes clinic were offered DPAT. The tool embeds validated screening tools including the Problem Areas in Diabetes 20 (PAID‐20) questionnaire, the Patient Health Questionnaire‐4 (PHQ‐4) and the World Health Organization Well‐Being Index‐5 (WHO‐5). Baseline clinical data were collected and questions regarding social support, body image, eating concerns, hypoglycaemia and finances were included. Results Over the 12 month, the form was offered to 155 participants (64.6% of eligible attendees). The majority (96.1%) had type 1 DM with a mean duration of 10.5 (±5.3 SD) years. Average glycated haemoglobin (HbA1c) was 8.7% (±1.5 SD) (or 71.2 mmol/mol ±16.5 SD). Severe diabetes‐related distress (PAID‐20 ≥ 40) was found in 19.4%. Low WHO‐5 scores (28–50 points) were seen in 14.8%. PHQ‐4 identified 25.8% with anxiety and 16.1% with depression. Significant weight, shape and eating concerns were identified in 27.1, 26.6 and 28.4%, respectively. Serious hypoglycaemia concerns were raised by 4.5%. Conclusion DPAT revealed a high prevalence of psychosocial stress among young adults with DM. The tool was easy to use and accepted by patients and may aid streamlining referrals to relevant members of a multidisciplinary team.

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Developmental Issues Associated with Emerging Adulthood

Ambrosino

2019

Transitioning From Pediatric to Adult Care in Endocrinology

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Psychosocial screening and management of young people aged 18–25 years with diabetes

Abstract: Abstract:Background: Routine psychosocial screening and management of people with diabetes is recommended.

Cited by 24 publications

References 30 publications

Diabetes distress in young adults with early‐onset Type 1 diabetes and its prospective relationship with HbA_1cand health status

Diabetes distress in young adults with early‐onset Type 1 diabetes and its prospective relationship with HbA_1cand health status

Diabetes care: addressing psychosocial well‐being in young adults with a newly developed assessment tool

Developmental Issues Associated with Emerging Adulthood

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Psychosocial screening and management of young people aged 18–25 years with diabetes

Abstract: Abstract:Background: Routine psychosocial screening and management of people with diabetes is recommended.

Cited by 24 publications

References 30 publications

Diabetes distress in young adults with early‐onset Type 1 diabetes and its prospective relationship with HbA1cand health status

Diabetes distress in young adults with early‐onset Type 1 diabetes and its prospective relationship with HbA1cand health status

Diabetes care: addressing psychosocial well‐being in young adults with a newly developed assessment tool

Developmental Issues Associated with Emerging Adulthood

Contact Info

Product

Resources

About

Diabetes distress in young adults with early‐onset Type 1 diabetes and its prospective relationship with HbA_1cand health status

Diabetes distress in young adults with early‐onset Type 1 diabetes and its prospective relationship with HbA_1cand health status