Quality of Life and the Structure of Neurosis-like Symptomatology in Persons with Insulin-Dependent Diabetes Mellitus

Wasserman, L. I.; Трифонова, Е. А.

doi:10.1080/00207411.2004.11043380

Cited by 3 publications

(5 citation statements)

References 7 publications

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“…This fact signifies the importance of QoL measure in diabetic polyneuropathy since physicians are usually focused on physical symptoms and have neglect for patients' subjective complaints. In line with this observation, we registered the lowest scores for GH and VT domains which is in accordance with other studies [23][24][25] , and it further speaks in favor of the importance of the mental health impairment in patients with diabetic polyneuropathy.…”

Section: Discussionsupporting

confidence: 94%

Correlation of clinical and neurophysiological findings with health related quality of life in patients with diabetic polyneuropathy

Vukojevic

Gazibara²,

Nikolić

et al. 2014

VOJNOSANIT PREGL

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Section: Discussionsupporting

confidence: 94%

Correlation of clinical and neurophysiological findings with health related quality of life in patients with diabetic polyneuropathy

Vukojevic

Gazibara²,

Nikolić

et al. 2014

VOJNOSANIT PREGL

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“…Patients with DSPN from both groups (with and without neuropatic pain) had the best scores in physical funcioning (PF) domain. Similar findings were obtained by Wasserman et al, as well as in our work from 2014 (20,21). Such a good result for PF in our patients is due to the fact that DSPN is predominantly sensory polyneuropathy in which motor fibers are long preserved and that patients with significant comorbidities were excluded.…”

Section: Aslam Et Al Found Similar Results Regarding Individual Sf-3supporting

confidence: 93%

“…RP was a subdomain with very low scores in patients with neuropathic pain, and very high in patients without neuropathic pain. Similar results were found in other studies which suggest significant influence of neuropathic pain on patients' working ability and other daily activities scale (9,10,20,21). It also should be mentioned that our patients with neuropathic pain more frequently performed physical than intellectual job.…”

Section: Aslam Et Al Found Similar Results Regarding Individual Sf-3supporting

confidence: 91%

“…The worst results on SF-36 were obtained for GH in both investigated groups of patients, which is a score where patients directly estimate and anticipate their health and diseases. These findings correspond to the results in most of the studies published so far, in which it was found that this item was among the most commonly and severely affected on SF-36 scale (9,10,20,21). RP was a subdomain with very low scores in patients with neuropathic pain, and very high in patients without neuropathic pain.…”

Section: Aslam Et Al Found Similar Results Regarding Individual Sf-3supporting

confidence: 90%

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Neuropathic pain as independent predictor of worse quality of life in patients with diabetic neuropathy

et al. 2021

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Introduction/Aim:The aim of this study was to examine influence of neuropathic pain on quality of life (QoL) in patients with diabetic sensorimotor polyneuropathy (DSPN) who did not have neither another diabetic complications nor any other significant comorbidities. Methods: Thirty two patients with DSPN and definitive neuropathic pain were compared with 32 patients with DSPN without neuropathic pain matched for age, gender, and duration of illness. Following scales were used: Pain Detect Questionnaire, Leeds Assessment of Neuropathic Symptoms and Signs, Douleur Neuropatathique en 4 Question, Hamilton depression and anxiety rating scales, Neuropathy Impairment Score of the Lower Limb (NIS-LL), and SF-36 questionnaire. Results: Patients with neuropathic pain had significantly more severe DSPN measured with NIS-LL (p<0.01). Also, they were more likely to be engaged in physical work (p<0.05), and had more depression (p<0.05) than patients without neuropathic pain. Patients with neuropathic pain had significantly lower QoL in both physical and mental domains (p<0.01). Independent predictors of worse QoL in DSPN were presence of depression (beta=-0.58, p<0.01) and presence of neuropathic pain (beta=-0.23, p<0.05)-R 2 adjusted=0.48. Conclusion: Independent predictors of QoL in patients with DSPN were presence of depression and neuropathic pain, which signifies importance of early recognition and early treatment of these symptoms.

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“…2. Other emotional and behavioral disturbances (Jacobson et al, 1997;Wasserman & Trifonova, 2004). 3.…”

Section: Diabetes Mellitus As a Multidimensional Biopsychosocial Problemmentioning

confidence: 99%

Diabetes Mellitus as a Model of Psychosomatic and Somatopsychic Interrelationships

Wasserman

Трифонова

2006

Span. J. Psychol.

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The article reviews research on the problem of interrelationship between different physical and psychosocial factors in type 1 diabetes mellitus (DM1). The authors consider methodological principles of health-related quality of life (HRQoL) assessment in DM1 patients and stress the need for an integrated biopsychosocial approach to the management of the disease. DM1 is a chronic metabolic disease with an absolute requirement for insulin replacement therapy. The stress-inducing nature of DM1 is associated with its unexpected and dramatic manifestation in juvenile years, life-threatening nature of severe hypo-/hyperglycaemias and long-term complications, with the burden of diabetes self-management, threat of work disability, employment and career problems etc. These features of DM1 increase the likelihood of the development of anxiety and depressive disorders, which, in turn, may negatively influence the course of diabetes and in particular, diabetes self-care. This necessitates early diagnosis of emotional and behavioral disturbances in DM1 using self-report instruments as well as clinical assessment. Evidence suggests that active problem-focused coping behavior and adequate social support promote adherence to diabetes regimes and may act as a buffer against negative effects of the disease on HRQoL in DM1 patients. The core element in the HRQoL structure is personal disease picture (as opposed by objective clinical picture) -the cognitive-affectivebehavioral complex reflecting the patient's personal perception of the disease. Examination of the personal disease picture and attitude towards the ailment in DM1 patients may help to improve understanding of the mechanisms of poor adjustment. Problems in disease adjustment can be detected also by diabetes-specific HRQoL assessment. The measures of HRQoL can be applied as screening instruments useful in increasing the effectiveness of patient-provider interactions and diabetes care. Keywords: diabetes mellitus, psychosocial factors, disease adjustment, health-related quality of life, psychological assessmentEl artículo revisa la investigación del problema de la interrelación entre diferentes factores físicos y psicosociales en la diabetes melitus tipo 1 (DM1). Los autores consideran los principios de la evaluación de la calidad de vida relacionada con la salud (CVRS) en pacientes de DM1 y ponen de manifiesto la necesidad de un abordaje biopsicosocial integrado del manejo de la enfermedad. La DM1 es una enfermedad metabólica crónica con una necesidad absoluta de terapia de reemplazo de insulina. La naturaleza estresante de la DM1 se asocia con su aparición inesperada y dramática durante los años de juventud, la naturaleza peligrosa de las hipo e hiperglucemias y las complicaciones a largo plazo, con la carga del auto-cuidado de la diabetes, la amenaza de discapacidad laboral, problemas de empleo y carrera, etc. Estas características de la DM1 aumentan la probabilidad de desarrollar trastornos de ansiedad y depresivos que, a su vez, pueden afectar negativamente el curso ...

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Quality of Life and the Structure of Neurosis-like Symptomatology in Persons with Insulin-Dependent Diabetes Mellitus

Cited by 3 publications

References 7 publications

Correlation of clinical and neurophysiological findings with health related quality of life in patients with diabetic polyneuropathy

Correlation of clinical and neurophysiological findings with health related quality of life in patients with diabetic polyneuropathy

Neuropathic pain as independent predictor of worse quality of life in patients with diabetic neuropathy

Diabetes Mellitus as a Model of Psychosomatic and Somatopsychic Interrelationships

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