Severe distress &amp; denial among Asian patients with Type 2 Diabetes Mellitus in the primary care: A prospective, multicentre study

Tan, Cheryl Wei Yan; Xu, Yuan-Chen; Lee, Joyce Yu‐Chia

doi:10.1016/j.diabres.2023.110574

Cited by 3 publications

(2 citation statements)

References 36 publications

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“…Rajab et al [79] reported the tendency to deny the severity of disease in 67.5% of patients with type 2 diabetes. A high prevalence of illness denial (33.8%) was also detected in a recent study involving patients with type 2 diabetes mellitus [86]. In a study investigating reasons for failure to achieve disease control in a group of 120 patients with long-standing acromegaly, illness denial was detected in 23.3% of the sample [87].…”

Section: Resultsmentioning

confidence: 72%

Illness Denial in Medical Disorders: A Systematic Review

Patierno

Fava

Carrozzino

2023

Psychother Psychosom

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Introduction: Illness denial pertains to medical patients who do not acknowledge the presence or severity of their disease or the need of treatment. Objective: This systematic review was performed to clarify the clinical role and manifestations of illness denial, its impact on health attitudes and behavior, as well as on short- and long-term outcomes in patients with medical disorders. Methods: The systematic search according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines was conducted on PubMed, Scopus, and Web of Science. Results: The initial search yielded a total of 14,098 articles; 176 studies met the criteria for inclusion. Illness denial appeared to be a relatively common condition affecting a wide spectrum of health attitudes and behavior. In some cases, it may help a person cope with various stages of illness and treatment. In other situations, it may determine delay in seeking treatment, impaired adherence, and reduced self-management, leading to adverse outcomes. The Diagnostic Criteria for Psychosomatic Research (DCPR) were found to set a useful severity threshold for the condition. An important clinical distinction can also be made based on the DCPR for illness denial, which require the assessment of whether the patient has been provided with an adequate appraisal of the medical situation. Conclusions: This systematic review indicates that patients with medical disorders experience and express illness denial in many forms and with varying degrees of severity. The findings suggest the need for a multidimensional assessment and provide challenging insights into the management of medical disorders.

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Section: Resultsmentioning

confidence: 72%

Illness Denial in Medical Disorders: A Systematic Review

Patierno

Fava

Carrozzino

2023

Psychother Psychosom

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“…For the PAID scale, a score of 40 or higher is indicative of high diabetes distress and demonstrates discriminative validity 24 , 25 . In Asian populations, the same cutoff value of 40 has been consistently used to define high diabetes distress 26 – 28 . Therefore, in this study, we adopted the same cutoff to define high diabetes distress, which is similar to the highest tertile (score > 38) of the current study population.…”

Section: Methodsmentioning

confidence: 99%

Impact of diabetes distress on glycemic control and diabetic complications in type 2 diabetes mellitus

Park,

Cho,

Seo

et al. 2024

Sci Rep

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The effect of diabetes distress on glycemic control and its association with diabetes complications is still poorly understood. We aimed to study the clinical features of patients with high diabetes distress, focusing on changes in glycemic control and risk of diabetic complications. From the Korean National Diabetes Program data, we investigated 1862 individuals with type 2 diabetes mellitus (T2DM) who completed diabetic complication studies and the Korean version of the Problem Areas in Diabetes Survey (PAID-K). A total score of PAID-K ≥ 40 was considered indicative of high distress. Individuals with high distress (n = 589) had significantly higher levels of glycated hemoglobin than those without distress (7.4% vs. 7.1%, p < 0.001). This trend persisted throughout the 3-year follow-up period. Higher PAID-K scores were associated with younger age, female gender, longer duration of diabetes, and higher carbohydrate intake (all p < 0.05). There was a significant association between high distress and diabetic neuropathy (adjusted odds ratio, 1.63; p = 0.002), but no significant association was found with other complications, including retinopathy, albuminuria, and carotid artery plaque. In conclusion, high diabetes distress was associated with uncontrolled hyperglycemia and higher odds of having diabetic neuropathy.

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Psychosocial Facilitators and Barriers to Type 2 Diabetes Management in Adults: A Meta-Synthesis

Lekha,

Abdul Azeez

2024

CDR

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Background:: Globally, the cases of type 2 diabetes are increasing, and this is largely attributed to lifestyle changes. Though diabetes is primarily a metabolic disease determined by biological factors, psychosocial aspects play a crucial role in its progression and management. However, the literature on psychosocial dimensions of diabetes management is minuscule and scattered. Objective:: This synthesis sought to understand the psychosocial facilitators and barriers to type 2 diabetes management and coping among adults. Methods:: We have adopted a meta-synthesis to review available qualitative studies using Pub- Med and Scopus databases. Based on inclusion criteria, we have chosen 24 studies published between 2010 and 2023. We have considered studies across countries, among which 63% of the studies included were from Western countries, and most have employed qualitative descriptive design. The selected studies were analyzed thematically using a deductive framework. Results:: Six themes emerged as the psychosocial barriers and facilitators of managing and coping with type 2 diabetes: 1) cognitive-emotional factors, 2) faith, 3) constraints to behavioural change, 4) social constraints and support, 5) healthcare provider-patient relationship, and 6) awareness. Further, a conceptual framework was developed from the synthesis. Conclusion:: The patients' experiences evident from this synthesis signify the crucial role of psychosocial factors in diabetes management and coping. This evidence emphasizes the need for integrated care so that psychosocial aspects are addressed by healthcare providers and behavioural health professionals, which may lead to the promotion of facilitators and the minimization of barriers.

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Severe distress & denial among Asian patients with Type 2 Diabetes Mellitus in the primary care: A prospective, multicentre study

Cited by 3 publications

References 36 publications

Illness Denial in Medical Disorders: A Systematic Review

Illness Denial in Medical Disorders: A Systematic Review

Impact of diabetes distress on glycemic control and diabetic complications in type 2 diabetes mellitus

Psychosocial Facilitators and Barriers to Type 2 Diabetes Management in Adults: A Meta-Synthesis

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