Special Psychosocial Issues in Diabetes Management: Diabetes Distress, Disordered Eating, and Depression

Shapiro, Michael

doi:10.1016/j.pop.2021.11.007

Cited by 8 publications

(9 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For eating disorders, we found that patients with type 2 diabetes more often had positive screening at follow-up than patients with type 1 diabetes. Still, there was a high prevalence of eating disorders in both groups, which raises concern for dietary behaviors potentially deleterious to diabetes control [26,27] Some studies performed in patients with diabetes also showed a high prevalence of eating disorders during the pandemic period, significantly higher in relation to the prevalence described in the pre-pandemic period [28][29][30]. For the screening of sleep disorders, there was a high prevalence of participants with diabetes who presented positive screening, without worsening or improvement in the 18-month follow-up period.…”

Section: Discussionmentioning

confidence: 99%

Lifestyle pattern changes, eating disorders, and sleep quality in diabetes: how are the effects of 18 months of COVID-19 pandemic being felt?

et al. 2022

View full text Add to dashboard Cite

AimsThe pandemic resulted in a lifestyle crisis which may negatively affect patients with diabetes. Despite current knowledge, there is a lack of longitudinal studies evaluating this effect. To assess patients' perceptions about changes in lifestyle, and eating and sleeping patterns after 18 months of the COVID-19 pandemic, and to identify if aspects related to the pandemic (social distancing, COVID-19 infection, behavioral changes, and financial difficulties) are predictors of worsening in eating and sleeping parameters. Methods This was a longitudinal study that followed patients with diabetes from April 2020 to July 2021 in Southern Brazil. Individuals with type 1 or type 2 diabetes, aged ≥ 18 years, were included. The outcome of this study was the assessment of daily habits during a 18-month period of the COVID-19 pandemic. Specific questionnaires were applied once participants were included in this study (3 months after the onset of the pandemic) and at the 18-month follow-up, which included the Eating Attitudes Test-26 (EAT-26), the Mini-Sleep Questionnaire (MSQ), and a specific questionnaire on diet, physical activity, and sleep pattern. Data were compared within and between groups (type 1 and type 2 diabetes), and multivariable models were used to identify subgroups of worse outcomes. Results A total of 118 (78.6%) participants remained in the study at follow-up (mean age 54.6 ± 13.9 years, 41.3% male). In total, 33.9% of participants perceived weight gain during the pandemic, especially those with type 1 diabetes (43.1% vs 25.0% in type 2 diabetes, P = 0.04). About one in four participants reported emotional eating and changes in their eating habits for financial reasons. Regarding sleep patterns, more than half the participants reported taking naps during the day, out of which 30.5% of them perceived worse sleep quality, with no difference between type 1 and type 2 diabetes groups. There were no within-group differences in MSQ and EAT-26 scores. Among participants with type 2 diabetes, age ≥ 60 years (OR 27.6, 95%CI 2.2-345.7), diabetes duration ≥ 15 years (OR 28.9, 95%CI 1.4-597.9), and perceived emotional eating (OR 10.9, 95%CI 1.1-107.5) were associated with worsened food quality. Worse sleep quality during the pandemic was associated with age ≥ 60 years for both type 2 diabetes (OR 5.6, 95%CI 1.1-31.5) and type 1 diabetes (OR 5.5, 95%CI 1.0-29.9). Conclusions Follow-up data from a cohort of patients with diabetes indicate that at the end of 18 months of social distancing, some lifestyle aspects worsened and some improved, showing that these patients responded differently to the adversities of this period. The evidence of clinical features associated with worsening in food and sleep quality provides new insights to prioritizing actions in crisis situations.

show abstract

Section: Discussionmentioning

confidence: 99%

Lifestyle pattern changes, eating disorders, and sleep quality in diabetes: how are the effects of 18 months of COVID-19 pandemic being felt?

et al. 2022

View full text Add to dashboard Cite

show abstract

“…And this can variably affect the person leading to distress specific to diabetic state. 6 DD was a term first coined by a group of psychiatrists and psychologists in Joslin Diabetes Centre in 1955 referring to the psychosocial challenges faced by the people living with diabetes. It refers to the unique and hidden emotional burdens that are part of the spectrum of the patient DD is mainly an effective response to diabetes which includes the feeling of worry, fear, guilt and frustration regarding the complexity and management of diabetes specifically.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of diabetes distress and its psychosocial determinants among Indian population with type II diabetes

Purushottaman,

Joshi,

Dalal

et al. 2024

Int J Res Med Sci

View full text Add to dashboard Cite

Background: Diabetes distress (DD) refers to the negative emotional or affective experience resulting from the challenge of living with the demands of diabetes, regardless of the type of diabetes. In addition to the chronic treatment of diabetes, patients with type 2 diabetes mellitus (T2DM) often experience psychosocial difficulties which can go unnoticed. Hence, it is necessary to identify DD at an early stage to prevent its effect on the patients’ long-term self-care and management plan. This study was conducted to assess the prevalence of DD and its psychosocial determinants among T2DM at a tertiary care centre. Methods: This was a cross sectional, observational study which included patients of either gender, who were between 18-65 years of age with T2DM for more than 3 months to 12 years. DD was assessed using the diabetes distress scale (DDS17) scale. In addition, association between the level of DD with the sociodemographic and clinical characteristics of the patients was assessed. Results: The prevalence of DD in type II diabetic patients in suburban population was found to be 17.69%. The psychosocial determinants which influence DD were found to be age, treatment modality, hypothyroidism, hypertension, and smoking. Conclusions: This study signifies the importance of identifying DD by the primary care physician which often remain unrecognized in clinical practice and to implement the interventions at early stages to improve the quality of life of diabetic patients.

show abstract

“…Furthermore, more severe comorbid depressive symptoms are associated with a higher number of chronic disease diagnosese 30 . Disease-related physical limitations and psychological distress, clinical deterioration, maladaptive health-related behaviors, and depressive symptoms are often mutually reinforcing 31 , 32 . Furthermore, comorbid depressive symptoms may affect health-related behaviors such as self-care behavior, physical activity, sleep time, eating habits, and compliance with treatment 31 , 33 , 34 , and were associated with adverse health and social outcomes in patients with chronic disease 27 .…”

Section: Introductionmentioning

confidence: 99%

“…Disease-related physical limitations and psychological distress, clinical deterioration, maladaptive health-related behaviors, and depressive symptoms are often mutually reinforcing 31 , 32 . Furthermore, comorbid depressive symptoms may affect health-related behaviors such as self-care behavior, physical activity, sleep time, eating habits, and compliance with treatment 31 , 33 , 34 , and were associated with adverse health and social outcomes in patients with chronic disease 27 . For example, depression negatively affects blood sugar control in diabetics because of lowered compliance to behaviors such as following a specific diet, taking medications on time, assessing metabolic parameters, and maintaining a consistent sleep cycle 35 .…”

Section: Introductionmentioning

confidence: 99%

Health-promoting behavior to enhance perceived meaning and control of life in chronic disease patients with role limitations and depressive symptoms: a network approach

Yun

2023

Sci Rep

View full text Add to dashboard Cite

The association between health-related role limitations in the mental and physical subdomains and clinical status (i.e., chronic disease and comorbid depressive symptoms) is mediated by health-promoting behaviors. To enhance health-promoting behaviors in adults with chronic disease, it is necessary to identify item-level associations among targets of health-related monitoring and management. Therefore, the current study used a network approach to examine associations among health-related role limitations, depressive symptoms, existential well-being, socioeconomic position, and health-promoting behavior in adults with chronic disease. A total of 535 adults (mean ± SD age = 62.9 ± 11.9 years; males, n = 231, females, n = 304) who were regularly visiting an outpatient clinic for chronic disease treatment participated in this cross-sectional study. Data on participant demographics, chronic disease diagnoses, socioeconomic status, health-related role limitations (12-item short form survey scores), depressive symptoms (patient health questionnaire-9 scores), existential well-being (scores for four items of the McGill quality of life questionnaire-Revised), and health-promoting behavior (Healthy Habits Questionnaire scores) were acquired. “Undirected regularized partial correlations” and “directional joint probability distributions” among these variables were calculated using a mixed graphical model (MGM) and directed acyclic graph (DAG). In the MGM, the most influential nodes were emotional well-being, feelings of failure, and health-related limitations affecting usual role and physical activities. According to both the MGM and DAG, the relationship between emotional well-being and feelings of failure mediated the relationships of health-related role limitations with concentration difficulty and suicidal ideation. A positive mindset was dependent on the probability distributions of suicidal ideation, controllability of life, and positive self-image. Both the meaning of life and a positive mindset had direct associations with proactive living. Specifically, proactive living was associated with a balanced diet, regular exercise, volunteering in the community, and nurturing intimacy in social interactions. The meaning and controllability of life in individuals with chronic diseases could mediate the relationships of health-promoting behavior with health-related limitations related to usual role activities, physical activities, and depressive symptoms. Thus, interventions targeting health-promoting behaviors should aim to enhance the meaning and controllability of life (as it pertains to limitations in usual role and physical activities), as well as promote proactive screening and timely psychiatric treatment of depressive symptoms including feelings of failure, concentration difficulties, and suicidal ideation.

show abstract

Special Psychosocial Issues in Diabetes Management: Diabetes Distress, Disordered Eating, and Depression

Cited by 8 publications

References 59 publications

Lifestyle pattern changes, eating disorders, and sleep quality in diabetes: how are the effects of 18 months of COVID-19 pandemic being felt?

Lifestyle pattern changes, eating disorders, and sleep quality in diabetes: how are the effects of 18 months of COVID-19 pandemic being felt?

Prevalence of diabetes distress and its psychosocial determinants among Indian population with type II diabetes

Health-promoting behavior to enhance perceived meaning and control of life in chronic disease patients with role limitations and depressive symptoms: a network approach

Contact Info

Product

Resources

About