The Network of Psychological Variables  in Patients With Diabetes and Their Importance for Quality of Life and Metabolic Control

Rose, Matthias; Fliege, Herbert; Hildebrandt, Martin; Schirop, Th.; Klapp, Burghard F.

doi:10.2337/diacare.25.1.35

Cited by 203 publications

(174 citation statements)

References 45 publications

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“…However, it has been reported that the patients with positive psychosocial factors understood the importance of good health behavior, and felt that maintaining a healthy lifestyle was less troublesome as compared with the patients without positive psychosocial factors29, 30. Optimists understood their disease more correctly, and had more motivation for a healthy life as compared with pessimists4, 29. Social support and social network also play important roles in the lifestyle habit improvement31.…”

Section: Discussionmentioning

confidence: 99%

“…Among patients with diabetes, although convincing mechanisms still remain unclear, it was reported that elevated stress and depressive symptoms were risk factors of ischemic heart disease and stroke3. In contrast, it was reported that positive psychological factors, such as self‐esteem, active coping behavior or resilience, influenced glycemic control4, 5, 6, and that a good structure of social support helped patients to maintain recommended diets and exercise for weight loss7. Furthermore, laughing loudly reduced postprandial glucose levels8, and a laughter and exercise program had good effects on glucose control9.…”

Section: Introductionmentioning

confidence: 99%

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Association between poor psychosocial conditions and diabetic nephropathy in Japanese type 2 diabetes patients: A cross‐sectional study

Ninomiya¹,

Katakami

Matsuoka³

et al. 2017

J of Diabetes Invest

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Aims/IntroductionIt is suggested that a positive psychosocial condition has a good effect on health and glycemic control. However, there has been no research to evaluate the association between positive psychosocial factors and diabetic nephropathy (DN). The aim of the present study was to evaluate the association between psychosocial factors and DN in patients with type 2 diabetes.Material and MethodsTo assess psychosocial condition, six indicators (happiness score, Life Orientation Test‐revised score as an indicator of dispositional optimism, laughter frequency, self‐awareness of stress, social network and social support) were assessed by a self‐administered questionnaire, and associations between these psychosocial indicators and the presence of DN were examined.ResultsA cross‐sectional analysis of patients with (n = 123) and without DN (n = 220) showed that a high score for happiness (odds ratio [OR] per 1 standard deviation 0.71, 95% confidence interval [CI] 0.57–0.89, P = 0.003), high Life Orientation Test‐revised score (OR per 1 standard deviation 0.77, 95% CI: 0.61–0.98, P = 0.035), less self‐awareness of stress (OR 0.56, 95% CI: 0.34–0.90, P = 0.017), high connection of social network (OR 0.55, 95% CI: 0.35–0.87, P = 0.010) and high social support (OR 0.61, 95% CI: 0.38–0.96, P = 0.035) were associated with a reduced risk of prevalence of DN. Similar results were observed even after adjustment for the following conventional risk factors of DN: age, sex, duration of diabetes, hemoglobin A1c, hypertension, dyslipidemia and current smoking.ConclusionsThe present study showed that five out of six prespecified indicators of psychosocial condition were significantly associated with the presence of DN in Japanese patients with type 2 diabetes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association between poor psychosocial conditions and diabetic nephropathy in Japanese type 2 diabetes patients: A cross‐sectional study

Ninomiya¹,

Katakami

Matsuoka³

et al. 2017

J of Diabetes Invest

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“…Usually, patient education is offered as an adjunct to clinical care, within routine one-to-one visits or as self-contained structured courses for individuals or groups [4,5,13,14]. This requires allocation of additional time and resources that are scarce in most clinics.…”

Section: Introductionmentioning

confidence: 99%

A 3-year prospective randomized controlled clinical trial of group care in type 1 diabetes

Trento

Passera

Borgo

et al. 2005

Nutrition, Metabolism and Cardiovascular Diseases

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Summary Background and aims: We showed that continuing education can be embedded into routine diabetes care by seeing patients in small groups rather than individually. Group care was cost-effective in improving quality of life, knowledge of diabetes, health behaviours and clinical outcomes in people with type 2 diabetes. The aim of this study was to verify if group care can also be applied to type 1 diabetes. Methods and results: Randomized, controlled clinical trial comparing 31 patients managed by group care with 31 managed by traditional one-to-one care. A syllabus was built and later remodulated with the patients in a series of focus-group meetings. The primary end-point was changes in quality of life. Secondary endpoints were: knowledge of diabetes, health behaviours, HbA1c and circulating lipids. Differential costs to the Italian National Health System and to the patients were also calculated.After 3 years, quality of life improved among patients on group care, along with knowledge and health behaviours (p ! 0.001, all). Knowledge added its effects to those of group care by independently influencing behaviours (p Z 0.004) while quality of life changed independently of either (p ! 0.001). Among controls, quality of life worsened (p ! 0.001) whereas knowledge and behaviours remained unchanged. HDL cholesterol increased among patients on group care (p Z 0.027) and total cholesterol decreased in the controls (p ! 0.05). HbA1c

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“…Two studies found that increased depression and anxiety in CD were correlated with reduced QOL (16,36), while a recent study found that emotion-oriented coping was negatively related to QOL (37). In the broader context, the link between QOL, psychopathology, and coping is well established (38)(39)(40)(41)(42), with depression representing the greatest threat to QOL across a range of populations (38). Together these findings suggest that psychological symptoms and coping are likely to be highly relevant to QOL in CD and warrant further attention.…”

Section: )mentioning

confidence: 99%

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

Sainsbury

Mullan

Sharpe

2013

Journal of Psychosomatic Research

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The Network of Psychological Variables in Patients With Diabetes and Their Importance for Quality of Life and Metabolic Control

Cited by 203 publications

References 45 publications

Association between poor psychosocial conditions and diabetic nephropathy in Japanese type 2 diabetes patients: A cross‐sectional study

Association between poor psychosocial conditions and diabetic nephropathy in Japanese type 2 diabetes patients: A cross‐sectional study

A 3-year prospective randomized controlled clinical trial of group care in type 1 diabetes

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

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