Abstract
Background: individuals with type 2 diabetes show emotional distress as they learn how to cope with the disease. The emotional distress increases the possibility of complications in these patients. The aims of the present study were to evaluate the impact of the emotional distress in the quality of life of individuals with diabetes, and to investigate the demographic and clinical characteristics associated with the emotional distress of living with diabetes in a Mexican population. Methods: a total of 422 Mexican individuals with type 2 diabetes were recruited from the outpatient Diabetes Clinic of the Hospital Regional de Alta Especialidad Dr. Gustavo A. Rovirosa of Villahermosa, Tabasco. Demographic and clinical characteristics along with quality of life (SF-36) were assessed in these individuals. The emotional distress of living with diabetes was measured using the 5-item Problem Areas in Diabetes. Patients were divided according to the presence of high or low distress. Results: we identified that 31.8% (n = 134) of patients presented high diabetes-related emotional distress. We observed that hepatic diseases as comorbidities (p = 0.008) and diagnosis of major depression (p = 0.04) are factors associated with the emotional distress of living with diabetes. These patients showed a reduced quality of life in all dimensions (p < 0.001); the most affected dimensions were physical role (d = 0.37) and general health (d = 0.89) showing lower scores in comparison with patients with low emotional distress. Conclusions: our results suggest that Mexican individuals with type 2 diabetes mellitus show high emotional distress living with the disease and have a decreased quality of life. Therefore, it is necessary to decrease factors associated with the high emotional distress of living with diabetes in patients with type 2 diabetes.
Highlights
Diabetes mellitus is a global health problem and it is among the 10 leading causes of death worldwide [1]
Depression depressionand and Manystudies studieshave haveevaluated evaluatedthe theassociation association between between type type 22 diabetes diabetes mellitus, quality of life, but few have focused on studying how living with emotional distress can influence the quality of life, but few have focused on studying how living with emotional distress can influence quality of life in Mexican individuals with type diabetes mellitus
Our results are consistent with previous reports that associated with high diabetes-related emotional-distress
Summary
Diabetes mellitus is a global health problem and it is among the 10 leading causes of death worldwide [1]. It has been estimated that around 425 million people in the world suffer from diabetes mellitus; about 8.8% range between 20 and 79 years of age and 79% of them are in developing countries such as Mexico [1,2]. Mexico has the fifth highest prevalence of diabetes mellitus in the world, with the disease affecting 12 million people. It is estimated that in the years we will move to the fourth position with 21.8 million people with diabetes mellitus [3]. Diabetes mellitus complications can bring severe disability to patients, even reducing their life expectancy [7]
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