Prevalence Of Diabetes-related Distress Research Articles

Prevalence of Distress among Diagnosed Type 2 Diabetics Residing in Rural and Urban Areas of District Amritsar: A Cross-Sectional Study

Background: Patients with diabetes face psychological issues which may be part of the spectrum of diseaseexperience, distinct from depression, which hinder glycemic control. Therefore, this study was planned todetermine the prevalence of diabetes related distress, and its association with socio-demographic variables,treatment status, and glycemic control in adults with type 2 diabetes.Materials and Methods: A cross-sectional study was conducted among diagnosed type 2 Diabetic patientsresiding in urban and rural field practice area of Government Medical College, Amritsar. Data was collected forperiod of one year. Pre-tested, validated questionnaire Diabetes Distress Screening Scale 17 (DDS17) was used.Quantitative and Qualitative variables were compared using t- test and Chi-square test respectively. P value <0.05was considered to be statistically significant.Results: Overall, 18% of study participants were found to be distressed. Distress was slightly higher among urbanstudy participants (21%) in comparison to rural study participants (15%) but this difference was not statisticallysignificant. Significantly higher distress levels were observed among study participants who reported inadequatetreatment, uncontrolled glycemic status and complications due to diabetes.Conclusions: Diabetes related distress is associated with treatment status, glycemic status and complications dueto diabetes. There is need to manage diabetes well and achieve glycemic control in all patients to reduce level ofdistress among them.

Association between diabetes distress and sociodemographic and/or socioeconomic factors among adults: A cross-sectional study

Diabetes-related distress (DRD) is a psychological syndrome with worsened prognosis in uncontrolled diabetic patients. The current study aimed to assess the factors contributing to DRD among the Lebanese population using the Diabetes Distress Scale (DDS-17) score and its sub-scores. A cross-sectional analysis was conducted between March and September 2021 enrolling. 125 diabetic from six Lebanese governorates through an online survey. The survey included two parts: the first section gathered sociodemographic data sociodemographic and socioeconomic data and the second one focused on assessing the Diabetes Distress Scale (DDS-17) score. Participants 30 years old and above had higher emotional distress compared to younger patients, (65.2 % versus 45.5 %). Those with a primary educational level showed significantly higher emotional distress than those with a secondary and tertiary level of education (72.5 %, versus 66.7 % and 46.4 %). Participants who were treated with both insulin and non-insulin medications or had a diastolic blood pressure of more than 90 mmHg showed significantly moderate to high distress (63.6 % or 53.8 %). Participants who lived in rural areas showed higher distress (35.6 %). Obese and overweight had significant moderate to high distress (64.1 %, and 48.0 %). The same results were found in non-married (divorced or widowed) and married participants (76.9 % and 51.3 %). The association between medical history with total distress showed that participants with glycemic store HbA1c of more than 6.5 followed by those who had HbA1c between 5.7 and 6.4 showed moderate to high total distress (45.9 % and 40.0 %). It is concluded that the prevalence of DRD is high in Lebanon, more common among rural residents, and among participants high HbA1c, low educational level, unmarried and on complex treatment regimens. Screening for DRD and providing better support can optimize clinical outcomes.

Abstract #1324617: Prevalence and Risk Factors for Distress Among Diabetic Patients in Aseer Region, Saudi Arabia

Little is known about diabetes-related distress (DD), its prevalence and risk factors in the Saudi community. This study aims to assess prevalence of DD and identify its risk factors in diabetic patients.

Complexity of antidiabetic medication regimen is associated with increased diabetes-related distress in persons with type 2 diabetes mellitus

IntroductionDiabetes-related distress is present in a high proportion of people with type 2 diabetes mellitus. We hypothesized that complexity of the antidiabetic medication regimen is a factor that is associated...

EVALUATION OF DIABETES RELATED DISTRESS AND ITS PREVELANCE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

Background: Diabetes Mellitus (DM) is one of the most challenging public health problems in 21st century. Aims at examining the diabetes related distress among adults living with type 2 diabetes mellitus.
 Methods: We conducted a study in Mahatma Gandhi Medical College on 150 patients who were known cases of type 2 diabetes mellitus, to screen and account for diabetes related distress according to the DDS 17 scale. 
 Results: In our study, 72.00% diabetic patients had no distress, 26.00% patients had moderate distress and only 2.00% patients high distress. ‘
 Conclusion: We concluded that prevalence of diabetes related distress in our study was less.
 Keywords: DM, Diabetes related distress, Prevalence.

577-P: Complexity of Antidiabetic Medication Regimen Is Associated with Increased Diabetes-Related Distress in Patients with Type 2 Diabetes

Objective: Diabetes-related distress is present in a high proportion of people with type 2 diabetes mellitus (T2DM). We hypothesized that complexity of the antidiabetic medication regimen is a factor that increases diabetes-related distress. Research Design and Methods: We studied 74 consecutive patients with T2DM managed at a tertiary care center. Patients were screened for diabetes-related distress using the Diabetes Distress Scale-2 (DDS-2). A Diabetes Medication Complexity Scoring (DMCS) system was developed to objectively assess the diabetes medication complexity. Based on DMCS, participants were categorized into one of three groups: low (n = 26), moderate (n = 22) and high (n = 26) medication complexity. Results: The prevalence of diabetes-related distress (DDS-2 ≥6) was 34.6% in the low, 36.4% in the moderate, and 69.2% in the high complexity groups (χ2(2) = 7.75, p= 0.021). Complexity groups were similar on sociodemographic characteristics, diabetes duration, BMI and blood pressure as well as the prevalence of hypertension, hyperlipidemia and hypoglycemic episodes over the last year (ps>0.05). The prevalence of microvascular complications varied as a function of low (28%), moderate (45%), and high (76%) regimen complexity (χ2(2) = 11.8, p = 0.003). One-way ANOVA showed significant complexity group differences for HbA1c (F(2,70) = 5.47, p = 0.006) with higher HbA1c in the high and moderate complexity groups than in the low group. Analysis of covariance adjusting for HbA1c showed that DDS-2 significantly differed as a function of complexity group (F (2,69) = 3.93, p = .024). The model explained 16.2% of the variance in DDS-2 (R2 = 0.162). Post hoc analyses revealed that diabetes-related distress was significantly greater for the high (DDS-2 = 6.6) complexity group compared to the moderate complexity group (DDS-2 = 4.5) (p = .031). Conclusions: A complex antidiabetic medication regimen is associated with high levels of diabetes distress. Disclosure M. Luzuriaga: None. R. Leite: None. H. Ahmed: None. P. G. Saab: None. R. Garg: None.

Prevalence of Diabetes Related Distress and Associated Factors Among Type 2 Diabetes Patients Attending Hospitals, Southwest Ethiopia, 2020: A Cross-Sectional Study.

IntroductionDiabetes related distress is the most common psychological co-morbid condition among type 2 diabetes patients. However, although the number of people living with diabetes has continued to increase over the last 10 years, information regarding diabetes related distress is limited in Ethiopia.ObjectiveThe present study aimed to assess the prevalence of diabetes related distress and associated factors among type 2 diabetes patients attending hospitals in Southwest Ethiopia.MethodsA cross-sectional study was employed on 360 type 2 diabetes patients attending hospitals from January 1 to March 30, 2020. Convenient sampling technique was used to select study participants. Data were entered into EpiData manager version 4.2.2 and exported to Statistical Package for the Social Sciences (SPSS) version 20.0 and analyzed using descriptive statistics, bivariate and multivariate logistic regressions. The statistical significance was set at P < 0.05.ResultsOut of a total 360 patients recruited, 321 (89.2%) patients (201 male and 120 female) were involved in the study. The mean age of the participants was 41.3 (SD = 12.8) years. The prevalence of diabetes related distress was 118 (36.8%) in which emotional distress was the most prevalent (43.6%) domain. Level of education [AOR 4.55; 95% CI: 1.28–16.19], family or social support [AOR 0.62; 95% CI: 0.33–1.06], duration of diabetes [AOR 0.75; 95% CI: 0.35–1.55], having diabetes complications [AOR 1.98; 95% CI: 1.0–3.86], smoking status [AOR 1.6; 95% CI: 1.12–2.97] and alcohol consumption status [AOR 1.4; 95% CI: 1.07–2.53] were the identified factors of diabetes related distress.ConclusionDiabetes related distress was highly prevalent in type 2 diabetes patients. Healthcare providers need to address this through integrating psychosocial care with collaborative medical care.

Diabetes-Related Distress and Its Associated Factors Among Patients with Diabetes in Vietnam.

BackgroundPsychometric properties are regarded as one of the significant contributors related to diabetes treatment efficacy. Diabetes-related distress (DD) is one of the emotional burdens. The aims of this study were to investigate the prevalence of DD and to determine its associated factors among Vietnamese diabetic patients.MethodsA cross-sectional study was conducted at a single medical center in the central of Vietnam. A total of 138 eligible DM outpatients were invited and a total of 112 patients who completed the questionnaire were utilized in this analysis using convenience sampling. DD was assessed using the diabetes distress scale (DDS). The participant’s sociodemographic and clinical information was obtained through face-to-face interviews and medical records. Multivariate logistic regression was used to determine independent factors associated with the presence of DD.ResultsApproximately, 12.5% of the patients experienced DD based on DDS self-administered questionnaire. The rates of mild/moderate and high distress were 8.0% and 4.5%, respectively. DD was found to be significantly higher in type 1 DM (p=0.04), insulin only in treatment regime (p=0.04), physical inactivities (p=0.02), times of mild hypoglycemia (time/month) (p=0.01), and fasting plasma glucose (mmol/l) (p=0.04). The occurrence of distress among DM patients was negatively correlated with their age and amount of physical exercise. Meanwhile, poor HbA1c control (HbA1c≥7%) was associated with an increased occurrence of diabetes distress.ConclusionThe findings of single medical center in Vietnam highlights that DD is prevalent among DM patients. It should be of marked concerns, particularly the type 1 diabetic patients, younger age, and poor glycemic control patients.

Psychometric properties of the Norwegian version of the short form of The Problem Areas in Diabetes scale (PAID-5): a validation study

ObjectivesTo assess the psychometric properties of the short form of The Problem Areas in Diabetes scale (PAID-5) in Norwegian adult patients with type 1 or type 2 diabetes.DesignCross-sectional survey design.MethodsParticipants...

Diabetes related distress in adults with type 2 diabetes mellitus: a community-based study

Background: Living with diabetes can be difficult, since it can affect the patient physically as well as psychologically. Patients with diabetes face psychological issues which may be part of the spectrum of disease experience, distinct from depression, which hinder glycaemic control. The objective of the study was to determine the prevalence of diabetes related distress, and its association with socio-demographic characteristics, in adults with type 2 diabetes.Methods: A community based cross sectional study was conducted among 250 individuals of 30-60 years, with type 2 diabetes.Results: The prevalence of diabetes related distress in the study population was 13.3%; among the sub scales highest reported was regimen related distress 21.6%, followed by physician related 17.2%, emotional burden 16.4%, and inter personal distress 14.8%. Diabetes related distress was found to have significant statistical association with occupational class. In occupational class, distress was higher among unemployed while least in unskilled workers. It was higher among older (above 50 years) participants, males, members of joint family, unmarried and those with more years of education though there was no significant difference.Conclusions: The prevalence of diabetes related distress (13.2%) especially regimen and physician related, underscores need for better clinician involvement paying appropriate attention to systematic diabetes self-care and management education, and timely diagnosis of distress for positive clinical outcome.

Examining the Prevalence of Diabetes-Related Distress in Women with Diabetes in Pregnancy

Examining the Prevalence of Diabetes-Related Distress in Women with Diabetes in Pregnancy

Diabetes-related distress and its associated factors among patients with type 2 diabetes mellitus in China

Diabetes-related distress is one of the psychological disorders affecting patients with diabetes, yet there are few studies about diabetes-related distress in Chinese patients. To assess the level of psychological distress and examine its associated factors, we conducted a cross-sectional analysis of patients with type 2 diabetes mellitus from a Chinese tertiary hospital. The Diabetes Distress Scale (DDS) and the General Self-Efficacy Scale (GSES) were administered. There were 210 (57.85%) patients with little or no diabetes-related distress, 84 (23.14%) with moderate diabetes-related distress and 69 (19.01%) with high diabetes-related distress. Stepwise multiple linear regression showed that sleep time was significantly related to the DDS total score and the subscale scores of emotional burden (EB) (β=−0.190, −0.379), respectively. GSES was associated with the DDS total score (β=−0.128) and the EB score (β=−0.153). Oral medication plus insulin was significantly related to regimen-related distress (RD) (β=0.137), physician-related distress (PD) (β=0.152) and interpersonal distress (ID) (β=0.103). Physical activity (β=−0.185) and making meal plan with health care professionals(HCP) (β=−0.169) were associated with RD. The prevalence of diabetes-related distress among patients with type 2 diabetes mellitus was high in China. DDS and EB were associated with poorer sleep time and lower self-efficacy. Interventions to improve sleep are needed. Qualitative and longitudinal studies are required to understand why type 2 diabetic patients are not getting enough sleep.

Diabetes Related Distress among Assiut University Students with Type (1) Diabetes Mellitus Attending Students’ Clinic

Abstract: Background: Diabetes is one of the largest global health emergencies of the 21st century, In Egypt, there were over 7.8 million cases of diabetes in 2015 of diabetic complications, Diabetes-related distress (DD) is very common in people with diabetes and their family members. Objectives: To investigate the diabetes related distress among students with type (1) Diabetes Mellitus its different sources and its associated factors like glycemic control. Methods: Study participants demographic data was collected from electronic patient records, Diabetes related distress and its different sources was detected using T1DDS tool developed especially for those with type 1 diabetes mellitus and HbA1c was measured for every participant. Results: 73.7% of Students with Type1 Diabetes Mellitus reported at least moderate diabetes related distress, Powerlessness and Eating Distress have the highest mean levels, followed by Hypoglycemia Distress and Management Distress in the mid–range mean levels, and diabetes related distress was significantly linked to the level of glycemic control. Conclusion: The prevalence of DD was high among the study participants, higher DD was reported for poor glycemic control arguing for a need to address DD in clinical care.

Prevalence and risk factors of depression and diabetes- related emotional distress in patients with type 2 diabetes: A cross-sectional study

Objective : The purpose of this study was to investigate the prevalence of depression and diabetes-related distress, and their associated risk factors, in patients with type 2 diabetes attending a diabetes center of a Dutch general hospital. Methods : A cross-sectional study of 147 adults with insulin-treated type 2 diabetes during the period January-May 2011. Data on depression and diabetes-related distress rates were collected using the WHO-5 and PAID self-reported questionnaires. Hierarchical multiple regression analyses were performed. Results : The prevalence of poor well-being (WHO-5 score ) was 9.6 % and that of depression (WHO-5 score ≤ 28) was 12.9 %. Significant risk factors for depression were diabetes-related distress, stress due to life events in the past 12 months, female gender, and educational level. The prevalence of diabetes-related distress (PAID score ≥ 33) was 8.8 %, and significant risk factors were well-being and HbA1C levels. Conclusions: While the prevalence of depression in the overall Dutch population is approximately 6.2%, the prevalence of depression or diabetes-related distress in patients with insulin-treated type 2 diabetes attending a Dutch diabetescenter , is approximately 20%. Findings support the routine screening of patients with diabetes for depression and diabetes-related distress. In addition to well-known demographic, clinical, and psychosocial factors, stress due to life events in the past 12 months was identified as a risk factor of depression. The diabetes nurse specialists (DNSs) play a key role in counseling the process of behavioral change and supporting self-management in their patients. Paying attention to significant risk factors may be valuable for DNSs to detect and monitor psychological distress; which may improve treatment outcomes.

Deconstructing distress: the contribution of cognitive patterns to elevated distress among people with type 2 diabetes

Background: While the prevalence of diabetes-related distress is now well recognised, less is known about how best we might intervene to reduce distress. Effective clinical interventions require a good understanding of the factors responsible for creating elevated distress about diabetes. At present there is a dearth of scientific information in this area.Aims: The aim of the present study was to identify cognitive patterns that may contribute to elevated distress among people with type 2 diabetes. It was predicted that cognitive illness perceptions would explain variance in diabetes-related distress.Participants: Research participants were randomly selected from a medical database held in Wellington, New Zealand.Method: Data was collected via mailed questionnaire survey (n=113).Results: It was hypothesised that cognitive illness perceptions would account for a significant proportion of the variance in diabetes-related distress. Results supported this hypothesis. Cognitive variables were found to explain approximately 34% of the variability in diabetes distress (p<0.001), when controlling for age.Conclusions: Research findings highlight two cognitive variables that may play an important role in diabetes distress: (1) a perception that diabetes symptoms fluctuate in cycles, and (2) an expectation that diabetes will have serious life consequences. These findings identify particular cognitive patterns that could form the basis for intervention targets, and might be useful for clinicians and researchers with an interest in reducing the incidence of diabetes-related distress. Findings also highlight the need for careful discussion of diabetes complications in clinical practice.