Evaluation of emotional distress in people with diabetes mellitus
Abstract
Background/Aim. Despite the modern ways of treating diabetes mellitus (DM), a half of the patients do not achieve the optimal metabolic control, which increases a risk of complications and occurrence of emotional “burnout” of patients. The goal of the research was to determine the level of emotional distress of patients with diabetes, and the association of the level of emotional distress with sociodemographic traits and the disease characteristics. Methods. The research was conducted from 01.01.2016. to 04.30.2016. in the Comunity Health Center in Banja Luka. The research was conducted in a group of 113 randomly selected patients (63 men, 50 women) with diabetes, with an average age of 63.93 years. A majority of respondents have type 2 DM (91.12%). The Problem Areas in Diabetes Questionniare (PAID) was used in the research. Another questionnaire used contained questions related to sociodemographic traits (sex, age, education), and disease traits (type of DM, duration of the illness, types of therapy that the patient uses in the treatment of DM, the value of hemoglobin A1c (HbA1c) over the last three months, the presence of microvascular complications). Results. According to the total score of the PAID questionnaire, 64 (56.6%) respondents had a moderate level of emotional distress. The level of emotional distress is higher in the group with a higher HbA1c values, but without a statistically significant difference compared to the group with the achieved goal HbA1c values. Two-thirds of respondents with microvascular complications manifest a moderate level of distress. The association between occurrence of distress with the occurrence of microvascular complications was confirmed. Conclusion. More than a half of patients with DM have an elevated level of distress of a moderate degree, and two-thirds of patients with DM with the microvascular complications have an elevated level of distress of a moderate degree, which indicates the importance of interdisciplinary cooperation of endocrinologists, vascular surgeons and psychiatrists.
References
REFERENCES
Savić S. Diabetes mellitus In: Tešanović G, editor. Family medi-cine. Banja Luka: School of Medicine; 2014. p. 319–41 (Ser-bian)
The Ministry of Health and Social Protection of the Republic of Srpska. Assessment of the quality of glycemic control and the presence of vascular complications in people with diabetes in the Re¬public of Srpska. The Ministry of Health and Social Protection of the Republic of Srpska. Banja Luka: Institute of Public Health of the Republic of Srpska; 2015. (Serbian)
American Diabetes Association. 3. Foundations of Care and Com¬prehensive Medical Evaluation. Diabetes Care 2016; 39 Suppl 1: S23–35.
Snoek F, Welch G. Problem Areas in Diabetes Questionnaire (PAID). Adapted from DAWN Interactive 2. Novo Nordisk 2006. Available from: http://www.dawnstudy.com/content/dam/Dawnstudy/
AF¬FILIATE/www-dawnstudy-com/Home/TOOLSAND-RESOURCES/Documents/PAID_problem_areas_in_ diabe-tes_questionnaire.pdf [cited 2016 Feb 12].
Ajduković D. Checking the biopsychosocial model in behavior-al approaches to diabetes. [dissertation]. Zagreb: University of Zagreb, Faculty of Philosophy; 2013. (Croatian)
Reach G, Consoli SM, Halimi S, Colas C, Duclos M, Fontaine P, et al. The multinational second Diabetes, Attitudes, Wishes and Needs study: results of the French survey. Patient Prefer Ad-herence 2015; 9: 289–97.
Nicolucci A, Kovacs Burns K, Holt RI, Comaschi M, Hermanns N, Ishii H, et al. Diabetes Attitudes, Wishes and Needs second study (DAWN2™): cross-national benchmarking of diabetes-related psychosocial outcomes for people with diabetes. Dia-bet Med 2013; 30(7): 767–77.
Lee EH, Lee YW, Lee KW, Kim YS, Nam MS. Measurement of diabetes-related emotional distress using the Problem Areas in Diabetes scale: psychometric evaluations show that the short form is better than the full form. Health Qual Life Outcomes 2014; 12: 142.
Reddy J, Wilhelm K, Campbell L. Putting PAID to diabetes-re-lated distress: the potential utility of the problem areas in dia-betes (PAID) scale in patients with diabetes. Psychosomatics 2013; 54(1): 44–51.
Chew BH, Vos R, Mohd-Sidik S, Rutten GE. Diabetes-Related Distress, Depression and Distress-Depression among Adults with Type 2 Diabetes Mellitus in Malaysia. PLoS One 2016; 11(3): e0152095.
Stoop CH, Nefs G, Pop VJ, Wijnands-van Gent CJ, Tack CJ, Geel-hoed-Duijvestijn PH, et al. Diabetes-specific emotional distress in people with Type 2 diabetes: a comparison between primary and secondary care. Diabet Med 2014; 31(10): 1252–9.
Kasteleyn MJ, de Vries L, van Puffelen AL, Schellevis FG, Rijken M, Vos RC, et al. Diabetes-related distress over the course of ill¬ness: results from the Diacourse study. Diabet Med 2015; 32(12): 1617–24.