No substantial psychological impact of the diagnosis of Type 2 diabetes following targeted population screening: The Hoorn Screening Study

  1. M. C. Adriaanse1,*,
  2. F. J. Snoek1,2,
  3. J. M. Dekker1,
  4. A. M. W. Spijkerman1,
  5. G. Nijpels1,
  6. J. W. R. Twisk1,
  7. H. M. Van Der Ploeg1,2,
  8. R. J. Heine3

Article first published online: 29 JUL 2004

DOI: 10.1111/j.1464-5491.2004.01276.x

Issue

Diabetic Medicine

Diabetic Medicine

Volume 21, Issue 9, pages 992–998, September 2004

Additional Information

How to Cite

Adriaanse, M. C., Snoek, F. J., Dekker, J. M., Spijkerman, A. M. W., Nijpels, G., Twisk, J. W. R., Van Der Ploeg, H. M. and Heine, R. J. (2004), No substantial psychological impact of the diagnosis of Type 2 diabetes following targeted population screening: The Hoorn Screening Study. Diabetic Medicine, 21: 992–998. doi: 10.1111/j.1464-5491.2004.01276.x

Author Information

  1. 1

    Institute for Research in Extramural Medicine (EMGO-Institute),

  2. 2

    Department of Medical Psychology and

  3. 3

    Department of Endocrinology, VU University Medical Center, Amsterdam, the Netherlands

*Marcel C. Adriaanse, Department of Nutrition and Health, Faculty of Earth and Life Sciences, Vrije Universitait Amsterdam, De Boelelaan 1085, 1081HV, Amsterdam, the Netherlands. E-mail: marcel.adriaanse@falw.vu.nl

Publication History

  1. Issue published online: 18 AUG 2004
  2. Article first published online: 29 JUL 2004
  3. Accepted 12 November 2003

SEARCH

SEARCH BY CITATION

ARTICLE TOOLS

View Full Article (HTML) Get PDF (131K)

Keywords:

  • diagnosis;
  • perceived health status;
  • psychological well-being;
  • screening;
  • Type 2 diabetes

Abstract

Aims  To examine the impact of the diagnosis of Type 2 diabetes on psychological well-being and perceived health status in subjects who participated in a targeted population-screening programme.

Methods  This study was conducted within the framework of a screening project in the general (aged 50–75 years) Dutch population. The final study population consisted of 259 subjects with a high-risk score on the Symptom Risk Questionnaire; 116 of whom were subsequently detected with Type 2 diabetes and 143 who were non-diabetic. The impact was assessed approximately 2 weeks (shortly) and 6 and 12 months after the diagnosis, using the 12-item Well-Being Questionnaire (W-BQ12) and the Medical Outcomes Study Short Form 36 (SF-36), respectively. Analyses of co-variance (ancova) were used.

Results  Approximately 2 weeks after the diagnosis, no significant mean differences were found on either the W-BQ12 or the SF-36, between the screening-detected Type 2 diabetes subjects and the non-diabetic subjects. Six months after the diagnosis, we found lower scores in the screening-detected Type 2 diabetes subjects compared with the non-diabetic subjects on the SF-36 dimensions Role Physical (mean difference (95% CI); −8.2 (−16.2; −0.1); P = 0.046) and Role Emotional (mean difference (95% CI); −7.9 (−15.3; −0.5); P = 0.038). One year after the test results, no significant mean differences were found between both groups on either instrument (W-BQ12; SF-36).

Conclusions  The diagnosis of Type 2 diabetes has no substantial adverse or positive effect on psychological well-being and perceived health status, shortly, and 6 and 12 months after the diagnosis.

View Full Article (HTML) Get PDF (131K)