Emotional distress is associated with poor self care in type 2 diabetes mellitus
Article first published online: 25 NOV 2011
© 2011 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Blackwell Publishing Asia Pty Ltd
Journal of Diabetes
Volume 3, Issue 4, pages 348–352, December 2011
How to Cite
OGBERA, A. and ADEYEMI-DORO, A. (2011), Emotional distress is associated with poor self care in type 2 diabetes mellitus. Journal of Diabetes, 3: 348–352. doi: 10.1111/j.1753-0407.2011.00156.x
- Issue published online: 25 NOV 2011
- Article first published online: 25 NOV 2011
- Accepted manuscript online: 29 AUG 2011 11:35AM EST
- Received 31 May 2011; revised 7 July 2011; accepted 24 August 2011.
- emotional distress;
- glycemic control;
Background: The aim of the present study was to evaluate possible clinical and psychosocial variables that influence diabetes self-care management in patients with type 2 diabetes mellitus (T2DM).
Methods: A total of 150 individuals with T2DM who had had diabetes for at least 6 months were recruited to this cross-sectional study. Levels of self-care and psychosocial status were determined using the Self-Care Inventory (SCI) and Problem Areas in Diabetes (PAID) scale. The PAID scores were calculated using a five-point Likert scale with options ranging from 0 (not a problem) to 4 (serious problem). Data were evaluated using non-parametric and parametric tests as appropriate.
Results: The mean age of the study participants was 69.97 ± 8.68 years. Cronbach’s α for SCI and PAID scores was 0.85 and 0.98, respectively. People with poor glycemic control had significantly higher mean (±SD) total PAID scores than individuals with good glycemic control (29.5 ± 30.9 vs 16.7 ± 26.9, respectively; P = 0.012). There was a significant relationship between PAID scores and glycemic control (r = 0.2; P = 0.012).
Conclusions: The present study demonstrates that psychosocial factors directly influence glycemic control and diabetes self-care habits. In addition, diabetes-specific distress in study population was unrelated to the duration of diabetes, the age of the patients and anthropometric indices.