Disease-related distress, self-care and clinical outcomes among low-income patients with diabetes
- 31 January 2014
- journal article
- other topics
- Published by BMJ in Journal of Epidemiology and Community Health
- Vol. 68 (6), 557-564
- https://doi.org/10.1136/jech-2013-203063
Abstract
Background The purpose of this study is to determine the prevalence of diabetes distress and its relationship with health behaviours and clinical outcomes in low-income patients. Methods Secondary analyses were conducted using baseline data from a clinical trial evaluating a diabetes self-management intervention. Interviews were conducted with 666 participants receiving care at nine safety net clinics in Missouri. Distress was measured using the Diabetes Distress Scale, and outcomes included medication adherence, physical activity, nutrition and clinical biomarkers (haemoglobin A1C (HbA1C), blood pressure, low-density lipoprotein (LDL) cholesterol). Results In a sample of 666 participants, 14.1% and 27.3% of patients were identified as highly and moderately distressed, respectively, with higher rates among younger, female and lower income patients. When compared with moderately and no distress groups, highly distressed patients were less adherent to medications (20.7% vs 29.9% vs 39.4%, pConclusions Diabetes distress is prevalent and linked to poorer adherence to health behaviours and glycemic control in a sample of patients receiving care from low-income clinics.Keywords
This publication has 17 references indexed in Scilit:
- Assessment of diabetic distress and disease related factors in patients with type 2 diabetes in Isfahan: A way to tailor an effective intervention planning in Isfahan-IranJournal of Diabetes & Metabolic Disorders, 2012
- When Is Diabetes Distress Clinically Meaningful?Diabetes Care, 2012
- Psychological distress and mental disorders among Spanish diabetic adults: A case–control studyPrimary Care Diabetes, 2011
- The Relationship Between Diabetes Distress and Clinical Depression With Glycemic Control Among Patients With Type 2 DiabetesDiabetes Care, 2010
- Diabetes Distress but Not Clinical Depression or Depressive Symptoms Is Associated With Glycemic Control in Both Cross-Sectional and Longitudinal AnalysesDiabetes Care, 2009
- Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global itemsQuality of Life Research, 2009
- Predicting diabetes distress in patients with Type 2 diabetes: a longitudinal studyDiabetic Medicine, 2009
- Depression, chronic diseases, and decrements in health: results from the World Health SurveysThe Lancet, 2007
- Depression and DiabetesArchives of Internal Medicine, 2000
- Concurrent and Predictive Validity of a Self-reported Measure of Medication AdherenceMedical Care, 1986