Psychological disorders such as diabetes distress may negatively influence how patients effectively manage their illness. Therefore, discernment of such influential psychosocial components could be pertinent in promoting competent diabetes management. The vital psychosocial aspect of diabetes distress in diabetes management within the Caribbean context remains unexplored. The purpose of this study therefore was to investigate the prevalence and distribution of diabetes distress (DD), and explore its relationship to socio-demographic and clinical characteristics in Barbadian adults with type 2 diabetes(T2DM).
A cross-sectional survey was conducted with adults (n = 509) ages 20–80 years with T2DM. The survey comprised, a profile section, and a standardized questionnaire—the Diabetes Distress Scale (DDS). In addition, biological (A1C and blood pressure measurements were also collected.
The sample comprised 30.8% males and 69.2% females. Moderate to high DD identified in 17% of the patients (9.4% moderate distress, 7.2% high distress). Moderate distress was more frequent in unmarried persons; younger persons had high DD. There was no difference in rates of moderate to high DD in women (16.7%) compared to men (16.2%) and, as age and years lived with diabetes increased, diabetes distress decreased.
The results emphasized the need for considerations that must be given to Barbadian diabetes patients' mental well-being. In recognition of the role DD plays in the patients' experiences, screening should be incorporated into clinical care.
Citation: Allison DaSantos, Carlisle Goddard, Dalip Ragoobirsingh. Diabetes distress in Barbadian adults with type 2 diabetes[J]. AIMS Public Health, 2022, 9(3): 471-481. doi: 10.3934/publichealth.2022032
Psychological disorders such as diabetes distress may negatively influence how patients effectively manage their illness. Therefore, discernment of such influential psychosocial components could be pertinent in promoting competent diabetes management. The vital psychosocial aspect of diabetes distress in diabetes management within the Caribbean context remains unexplored. The purpose of this study therefore was to investigate the prevalence and distribution of diabetes distress (DD), and explore its relationship to socio-demographic and clinical characteristics in Barbadian adults with type 2 diabetes(T2DM).
A cross-sectional survey was conducted with adults (n = 509) ages 20–80 years with T2DM. The survey comprised, a profile section, and a standardized questionnaire—the Diabetes Distress Scale (DDS). In addition, biological (A1C and blood pressure measurements were also collected.
The sample comprised 30.8% males and 69.2% females. Moderate to high DD identified in 17% of the patients (9.4% moderate distress, 7.2% high distress). Moderate distress was more frequent in unmarried persons; younger persons had high DD. There was no difference in rates of moderate to high DD in women (16.7%) compared to men (16.2%) and, as age and years lived with diabetes increased, diabetes distress decreased.
The results emphasized the need for considerations that must be given to Barbadian diabetes patients' mental well-being. In recognition of the role DD plays in the patients' experiences, screening should be incorporated into clinical care.
[1] | World Health OrganizationGlobal Health Estimates: Life expectancy and leading causes of death and disability (2019). Available from: https://www.who.int/healthinfo/mortality_data/en/ |
[2] | Adams OP, Carter AO (2011) Knowledge, attitudes, practices, and barriers reported by patients receiving diabetes and hypertension primary health care in Barbados: a focus group study. BMC Fam Pract 12: 135. https://doi.org/10.1186/1471-2296-12-135 |
[3] | Hambleton IR, Jonnalagadda R, Davis CR, et al. (2009) All-cause mortality after diabetes-related amputation in Barbados: a prospective case-control study. Diabetes Care 32: 306-307. https://doi.org/10.2337/dc08-1504 |
[4] | Howitt C, Hambleton IR, Rose AMC, et al. (2015) Social distribution of diabetes, hypertension and related risk factors in Barbados: a cross-sectional study. BMJ Open 5: e008869. https://doi.org/10.1136/bmjopen-2015-008869 |
[5] | Taylor CG, Krimholtz M, Belgrave KC, et al. (2014) The extensive inpatient burden of diabetes and diabetes-related foot disease in Barbados. Clin Med 14: 367-370. https://doi.org/10.7861/clinmedicine.14-4-367 |
[6] | Wang RH, Wu LC, Hsu HY (2011) A path model of health-related quality of life in type 2 diabetic patients: a cross-sectional study in Taiwan. J Adv Nurs 67: 2658-2667. https://doi.org/10.1111/j.1365-2648.2011.05701.x |
[7] | Weinger K, Butler HA, Welch GW, et al. (2005) Measuring diabetes self-care: a psychometric analysis of the Self-Care Inventory-Revised with adults. Diabetes Care 28: 1346-1352. https://doi.org/10.2337/diacare.28.6.1346 |
[8] | Delahanty LM, Grant RW, Wittenberg E, et al. (2007) Association of diabetes-related emotional distress with diabetes treatment in primary care patients with Type 2 diabetes. Diabet Med 24: 48-54. https://doi.org/10.1111/j.1464-5491.2007.02028.x |
[9] | Polonsky WH, Fisher L, Earles J, et al. (2005) Assessing psychosocial distress in diabetes development of the diabetes distress scale. Diabetes Care 28: 626-631. https://doi.org/10.2337/diacare.28.3.626 |
[10] | Sasi ST, Kodali M, Burra KC, et al. (2013) Self care activities, diabetic distress and other factors which affected the glycaemic control in a tertiary care teaching hospital in South India. J Clin Diagn Res 7: 857-860. https://doi.org/10.7860/JCDR/2013/5726.2958 |
[11] | Zhang J, Xu C, Wu H, et al. (2013) Comparative study of the influence of diabetes distress and depression on treatment adherence in Chinese patients with type 2 diabetes: a cross-sectional survey in the People's Republic of China. Neuropsychiatr Dis Treat 9: 1289-1294. https://doi.org/10.2147/NDT.S49798 |
[12] | Fisher L, Glasgow RE, Strycker LA (2010) The relationship between diabetes distress and clinical depression with glycemic control among patients with type 2 diabetes. Diabetes Care 33: 1034-1036. https://doi.org/10.2337/dc09-2175 |
[13] | Makine C, Karşidağ C, Kadioğlu P, et al. (2009) Symptoms of depression and diabetes-specific emotional distress are associated with a negative appraisal of insulin therapy in insulin-naïve patients with Type 2 diabetes mellitus. A study from the European Depression in Diabetes [EDID] Research Consortium. Diabet Med 26: 28-33. https://doi.org/10.1111/j.1464-5491.2008.02606.x |
[14] | American Diabetes Association.2. Classification and diagnosis of diabetes: standards of medical care in diabetes—2018. Diabetes Care (2018) 41: S13-S27. https://doi.org/10.2337/dc18-S002 |
[15] | Hawkshead J, Krousel-Wood MA (2007) Techniques for measuring medication adherence in hypertensive patients in outpatient settings. Dis Manag Health Outcomes 15: 109-118. https://doi.org/10.2165/00115677-200715020-00006 |
[16] | George J, Kong DC, Stewart K (2007) Adherence to disease management programs in patients with COPD. Int J Chron Obstruct Pulmon Dis 2: 253-262. |
[17] | Polonsky WH, Fisher L, Earles J, et al. (2005) Assessing psychosocial distress in diabetes: development of the diabetes distress scale. Diabetes Care 28: 626-631. https://doi.org/10.2337/diacare.28.3.626 |
[18] | Fisher L, Hessler DM, Polonsky WH, et al. (2012) When is diabetes distress clinically meaningful? Establishing cut points for the Diabetes Distress Scale. Diabetes Care 35: 259-264. https://doi.org/10.2337/dc11-1572 |
[19] | Polonsky WH, Fisher L, Earles J, et al. (2005) Assessing psychosocial distress in diabetes: development of the diabetes distress scale. Diabetes Care 28: 626-631. https://doi.org/10.2337/diacare.28.3.626 |
[20] | Cohen J (1988) Statistical Power Analysis for the Behavioral Sciences. Hillsdale, NJ: Lawrence Erlbaum Assoc.. |
[21] | Fisher L, Hessler D, Glasgow RE, et al. (2013) REDEEM: a pragmatic trial to reduce diabetes distress. Diabetes Care 36: 2551-2558. https://doi.org/10.2337/dc12-2493 |
[22] | Aljuaid MO, Almutairi AM, Assiri MA, et al. (2018) Diabetes-related distress assessment among type 2 diabetes patients. J Diabetes Res 2018: 7328128. https://doi.org/10.1155/2018/7328128 |
[23] | Chew BH, Vos R, Mohd-Sidik S, et al. (2016) Diabetes-related distress, depression and distress-depression among adults with type 2 diabetes mellitus in Malaysia. PLoS One 11: e0152095. https://doi.org/10.1371/journal.pone.0152095 |
[24] | Mirghani HO (2017) Distress and psychopathology among Sudanese patients with type 2 diabetes mellitus and its relation to glycaemic control. J Taibah Univ Med Sci 12: 298-303. https://doi.org/10.1016/j.jtumed.2017.02.007 |
[25] | Ali S, Stone MA, Peters JL, et al. (2006) The prevalence of co-morbid depression in adults with Type 2 diabetes: a systematic review and meta-analysis. Diabet Med 23: 1165-1173. https://doi.org/10.1111/j.1464-5491.2006.01943.x |
[26] | Perrin NE, Davies MJ, Robertson N, et al. (2017) The prevalence of diabetes-specific emotional distress in people with Type 2 diabetes: a systematic review and meta-analysis. Diabet Med 34: 1508-1520. https://doi.org/10.1111/dme.13448 |
[27] | Harandi TF, Taghinasab MM, Nayeri TD (2017) The correlation of social support with mental health: A meta-analysis. Electron Physician 9: 5212-5222. https://doi.org/10.19082/5212 |
[28] | Wardian J, Sun F (2014) Factors associated with diabetes-related distress: implications for diabetes self-management. Soc Work Health Care 53: 364-381. https://doi.org/10.1080/00981389.2014.884038 |
[29] | Dziemidok P, Makara-Studzińska M, Jarosz MJ (2011) Diabetes and depression: a combination of civilization and life-style diseases is more than simple problem adding: literature review. Ann Agric Environ Med 18: 318-322. |