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Diabetes-related distress and its associated factors among patients with type 2 diabetes mellitus in China.

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Zhou, Huanhuan, Zhu, Junya, Liu, Lin, Li, Fan, Fish, Anne F, Chen, Tao ORCID: https://orcid.org/0000-0002-5489-6450 and Lou, Qingqing (2017) 'Diabetes-related distress and its associated factors among patients with type 2 diabetes mellitus in China.'. Psychiatry Research, Vol 252, pp. 45-50.

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Abstract

Diabetes-related distress is one of the psychological disorders affecting patients with diabetes, yet there are few studies about diabetes-related distress in Chinese patients. To assess the level of psychological distress and examine its associated factors, we conducted a cross-sectional analysis of patients with type 2 diabetes mellitus from a Chinese tertiary hospital. The Diabetes Distress Scale (DDS) and the General Self-Efficacy Scale (GSES) were administered. There were 210 (57.85%) patients with little or no diabetes-related distress, 84 (23.14%) with moderate diabetes-related distress and 69 (19.01%) with high diabetes-related distress. Stepwise multiple linear regression showed that sleep time was significantly related to the DDS total score and the subscale scores of emotional burden (EB) (β=−0.190, −0.379), respectively. GSES was associated with the DDS total score (β=−0.128) and the EB score (β=−0.153). Oral medication plus insulin was significantly related to regimen-related distress (RD) (β=0.137), physician-related distress (PD) (β=0.152) and interpersonal distress (ID) (β=0.103). Physical activity (β=−0.185) and making meal plan with health care professionals(HCP) (β=−0.169) were associated with RD. The prevalence of diabetes-related distress among patients with type 2 diabetes mellitus was high in China. DDS and EB were associated with poorer sleep time and lower self-efficacy. Interventions to improve sleep are needed. Qualitative and longitudinal studies are required to understand why type 2 diabetic patients are not getting enough sleep.

Item Type: Article
Subjects: WA Public Health > Health Problems of Special Population Groups > WA 305 Mental health of special population groups
WK Endocrine System > WK 810 Diabetes mellitus
WK Endocrine System > WK 815 Therapy
WK Endocrine System > WK 818 Diet
WK Endocrine System > WK 835 Complications of diabetes
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI): https://doi.org/10.1016/j.psychres.2017.02.049
SWORD Depositor: JISC Pubrouter
Depositing User: JISC Pubrouter
Date Deposited: 06 Apr 2017 11:16
Last Modified: 15 Jun 2018 14:05
URI: http://archive.lstmed.ac.uk/id/eprint/6929

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