Prevalence of diabetes distress and its psychosocial determinants among Indian population with type II diabetes
DOI:
https://doi.org/10.18203/2320-6012.ijrms20240519Keywords:
Type 2 diabetes mellitus, DDS17 scale, Diabetes distress, DepressionAbstract
Background: Diabetes distress (DD) refers to the negative emotional or affective experience resulting from the challenge of living with the demands of diabetes, regardless of the type of diabetes. In addition to the chronic treatment of diabetes, patients with type 2 diabetes mellitus (T2DM) often experience psychosocial difficulties which can go unnoticed. Hence, it is necessary to identify DD at an early stage to prevent its effect on the patients’ long-term self-care and management plan. This study was conducted to assess the prevalence of DD and its psychosocial determinants among T2DM at a tertiary care centre.
Methods: This was a cross sectional, observational study which included patients of either gender, who were between 18-65 years of age with T2DM for more than 3 months to 12 years. DD was assessed using the diabetes distress scale (DDS17) scale. In addition, association between the level of DD with the sociodemographic and clinical characteristics of the patients was assessed.
Results: The prevalence of DD in type II diabetic patients in suburban population was found to be 17.69%. The psychosocial determinants which influence DD were found to be age, treatment modality, hypothyroidism, hypertension, and smoking.
Conclusions: This study signifies the importance of identifying DD by the primary care physician which often remain unrecognized in clinical practice and to implement the interventions at early stages to improve the quality of life of diabetic patients.
Metrics
References
Anjana RM, Unnikrishnan R, Deepa M, Pradeepa R, Tandon N, Das AK, et al. Metabolic non-communicable disease health report of India: the ICMR-INDIAB national cross-sectional study (ICMR-INDIAB-17). Lancet Diabetes Endocrinol. 2023;11(7):474-89.
IDF Diabetes Atlas. India diabetes report 2000—2045. Available at: https://diabetesatlas.org/ data/en/country/93/in.html. Accessed on 09 August 2023.
Polonsky WH, Anderson BJ, Lohrer PA, Welch G, Jacobson AM, Aponte JE, Schwartz CE. Assessment of diabetes-related distress. Diabetes Care. 1995;18(6):754-60.
Fisher L, Gonzalez JS, Polonsky WH. The confusing tale of depression and distress in patients with diabetes: a call for greater clarity and precision. Diabet Med. 2014;31(7):764-72.
Snoek FJ, Bremmer MA, Hermanns N. Constructs of depression and distress in diabetes: time for an appraisal. Lancet Diabetes Endocrinol. 2015;3(6):450-60.
Shapiro MS. Special Psychosocial Issues in Diabetes Management: Diabetes Distress, Disordered Eating, and Depression. Prim Care. 2022;49(2):363-74.
Polonsky WH, Fisher L, Earles J, Dudl RJ, Lees J, Mullan J, Jackson RA. Assessing psychosocial distress in diabetes: development of the diabetes distress scale. Diabetes Care. 2005;28(3):626-31.
Fenwick EK, Rees G, Holmes-Truscott E, Browne JL, Pouwer F, Speight J. What is the best measure for assessing diabetes distress? A comparison of the Problem Areas in Diabetes and Diabetes Distress Scale: results from Diabetes MILES-Australia. J Health Psychol. 2018;23(5):667-80.
Vidya KR, Lohit K, Roopashree S. Diabetes distress and disease-related factors in patients with type 2 diabetes attending a tertiary care hospital. Natl J Physiol Pharm Pharmacol. 2021;11(8):880-5.
Ranjan R, Rajput M, Sachdeva A, Saha A, Jyotsana, Yadav K. Prevalence of diabetes distress and cross-cultural reliability of DDS-17 scale in rural Haryana. J Family Med Prim Care. 2023;12(9):2064-9.
Patra S, Patro BK, Padhy SK, Mantri J. Prevalence of diabetes distress and its relationship with self-management in patients with type 2 diabetes mellitus. Ind Psychiatry J. 2021;30(2):234-9.
Hemavathi P, Satyavani K, Smina TP, Vijay V. Assessment of diabetes related distress among subjects with type 2 diabetes in South India. Int J Psychol Counsell. 2019;11(1):1-5.
Ratnesh, Shivaprasad KS, Kannan S, Khadilkar KS, Sravani GV, Raju R. Identifying the Burden and Predictors of Diabetes Distress among Adult Type 2 Diabetes Mellitus Patients. Indian J Community Med. 2020;45(4):497-500.
Fayed A, AlRadini F, Alzuhairi RM, Aljuhani AE, Alrashid HR, Alwazae MM, et al. Relation between diabetes related distress and glycemic control: The mediating effect of adherence to treatment. Prim Care Diabetes. 2022;16(2):293-300.
Fernandes M, Dasila P, Rai S, Gopalkrishnan S, Fernandes P. Psychosocial Distress among People with Type 2 Diabetes in India. Int J Health Sci Res. 2019;9(5):266.
Fisher L, Hessler DM, Polonsky WH, Mullan J. When is diabetes distress clinically meaningful: establishing cut points for the Diabetes Distress Scale. Diabetes Care. 2012;35(2):259-64.
Perrin NE, Davies MJ, Robertson N, Snoek FJ, Khunti K. The prevalence of diabetes-specific emotional distress in people with Type 2 diabetes: a systematic review and meta-analysis. Diabet Med. 2017;34(11):1508-20.
Owens-Gary MD, Zhang X, Jawanda S, Bullard KM, Allweiss P, Smith BD. The Importance of Addressing Depression and Diabetes Distress in Adults with Type 2 Diabetes. J Gen Intern Med. 2019;34(2):320-4.
Schmidt CB, van Loon BJP, Vergouwen ACM, Snoek FJ, Honig A. Systematic review and meta-analysis of psychological interventions in people with diabetes and elevated diabetes-distress. Diabet Med. 2018;35(9):1157-72.
Diabetes UK. Talking about your diabetes. Available at: https://www.diabetes.org.uk/guide-to-diabetes/ emotions/talk-about-feelings. Accessed on 09 August 2023.
Polonsky W. Diabetes Burnout: What to Do When You Can’t Take It Anymore. American Diabetes Association. 1st Edition. 1999.
Bruijnes M, Kesteloo M, Brinkman WP. Reducing social diabetes distress with a conversational agent support system: a three-week technology feasibility evaluation. Front Digit Health. 2023;5:1149374.
Gong E, Baptista S, Russell A, Scuffham P, Riddell M, Speight J, et al. My Diabetes Coach, a Mobile App-Based Interactive Conversational Agent to Support Type 2 Diabetes Self-Management: Randomized Effectiveness-Implementation Trial. J Med Internet Res. 2020;22(11):e20322.
Verma N, Vasan P, Bafna V, Verma R, Ranadive R, Malde F, et al. IDF21-0182 Evaluating diabetes related distress in people with Type 2 DM – Insights from Diabefly Digital Therapeutics Platform. Diabetes Res Clin Pract. 2022;186:109488.
Chew BH, Vos R, Mohd-Sidik S, Rutten GE. Diabetes-Related Distress, Depression and Distress-Depression among Adults with Type 2 Diabetes Mellitus in Malaysia. PLoS One. 2016;11(3):e0152095.