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Diabetes Distress Among Persons With Type 1 Diabetes.
Margaret A Powers1,2, Sara A Richter2,3, Diann M Ackard3,4
1International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers).
The Diabetes Educator
|December 10, 2016
Summary
High diabetes distress in type 1 diabetes is linked to worse health outcomes and psychological concerns. Early screening for distress can identify individuals needing support for better well-being.
Area of Science:
- Psychology
- Endocrinology
- Public Health
Background:
- Diabetes distress is a significant concern for individuals with type 1 diabetes.
- Understanding its impact on psychological health is crucial for effective care.
Purpose of the Study:
- To assess the relationship between diabetes distress and various psychological health behaviors in type 1 diabetes patients.
- To identify individuals at risk for poor psychological health and inform early interventions.
Main Methods:
- 268 individuals with type 1 diabetes completed validated questionnaires assessing diabetes distress, life satisfaction, self-esteem, self-efficacy, depression, perfectionism, and eating/weight concerns.
- Data were analyzed using ANOVA or Kruskal-Wallis tests, comparing groups based on diabetes distress levels and age (<18 vs. ≥18 years).
Main Results:
- High diabetes distress correlated with higher A1C, increased depression, and greater eating/weight concerns across all age groups.
- In younger individuals (<18 years), high distress was associated with lower life satisfaction, self-esteem, and self-efficacy, and higher dietary restraint and perfectionism.
Conclusions:
- Elevated diabetes distress in type 1 diabetes is associated with poorer glycemic control (A1C) and adverse psychological health.
- A simple diabetes distress screening tool can aid in identifying individuals requiring additional support and treatment for improved overall health.
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