Severe distress & denial among Asian patients with Type 2 Diabetes Mellitus in the primary care: A prospective, multicentre study
To determine the point-prevalence and distribution of diabetes distress among primary care Asians with Type 2 Diabetes Mellitus (T2DM) and evaluate its association with cardiovascular risk. This was a prospective, multicentre study conducted in two outpatient clinics. Patients aged ≥ 21 years with u...
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| Veröffentlicht in: | Diabetes research and clinical practice 2023-03, Vol.197, p.110574-110574, Article 110574 |
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| container_title | Diabetes research and clinical practice |
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| creator | Tan, Cheryl Wei Yan Xu, Yingqi Lee, Joyce Yu-Chia |
| description | To determine the point-prevalence and distribution of diabetes distress among primary care Asians with Type 2 Diabetes Mellitus (T2DM) and evaluate its association with cardiovascular risk.
This was a prospective, multicentre study conducted in two outpatient clinics. Patients aged ≥ 21 years with uncontrolled T2DM (HbA1c > 7.0 % [53 mmol/mol]) and polypharmacy were stratified based on their Framingham Risk Score (FRS–high ≥ 10 %, low |
| doi_str_mv | 10.1016/j.diabres.2023.110574 |
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This was a prospective, multicentre study conducted in two outpatient clinics. Patients aged ≥ 21 years with uncontrolled T2DM (HbA1c > 7.0 % [53 mmol/mol]) and polypharmacy were stratified based on their Framingham Risk Score (FRS–high ≥ 10 %, low < 10 %) and matched in accordance to their baseline HbA1c. Cardiovascular risk was estimated using FRS while diabetes distress was measured using Problem Areas in Diabetes (PAID) scale (denial 0–10, severe distress ≥ 40).
Of 1940 patients approached, 210 were recruited. A final 132 (62.9 %) participants were eligible for analysis. Median PAID score was 17.5 (IQR 6.25–41.56), with an even distribution in each distress category. There was no significant difference in PAID scores between the high and low FRS groups (20.00vs13.75, p = 0.446). Additionally, PAID score distribution within each group was similar (McNemar-Bowker test, p = 0.477). However, a high prevalence of severe distress (31.4 %) and denial (33.8 %) was detected. Among those in denial, 58.7 % had accompanying intermediate-high 10-year cardiovascular risk.
In our sample of Asian primary care patients, a high prevalence of severe diabetes distress and denial was detected although no clear association between cardiovascular risk and diabetes distress was found. Future studies should assess the longitudinal changes and impact of other risk factors in diabetes distress.
(Abstract: 199 words)</description><identifier>ISSN: 0168-8227</identifier><identifier>EISSN: 1872-8227</identifier><identifier>DOI: 10.1016/j.diabres.2023.110574</identifier><identifier>PMID: 36773673</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Cardiovascular ; Chronic disease ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - epidemiology ; Emotional ; Glycated Hemoglobin ; Humans ; Primary Health Care ; Prospective Studies ; Psychological ; Risk Factors</subject><ispartof>Diabetes research and clinical practice, 2023-03, Vol.197, p.110574-110574, Article 110574</ispartof><rights>2023 Elsevier B.V.</rights><rights>Copyright © 2023 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-2eabeae4b382accc4d16bd577c6bfad1c07b5c54ed8609eea86e926fd5ec955f3</citedby><cites>FETCH-LOGICAL-c365t-2eabeae4b382accc4d16bd577c6bfad1c07b5c54ed8609eea86e926fd5ec955f3</cites><orcidid>0000-0002-6814-6298</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.diabres.2023.110574$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36773673$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, Cheryl Wei Yan</creatorcontrib><creatorcontrib>Xu, Yingqi</creatorcontrib><creatorcontrib>Lee, Joyce Yu-Chia</creatorcontrib><title>Severe distress & denial among Asian patients with Type 2 Diabetes Mellitus in the primary care: A prospective, multicentre study</title><title>Diabetes research and clinical practice</title><addtitle>Diabetes Res Clin Pract</addtitle><description>To determine the point-prevalence and distribution of diabetes distress among primary care Asians with Type 2 Diabetes Mellitus (T2DM) and evaluate its association with cardiovascular risk.
This was a prospective, multicentre study conducted in two outpatient clinics. Patients aged ≥ 21 years with uncontrolled T2DM (HbA1c > 7.0 % [53 mmol/mol]) and polypharmacy were stratified based on their Framingham Risk Score (FRS–high ≥ 10 %, low < 10 %) and matched in accordance to their baseline HbA1c. Cardiovascular risk was estimated using FRS while diabetes distress was measured using Problem Areas in Diabetes (PAID) scale (denial 0–10, severe distress ≥ 40).
Of 1940 patients approached, 210 were recruited. A final 132 (62.9 %) participants were eligible for analysis. Median PAID score was 17.5 (IQR 6.25–41.56), with an even distribution in each distress category. There was no significant difference in PAID scores between the high and low FRS groups (20.00vs13.75, p = 0.446). Additionally, PAID score distribution within each group was similar (McNemar-Bowker test, p = 0.477). However, a high prevalence of severe distress (31.4 %) and denial (33.8 %) was detected. Among those in denial, 58.7 % had accompanying intermediate-high 10-year cardiovascular risk.
In our sample of Asian primary care patients, a high prevalence of severe diabetes distress and denial was detected although no clear association between cardiovascular risk and diabetes distress was found. Future studies should assess the longitudinal changes and impact of other risk factors in diabetes distress.
(Abstract: 199 words)</description><subject>Cardiovascular</subject><subject>Chronic disease</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Emotional</subject><subject>Glycated Hemoglobin</subject><subject>Humans</subject><subject>Primary Health Care</subject><subject>Prospective Studies</subject><subject>Psychological</subject><subject>Risk Factors</subject><issn>0168-8227</issn><issn>1872-8227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE-P0zAQxS0EYsvCRwDNCXGgxXZiO-WCquWvtIgDy9ly7AnrKklLxinqkW_OLC1cOVi2pTfvvfkJ8VTJlZLKvtquUg7thLTSUlcrpaRx9T2xUI3Ty0Zrd18sWNf8eV-IR0RbKaWtavNQXFTWOT7VQvz6igecEFKmwmYEzyHhmEMPYdiN32FDOYywDyXjWAh-5nILN8c9goa3nI8FCT5j3-cyE-QRyi3CfspDmI4Qw4SvYcP_He0xlnzAlzDMfcmRzTiUypyOj8WDLvSET873pfj2_t3N1cfl9ZcPn64218tYWVOWGjktYN1WjQ4xxjop2ybjXLRtF5KK0rUmmhpTY-UaMTQW19p2yWBcG9NVl-LFyZfr_JiRih8yRa4eRtzN5LVzxmqp1g1LzUkauTlN2PnzSl5Jf0ffb_2Zvr-j70_0ee7ZOWJuB0z_pv7iZsGbkwB50UPGyVNksBFTnhiQT7v8n4jfbd-bMw</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Tan, Cheryl Wei Yan</creator><creator>Xu, Yingqi</creator><creator>Lee, Joyce Yu-Chia</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6814-6298</orcidid></search><sort><creationdate>202303</creationdate><title>Severe distress & denial among Asian patients with Type 2 Diabetes Mellitus in the primary care: A prospective, multicentre study</title><author>Tan, Cheryl Wei Yan ; Xu, Yingqi ; Lee, Joyce Yu-Chia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-2eabeae4b382accc4d16bd577c6bfad1c07b5c54ed8609eea86e926fd5ec955f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cardiovascular</topic><topic>Chronic disease</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Emotional</topic><topic>Glycated Hemoglobin</topic><topic>Humans</topic><topic>Primary Health Care</topic><topic>Prospective Studies</topic><topic>Psychological</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tan, Cheryl Wei Yan</creatorcontrib><creatorcontrib>Xu, Yingqi</creatorcontrib><creatorcontrib>Lee, Joyce Yu-Chia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetes research and clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tan, Cheryl Wei Yan</au><au>Xu, Yingqi</au><au>Lee, Joyce Yu-Chia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe distress & denial among Asian patients with Type 2 Diabetes Mellitus in the primary care: A prospective, multicentre study</atitle><jtitle>Diabetes research and clinical practice</jtitle><addtitle>Diabetes Res Clin Pract</addtitle><date>2023-03</date><risdate>2023</risdate><volume>197</volume><spage>110574</spage><epage>110574</epage><pages>110574-110574</pages><artnum>110574</artnum><issn>0168-8227</issn><eissn>1872-8227</eissn><abstract>To determine the point-prevalence and distribution of diabetes distress among primary care Asians with Type 2 Diabetes Mellitus (T2DM) and evaluate its association with cardiovascular risk.
This was a prospective, multicentre study conducted in two outpatient clinics. Patients aged ≥ 21 years with uncontrolled T2DM (HbA1c > 7.0 % [53 mmol/mol]) and polypharmacy were stratified based on their Framingham Risk Score (FRS–high ≥ 10 %, low < 10 %) and matched in accordance to their baseline HbA1c. Cardiovascular risk was estimated using FRS while diabetes distress was measured using Problem Areas in Diabetes (PAID) scale (denial 0–10, severe distress ≥ 40).
Of 1940 patients approached, 210 were recruited. A final 132 (62.9 %) participants were eligible for analysis. Median PAID score was 17.5 (IQR 6.25–41.56), with an even distribution in each distress category. There was no significant difference in PAID scores between the high and low FRS groups (20.00vs13.75, p = 0.446). Additionally, PAID score distribution within each group was similar (McNemar-Bowker test, p = 0.477). However, a high prevalence of severe distress (31.4 %) and denial (33.8 %) was detected. Among those in denial, 58.7 % had accompanying intermediate-high 10-year cardiovascular risk.
In our sample of Asian primary care patients, a high prevalence of severe diabetes distress and denial was detected although no clear association between cardiovascular risk and diabetes distress was found. Future studies should assess the longitudinal changes and impact of other risk factors in diabetes distress.
(Abstract: 199 words)</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>36773673</pmid><doi>10.1016/j.diabres.2023.110574</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-6814-6298</orcidid></addata></record> |
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| ispartof | Diabetes research and clinical practice, 2023-03, Vol.197, p.110574-110574, Article 110574 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Cardiovascular Chronic disease Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - epidemiology Emotional Glycated Hemoglobin Humans Primary Health Care Prospective Studies Psychological Risk Factors |
| title | Severe distress & denial among Asian patients with Type 2 Diabetes Mellitus in the primary care: A prospective, multicentre study |
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