Effect of Chronic Pain on Diabetes Patients' Self-Management
OBJECTIVE:--Many adults experience chronic pain, yet little is known about the consequences of such pain among individuals with diabetes. The purpose of this study was to examine whether and how chronic pain affects diabetes self-management. RESEARCH DESIGN AND METHODS--This is a cross-sectional stu...
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| Veröffentlicht in: | Diabetes care 2005, Vol.28 (1), p.65-70 |
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| creator | Krein, Sarah L Heisler, Michele Piette, John D Makki, Fatima Kerr, Eve A |
| description | OBJECTIVE:--Many adults experience chronic pain, yet little is known about the consequences of such pain among individuals with diabetes. The purpose of this study was to examine whether and how chronic pain affects diabetes self-management. RESEARCH DESIGN AND METHODS--This is a cross-sectional study of 993 patients with diabetes receiving care through the Department of Veterans Affairs (VA). Data on chronic pain, defined as pain present most of the time for 6 months or more during the past year, and diabetes self-management were collected through a written survey. Multivariable regression techniques were used to examine the association between the presence and severity of chronic pain and difficulty with diabetes self-management, adjusting for sociodemographic and other health characteristics including depression. RESULTS:--Approximately 60% of respondents reported chronic pain. Patients with chronic pain had poorer diabetes self-management overall (P = 0.002) and more difficulty following a recommended exercise plan (adjusted odds ratio [OR] 3.0 [95% CI 2.1-4.1]) and eating plan (1.6 [1.2-2.1]). Individuals with severe or very severe pain, compared with mild or moderate, reported significantly poorer diabetes self-management (P = 0.003), including greater difficulty with taking diabetes medications (2.0 [1.2-3.4]) and exercise (2.5 [1.3-5.0]). CONCLUSIONS:--Chronic pain was prevalent in this cohort of patients with diabetes. Even after controlling for general health status and depressive symptoms, chronic pain was a major limiting factor in the performance of self-care behaviors that are important for minimizing diabetes-related complications. Competing demands, such as chronic pain, should be considered when working with patients to develop effective diabetes self-care regimens. |
| doi_str_mv | 10.2337/diacare.28.1.65 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_67347782</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A127712577</galeid><sourcerecordid>A127712577</sourcerecordid><originalsourceid>FETCH-LOGICAL-c560t-59920c481fc8297c34263462ed8a19ed93c6a550f58ea3f194b83b9bffb6a8dc3</originalsourceid><addsrcrecordid>eNpt0ctr3DAQB2BTWppN2nNvrSm0PdnRw3pBL2GTPiClhTRnMZZHWwVbTiTvof99lawhUIIOA8M3o4FfVb2hpGWcq9MhgIOELdMtbaV4Vm2o4aIRotPPqw2hnWmEMeyoOs75hhDSdVq_rI6okFQyLjbV5wvv0S317OvtnzTH4OpfEGI9x_o8QI8L5tJYAsYlf6qvcPTND4iww6l0XlUvPIwZX6_1pLr-cvF7-625_Pn1-_bssnFCkuXhAuI6Tb3TzCjHOyZ5JxkOGqjBwXAnQQjihUbgnpqu17w3vfe9BD04flJ9POy9TfPdHvNip5AdjiNEnPfZSsU7pTQr8P1_8Gbep1hus4xxwhWjqqDmgHYwog3Rz0sCt8OICcY5og-lfUaZUpQJde_bJ3x5A07BPTlwehhwac45obe3KUyQ_lpK7H1sdo3NMm2plaJMvF3v3vcTDo9-zamADyuA7GD0CaIL-dGVHZo_fP3u4DzMFnapmOsrRignxGjDDeH_AL7lp4A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>223037217</pqid></control><display><type>article</type><title>Effect of Chronic Pain on Diabetes Patients' Self-Management</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Krein, Sarah L ; Heisler, Michele ; Piette, John D ; Makki, Fatima ; Kerr, Eve A</creator><creatorcontrib>Krein, Sarah L ; Heisler, Michele ; Piette, John D ; Makki, Fatima ; Kerr, Eve A</creatorcontrib><description>OBJECTIVE:--Many adults experience chronic pain, yet little is known about the consequences of such pain among individuals with diabetes. The purpose of this study was to examine whether and how chronic pain affects diabetes self-management. RESEARCH DESIGN AND METHODS--This is a cross-sectional study of 993 patients with diabetes receiving care through the Department of Veterans Affairs (VA). Data on chronic pain, defined as pain present most of the time for 6 months or more during the past year, and diabetes self-management were collected through a written survey. Multivariable regression techniques were used to examine the association between the presence and severity of chronic pain and difficulty with diabetes self-management, adjusting for sociodemographic and other health characteristics including depression. RESULTS:--Approximately 60% of respondents reported chronic pain. Patients with chronic pain had poorer diabetes self-management overall (P = 0.002) and more difficulty following a recommended exercise plan (adjusted odds ratio [OR] 3.0 [95% CI 2.1-4.1]) and eating plan (1.6 [1.2-2.1]). Individuals with severe or very severe pain, compared with mild or moderate, reported significantly poorer diabetes self-management (P = 0.003), including greater difficulty with taking diabetes medications (2.0 [1.2-3.4]) and exercise (2.5 [1.3-5.0]). CONCLUSIONS:--Chronic pain was prevalent in this cohort of patients with diabetes. Even after controlling for general health status and depressive symptoms, chronic pain was a major limiting factor in the performance of self-care behaviors that are important for minimizing diabetes-related complications. Competing demands, such as chronic pain, should be considered when working with patients to develop effective diabetes self-care regimens.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/diacare.28.1.65</identifier><identifier>PMID: 15616235</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Aged ; Analysis of Variance ; Biological and medical sciences ; Chronic Disease ; Chronic pain ; complications ; Cross-Sectional Studies ; Diabetes ; Diabetes Mellitus - physiopathology ; Diabetes Mellitus - rehabilitation ; Diabetes. Impaired glucose tolerance ; Diabetics ; disease control ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; exercise ; Female ; Health aspects ; Health Status ; Humans ; Income ; Male ; meal planning ; Medical sciences ; Mental depression ; Michigan ; Middle Aged ; Multivariate Analysis ; pain ; Pain - rehabilitation ; Pain management ; patient care ; Regression Analysis ; Risk factors ; Self Care</subject><ispartof>Diabetes care, 2005, Vol.28 (1), p.65-70</ispartof><rights>2005 INIST-CNRS</rights><rights>COPYRIGHT 2005 American Diabetes Association</rights><rights>Copyright American Diabetes Association Jan 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c560t-59920c481fc8297c34263462ed8a19ed93c6a550f58ea3f194b83b9bffb6a8dc3</citedby><cites>FETCH-LOGICAL-c560t-59920c481fc8297c34263462ed8a19ed93c6a550f58ea3f194b83b9bffb6a8dc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16538377$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15616235$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krein, Sarah L</creatorcontrib><creatorcontrib>Heisler, Michele</creatorcontrib><creatorcontrib>Piette, John D</creatorcontrib><creatorcontrib>Makki, Fatima</creatorcontrib><creatorcontrib>Kerr, Eve A</creatorcontrib><title>Effect of Chronic Pain on Diabetes Patients' Self-Management</title><title>Diabetes care</title><addtitle>Diabetes Care</addtitle><description>OBJECTIVE:--Many adults experience chronic pain, yet little is known about the consequences of such pain among individuals with diabetes. The purpose of this study was to examine whether and how chronic pain affects diabetes self-management. RESEARCH DESIGN AND METHODS--This is a cross-sectional study of 993 patients with diabetes receiving care through the Department of Veterans Affairs (VA). Data on chronic pain, defined as pain present most of the time for 6 months or more during the past year, and diabetes self-management were collected through a written survey. Multivariable regression techniques were used to examine the association between the presence and severity of chronic pain and difficulty with diabetes self-management, adjusting for sociodemographic and other health characteristics including depression. RESULTS:--Approximately 60% of respondents reported chronic pain. Patients with chronic pain had poorer diabetes self-management overall (P = 0.002) and more difficulty following a recommended exercise plan (adjusted odds ratio [OR] 3.0 [95% CI 2.1-4.1]) and eating plan (1.6 [1.2-2.1]). Individuals with severe or very severe pain, compared with mild or moderate, reported significantly poorer diabetes self-management (P = 0.003), including greater difficulty with taking diabetes medications (2.0 [1.2-3.4]) and exercise (2.5 [1.3-5.0]). CONCLUSIONS:--Chronic pain was prevalent in this cohort of patients with diabetes. Even after controlling for general health status and depressive symptoms, chronic pain was a major limiting factor in the performance of self-care behaviors that are important for minimizing diabetes-related complications. Competing demands, such as chronic pain, should be considered when working with patients to develop effective diabetes self-care regimens.</description><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Chronic pain</subject><subject>complications</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes Mellitus - physiopathology</subject><subject>Diabetes Mellitus - rehabilitation</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetics</subject><subject>disease control</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>exercise</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health Status</subject><subject>Humans</subject><subject>Income</subject><subject>Male</subject><subject>meal planning</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Michigan</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>pain</subject><subject>Pain - rehabilitation</subject><subject>Pain management</subject><subject>patient care</subject><subject>Regression Analysis</subject><subject>Risk factors</subject><subject>Self Care</subject><issn>0149-5992</issn><issn>1935-5548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpt0ctr3DAQB2BTWppN2nNvrSm0PdnRw3pBL2GTPiClhTRnMZZHWwVbTiTvof99lawhUIIOA8M3o4FfVb2hpGWcq9MhgIOELdMtbaV4Vm2o4aIRotPPqw2hnWmEMeyoOs75hhDSdVq_rI6okFQyLjbV5wvv0S317OvtnzTH4OpfEGI9x_o8QI8L5tJYAsYlf6qvcPTND4iww6l0XlUvPIwZX6_1pLr-cvF7-625_Pn1-_bssnFCkuXhAuI6Tb3TzCjHOyZ5JxkOGqjBwXAnQQjihUbgnpqu17w3vfe9BD04flJ9POy9TfPdHvNip5AdjiNEnPfZSsU7pTQr8P1_8Gbep1hus4xxwhWjqqDmgHYwog3Rz0sCt8OICcY5og-lfUaZUpQJde_bJ3x5A07BPTlwehhwac45obe3KUyQ_lpK7H1sdo3NMm2plaJMvF3v3vcTDo9-zamADyuA7GD0CaIL-dGVHZo_fP3u4DzMFnapmOsrRignxGjDDeH_AL7lp4A</recordid><startdate>2005</startdate><enddate>2005</enddate><creator>Krein, Sarah L</creator><creator>Heisler, Michele</creator><creator>Piette, John D</creator><creator>Makki, Fatima</creator><creator>Kerr, Eve A</creator><general>American Diabetes Association</general><scope>FBQ</scope><scope>IQODW</scope><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>3V.</scope><scope>7RV</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>2005</creationdate><title>Effect of Chronic Pain on Diabetes Patients' Self-Management</title><author>Krein, Sarah L ; Heisler, Michele ; Piette, John D ; Makki, Fatima ; Kerr, Eve A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c560t-59920c481fc8297c34263462ed8a19ed93c6a550f58ea3f194b83b9bffb6a8dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Chronic pain</topic><topic>complications</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Diabetes Mellitus - physiopathology</topic><topic>Diabetes Mellitus - rehabilitation</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diabetics</topic><topic>disease control</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>exercise</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health Status</topic><topic>Humans</topic><topic>Income</topic><topic>Male</topic><topic>meal planning</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Michigan</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>pain</topic><topic>Pain - rehabilitation</topic><topic>Pain management</topic><topic>patient care</topic><topic>Regression Analysis</topic><topic>Risk factors</topic><topic>Self Care</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krein, Sarah L</creatorcontrib><creatorcontrib>Heisler, Michele</creatorcontrib><creatorcontrib>Piette, John D</creatorcontrib><creatorcontrib>Makki, Fatima</creatorcontrib><creatorcontrib>Kerr, Eve A</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetes care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krein, Sarah L</au><au>Heisler, Michele</au><au>Piette, John D</au><au>Makki, Fatima</au><au>Kerr, Eve A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Chronic Pain on Diabetes Patients' Self-Management</atitle><jtitle>Diabetes care</jtitle><addtitle>Diabetes Care</addtitle><date>2005</date><risdate>2005</risdate><volume>28</volume><issue>1</issue><spage>65</spage><epage>70</epage><pages>65-70</pages><issn>0149-5992</issn><eissn>1935-5548</eissn><coden>DICAD2</coden><abstract>OBJECTIVE:--Many adults experience chronic pain, yet little is known about the consequences of such pain among individuals with diabetes. The purpose of this study was to examine whether and how chronic pain affects diabetes self-management. RESEARCH DESIGN AND METHODS--This is a cross-sectional study of 993 patients with diabetes receiving care through the Department of Veterans Affairs (VA). Data on chronic pain, defined as pain present most of the time for 6 months or more during the past year, and diabetes self-management were collected through a written survey. Multivariable regression techniques were used to examine the association between the presence and severity of chronic pain and difficulty with diabetes self-management, adjusting for sociodemographic and other health characteristics including depression. RESULTS:--Approximately 60% of respondents reported chronic pain. Patients with chronic pain had poorer diabetes self-management overall (P = 0.002) and more difficulty following a recommended exercise plan (adjusted odds ratio [OR] 3.0 [95% CI 2.1-4.1]) and eating plan (1.6 [1.2-2.1]). Individuals with severe or very severe pain, compared with mild or moderate, reported significantly poorer diabetes self-management (P = 0.003), including greater difficulty with taking diabetes medications (2.0 [1.2-3.4]) and exercise (2.5 [1.3-5.0]). CONCLUSIONS:--Chronic pain was prevalent in this cohort of patients with diabetes. Even after controlling for general health status and depressive symptoms, chronic pain was a major limiting factor in the performance of self-care behaviors that are important for minimizing diabetes-related complications. Competing demands, such as chronic pain, should be considered when working with patients to develop effective diabetes self-care regimens.</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>15616235</pmid><doi>10.2337/diacare.28.1.65</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Diabetes care, 2005, Vol.28 (1), p.65-70 |
| issn | 0149-5992 1935-5548 |
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| subjects | Aged Analysis of Variance Biological and medical sciences Chronic Disease Chronic pain complications Cross-Sectional Studies Diabetes Diabetes Mellitus - physiopathology Diabetes Mellitus - rehabilitation Diabetes. Impaired glucose tolerance Diabetics disease control Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance exercise Female Health aspects Health Status Humans Income Male meal planning Medical sciences Mental depression Michigan Middle Aged Multivariate Analysis pain Pain - rehabilitation Pain management patient care Regression Analysis Risk factors Self Care |
| title | Effect of Chronic Pain on Diabetes Patients' Self-Management |
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