Fear of visual loss in patients with diabetes: results of the Prevalence of Diabetic Eye Disease in Tayside, Scotland (P-DETS) study
Aims To describe the relationship between fear of visual loss and dependent variables (visual acuity, retinopathy treatment, severity of retinopathy) in community‐based diabetic patients. Methods Subjects were identified from the Diabetes Audit and Research in Tayside, Scotland (DARTS) diabetes re...
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| Veröffentlicht in: | Diabetic medicine 2007-10, Vol.24 (10), p.1086-1092 |
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| creator | Luckie, R. Leese, G. McAlpine, R. MacEwen, C. J. Baines, P. S. Morris, A. D. Ellis, J. D. |
| description | Aims To describe the relationship between fear of visual loss and dependent variables (visual acuity, retinopathy treatment, severity of retinopathy) in community‐based diabetic patients.
Methods Subjects were identified from the Diabetes Audit and Research in Tayside, Scotland (DARTS) diabetes register. From a total of 4825 individuals known to have diabetes and who were resident in Dundee and Perth (population 216 204; diabetes prevalence 2.23%), 586 persons with diabetes were randomly selected. Participants completed a self‐administered questionnaire in Likert grade format which incorporated two items addressing presence and intensity of fear of visual loss.
Results Questionnaires were returned by 61.4% of the cohort. Fear of visual loss was ‘often in mind’ for 37% of respondents, and that fear was intense for 47.4%. Analysis by diabetes type revealed differences in reported fear of Type 1 and Type 2 patients in relation to disease and treatment variables. Linear regression highlighted the complexity of the issue with retinal status, acuity and treatment only partly explaining reported patient concern (r2 range: 0.051–0.125 for presence of fear; 0.026–0.04 for intensity of fear, depending on diabetes type).
Conclusions Fear of visual loss is preoccupying and intense for a substantial proportion of the diabetic population. Reasons for this are multiple and complex. Objective measures of visual impairment and retinal status are inadequate predictors of fear. Carers and researchers need to be mindful of this when approaching patients with diabetes. |
| doi_str_mv | 10.1111/j.1464-5491.2007.02180.x |
| format | Article |
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Methods Subjects were identified from the Diabetes Audit and Research in Tayside, Scotland (DARTS) diabetes register. From a total of 4825 individuals known to have diabetes and who were resident in Dundee and Perth (population 216 204; diabetes prevalence 2.23%), 586 persons with diabetes were randomly selected. Participants completed a self‐administered questionnaire in Likert grade format which incorporated two items addressing presence and intensity of fear of visual loss.
Results Questionnaires were returned by 61.4% of the cohort. Fear of visual loss was ‘often in mind’ for 37% of respondents, and that fear was intense for 47.4%. Analysis by diabetes type revealed differences in reported fear of Type 1 and Type 2 patients in relation to disease and treatment variables. Linear regression highlighted the complexity of the issue with retinal status, acuity and treatment only partly explaining reported patient concern (r2 range: 0.051–0.125 for presence of fear; 0.026–0.04 for intensity of fear, depending on diabetes type).
Conclusions Fear of visual loss is preoccupying and intense for a substantial proportion of the diabetic population. Reasons for this are multiple and complex. Objective measures of visual impairment and retinal status are inadequate predictors of fear. Carers and researchers need to be mindful of this when approaching patients with diabetes.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/j.1464-5491.2007.02180.x</identifier><identifier>PMID: 17888131</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cohort Studies ; diabetes ; Diabetes Audit and Research in Tayside ; Diabetes Mellitus, Type 1 - epidemiology ; Diabetes Mellitus, Type 1 - psychology ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - psychology ; Diabetes. Impaired glucose tolerance ; Diabetic Retinopathy - complications ; Diabetic Retinopathy - epidemiology ; Diabetic Retinopathy - psychology ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; fear ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Male ; Medical sciences ; Middle Aged ; questionnaire ; Registries - statistics & numerical data ; Scotland ; Scotland - epidemiology ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology</subject><ispartof>Diabetic medicine, 2007-10, Vol.24 (10), p.1086-1092</ispartof><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4670-6b034de4481908b94a9ca31fd0ad891b9e7969ee635d43b6bc6141ef24a47a83</citedby><cites>FETCH-LOGICAL-c4670-6b034de4481908b94a9ca31fd0ad891b9e7969ee635d43b6bc6141ef24a47a83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-5491.2007.02180.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-5491.2007.02180.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19110674$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17888131$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luckie, R.</creatorcontrib><creatorcontrib>Leese, G.</creatorcontrib><creatorcontrib>McAlpine, R.</creatorcontrib><creatorcontrib>MacEwen, C. J.</creatorcontrib><creatorcontrib>Baines, P. S.</creatorcontrib><creatorcontrib>Morris, A. D.</creatorcontrib><creatorcontrib>Ellis, J. D.</creatorcontrib><creatorcontrib>DARTS/MEMO Collaboration</creatorcontrib><creatorcontrib>for the DARTS/MEMO Collaboration</creatorcontrib><title>Fear of visual loss in patients with diabetes: results of the Prevalence of Diabetic Eye Disease in Tayside, Scotland (P-DETS) study</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Aims To describe the relationship between fear of visual loss and dependent variables (visual acuity, retinopathy treatment, severity of retinopathy) in community‐based diabetic patients.
Methods Subjects were identified from the Diabetes Audit and Research in Tayside, Scotland (DARTS) diabetes register. From a total of 4825 individuals known to have diabetes and who were resident in Dundee and Perth (population 216 204; diabetes prevalence 2.23%), 586 persons with diabetes were randomly selected. Participants completed a self‐administered questionnaire in Likert grade format which incorporated two items addressing presence and intensity of fear of visual loss.
Results Questionnaires were returned by 61.4% of the cohort. Fear of visual loss was ‘often in mind’ for 37% of respondents, and that fear was intense for 47.4%. Analysis by diabetes type revealed differences in reported fear of Type 1 and Type 2 patients in relation to disease and treatment variables. Linear regression highlighted the complexity of the issue with retinal status, acuity and treatment only partly explaining reported patient concern (r2 range: 0.051–0.125 for presence of fear; 0.026–0.04 for intensity of fear, depending on diabetes type).
Conclusions Fear of visual loss is preoccupying and intense for a substantial proportion of the diabetic population. Reasons for this are multiple and complex. Objective measures of visual impairment and retinal status are inadequate predictors of fear. Carers and researchers need to be mindful of this when approaching patients with diabetes.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>diabetes</subject><subject>Diabetes Audit and Research in Tayside</subject><subject>Diabetes Mellitus, Type 1 - epidemiology</subject><subject>Diabetes Mellitus, Type 1 - psychology</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic Retinopathy - complications</subject><subject>Diabetic Retinopathy - epidemiology</subject><subject>Diabetic Retinopathy - psychology</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>fear</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>questionnaire</subject><subject>Registries - statistics & numerical data</subject><subject>Scotland</subject><subject>Scotland - epidemiology</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUuP0zAQxyMEYsvCV0C-8JJI8Kt-IHFA2255LFDRShwtJ5lo3U2TYie7zZ0PjrOtdm8IX8ae-f3Ho_knCSI4I_G822SEC55OuSYZxVhmmBKFs_2DZHJXeJhMsOQ0ZViSk-RJCBuMCdVMP05OiFRKEUYmyZ9zsB61Fbp2obc1qtsQkGvQznYOmi6gG9ddotLZHDoI75GH0NcxHRXdJaClh2tbQ1PAmJndYq5A8wHiI4ANMDZb2yG4Et6iVdF2tW1K9HqZzubr1RsUur4cniaPKlsHeHaMp8n6fL4--5Re_Fh8Pvt4kRZcSJyKHDNeAueKaKxyza0uLCNViW2pNMk1SC00gGDTkrNc5IUgnEBFueXSKnaavDq03fn2dw-hM1sXCqjjRND2wUjBGadUyEi-_CcpFMNUURpBdQALHxfnoTI777bWD4ZgM1plNmZ0xIyOmNEqc2uV2Ufp8-Mffb6F8l549CYCL46ADYWtK2-bwoV7ThOCheSR-3DgblwNw38PYGbf5uMt6tOD3oUO9nd6669MXIWcml_fF2ZGlssvq68_zYL9Ba9vvVY</recordid><startdate>200710</startdate><enddate>200710</enddate><creator>Luckie, R.</creator><creator>Leese, G.</creator><creator>McAlpine, R.</creator><creator>MacEwen, C. J.</creator><creator>Baines, P. S.</creator><creator>Morris, A. D.</creator><creator>Ellis, J. D.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</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>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200710</creationdate><title>Fear of visual loss in patients with diabetes: results of the Prevalence of Diabetic Eye Disease in Tayside, Scotland (P-DETS) study</title><author>Luckie, R. ; Leese, G. ; McAlpine, R. ; MacEwen, C. J. ; Baines, P. S. ; Morris, A. D. ; Ellis, J. D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4670-6b034de4481908b94a9ca31fd0ad891b9e7969ee635d43b6bc6141ef24a47a83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>diabetes</topic><topic>Diabetes Audit and Research in Tayside</topic><topic>Diabetes Mellitus, Type 1 - epidemiology</topic><topic>Diabetes Mellitus, Type 1 - psychology</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diabetic Retinopathy - complications</topic><topic>Diabetic Retinopathy - epidemiology</topic><topic>Diabetic Retinopathy - psychology</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>fear</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>questionnaire</topic><topic>Registries - statistics & numerical data</topic><topic>Scotland</topic><topic>Scotland - epidemiology</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luckie, R.</creatorcontrib><creatorcontrib>Leese, G.</creatorcontrib><creatorcontrib>McAlpine, R.</creatorcontrib><creatorcontrib>MacEwen, C. J.</creatorcontrib><creatorcontrib>Baines, P. S.</creatorcontrib><creatorcontrib>Morris, A. D.</creatorcontrib><creatorcontrib>Ellis, J. D.</creatorcontrib><creatorcontrib>DARTS/MEMO Collaboration</creatorcontrib><creatorcontrib>for the DARTS/MEMO Collaboration</creatorcontrib><collection>Istex</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>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luckie, R.</au><au>Leese, G.</au><au>McAlpine, R.</au><au>MacEwen, C. J.</au><au>Baines, P. S.</au><au>Morris, A. D.</au><au>Ellis, J. D.</au><aucorp>DARTS/MEMO Collaboration</aucorp><aucorp>for the DARTS/MEMO Collaboration</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fear of visual loss in patients with diabetes: results of the Prevalence of Diabetic Eye Disease in Tayside, Scotland (P-DETS) study</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2007-10</date><risdate>2007</risdate><volume>24</volume><issue>10</issue><spage>1086</spage><epage>1092</epage><pages>1086-1092</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aims To describe the relationship between fear of visual loss and dependent variables (visual acuity, retinopathy treatment, severity of retinopathy) in community‐based diabetic patients.
Methods Subjects were identified from the Diabetes Audit and Research in Tayside, Scotland (DARTS) diabetes register. From a total of 4825 individuals known to have diabetes and who were resident in Dundee and Perth (population 216 204; diabetes prevalence 2.23%), 586 persons with diabetes were randomly selected. Participants completed a self‐administered questionnaire in Likert grade format which incorporated two items addressing presence and intensity of fear of visual loss.
Results Questionnaires were returned by 61.4% of the cohort. Fear of visual loss was ‘often in mind’ for 37% of respondents, and that fear was intense for 47.4%. Analysis by diabetes type revealed differences in reported fear of Type 1 and Type 2 patients in relation to disease and treatment variables. Linear regression highlighted the complexity of the issue with retinal status, acuity and treatment only partly explaining reported patient concern (r2 range: 0.051–0.125 for presence of fear; 0.026–0.04 for intensity of fear, depending on diabetes type).
Conclusions Fear of visual loss is preoccupying and intense for a substantial proportion of the diabetic population. Reasons for this are multiple and complex. Objective measures of visual impairment and retinal status are inadequate predictors of fear. Carers and researchers need to be mindful of this when approaching patients with diabetes.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17888131</pmid><doi>10.1111/j.1464-5491.2007.02180.x</doi><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Cohort Studies diabetes Diabetes Audit and Research in Tayside Diabetes Mellitus, Type 1 - epidemiology Diabetes Mellitus, Type 1 - psychology Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - psychology Diabetes. Impaired glucose tolerance Diabetic Retinopathy - complications Diabetic Retinopathy - epidemiology Diabetic Retinopathy - psychology Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance fear Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Humans Male Medical sciences Middle Aged questionnaire Registries - statistics & numerical data Scotland Scotland - epidemiology Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology |
| title | Fear of visual loss in patients with diabetes: results of the Prevalence of Diabetic Eye Disease in Tayside, Scotland (P-DETS) study |
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