Prevalence and predictors of diabetes-related distress in adults with type 1 diabetes

Znanstveni rad - Izvorni znanstveni rad

• Autor: Nataša Grulović
• Autor: Martina Rojnić Kuzman
• Autor: Maja Baretić
• Autorova ustanova: Sveučilište u Zagrebu; Medicinski fakultet; (KATEDRA ZA PSIHIJATRIJU I PSIHOLOŠKU MEDICINU)
• Znanstveno / umjetničko područje, polje i grana: BIOMEDICINA I ZDRAVSTVO; Kliničke medicinske znanosti; Psihijatrija

Sažetak (engleski)

Abstract Type 1 diabetes (T1DM) is a chronic disease requiring lifelong insulin therapy and rigorous self-management. As it negatively impacts the affected individuals’ quality of life, it may eventually lead to diabetes-related distress. This study evaluated the prevalence and identified the predictors of diabetes-related distress in a representative sample of adults with T1DM treated at secondary and tertiary levels in Croatia. A multicenter, cross-sectional study was conducted in adults with T1DM in Croatia (N = 100). Data were collected between January 2018 and December 2018 from medical records and interviews during a single clinical visit, when participants completed a 20-item Problem Area in Diabetes (PAID) Questionnaire. The proportion of participants with a total PAID score ≥ 40 indicating high diabetes-related distress was calculated, and binary logistic regression was run to determine predictors. High diabetes-related distress was found in 36% of participants, with a mean PAID total score of 31.9 (21.1). The predictors of diabetes-related distress were higher HbA1c level (OR = 1.491, p = 0.037, CI = 1.025–2.169) and the presence of microvascular complications (OR = 4.611, p = 0.005; 95%CI 1.546–13.754). Worrying about the future and chronic complications and feeling guilty when off-track with diabetes management were identified as items that contribute the most to distress. Diabetes-related distress is a frequent condition in adults with T1DM in Croatia. Special attention should be given to patients with suboptimal glycemic control and microvascular complications. Given the high prevalence and impact of psychosocial problems in diabetes, psychological care should be integrated into routine care for adults with type 1 diabetes.

• Ključne riječi (engleski): Adult; Cross-Sectional Studies; Diabetes Mellitus, Type 1 / complications; Diabetes Mellitus, Type 1 / epidemiology; Glycated Hemoglobin / analysis; Humans; Insulin; Prevalence; Quality of Life
• Jezik: engleski
• Vrsta publikacije: Znanstveni rad - Izvorni znanstveni rad
• Status objave: Objavljen
• Vrsta recenzije: Recenziran
• Verzija publikacije: Objavljena verzija rada (izdavačev PDF)
• Naslov časopisa: Scientific Reports
• Brojčani podaci: vol. 12, br. 1, 15758
• e-ISSN: 2045-2322
• DOI: https://doi.org/10.1038/s41598-022-19961-4
• URN:NBN: urn:nbn:hr:105:776566
• Datum objave publikacije: 2022-09-21
• URL dokumenta: https://www.nature.com/articles/s41598-022-19961-4
• Vrsta resursa: Tekst
• Prava pristupa: Otvoreni pristup
• Datum i vrijeme pohrane: 2023-02-14 07:59:35