Prevalence and correlates of diabetes distress, perceived stress and depressive symptoms among adults with early-onset Type 2 diabetes: cross-sectional survey results from the Danish DD2 study.
Adult
Age of Onset
Antidepressive Agents
/ therapeutic use
Cross-Sectional Studies
Denmark
/ epidemiology
Depression
/ epidemiology
Diabetes Mellitus, Type 2
/ psychology
Female
Humans
Male
Mental Disorders
/ drug therapy
Middle Aged
Prevalence
Psychological Distress
Risk Factors
Stress, Psychological
/ epidemiology
Young Adult
Journal
Diabetic medicine : a journal of the British Diabetic Association
ISSN: 1464-5491
Titre abrégé: Diabet Med
Pays: England
ID NLM: 8500858
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
accepted:
22
07
2019
pubmed:
25
7
2019
medline:
3
11
2021
entrez:
24
7
2019
Statut:
ppublish
Résumé
To establish the prevalence of diabetes distress, perceived stress and depressive symptoms among adults with early-onset Type 2 diabetes, and to examine their association with socio-demographic and clinical characteristics. A cross-sectional survey was performed among individuals with Type 2 diabetes aged 20-45 years who were included in the Danish nationwide Danish Center for Strategic Research in Type 2 Diabetes cohort between 2010 and 2016. The survey assessed diabetes distress (20-item Problem Areas in Diabetes Scale), perceived stress (10-item Perceived Stress Scale) and depressive symptoms (10-item short form of the Center for Epidemiological Studies Depression Scale Revised), as well as socio-demographic characteristics. Clinical data were collected from national health registers. In total, 216/460 (47%) individuals (48% women) with Type 2 diabetes completed the survey. The median (IQR) age was 42 (38-44) years and the diabetes duration was 5 (3-7) years. In total, 24% of respondents reported high diabetes distress (Problem Areas in Diabetes Scale ≥ 40), 46% reported high perceived stress (Perceived Stress Scale ≥ 18) and 41% reported elevated symptoms of depression (Center for Epidemiological Studies Depression Scale Revised ≥ 10). The prevalence of emotional problems was higher among women than men. Diabetes distress was higher among those prescribed non-insulin glucose-lowering drugs (vs. no glucose-lowering drugs), but was not associated with other clinical or socio-demographic characteristics. High perceived stress was associated with being unemployed and using antidepressant medication, and elevated depressive symptoms were associated with low education level, unemployment, living alone, having a psychiatric disorder and using antidepressant medication. We found a high prevalence of emotional problems among adults with early-onset Type 2 diabetes in Denmark. Health care for this group should focus on both physical health and psychosocial circumstances and should also address general as well as diabetes-specific emotional problems.
Substances chimiques
Antidepressive Agents
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1679-1687Subventions
Organisme : the Danish Agency for Science
ID : 09-067009
Pays : International
Organisme : the Danish Agency for Science
ID : 09-075724
Pays : International
Organisme : Danish Health and Medicines Authority
Pays : International
Organisme : Danish Diabetes Association
Pays : International
Organisme : Novo Nordisk A/S
ID : NNF 16SA0024768
Pays : International
Organisme : Danish Diabetes Academy, supported by the Novo Nordisk Foundation
Pays : International
Organisme : Central Denmark Region
Pays : International
Organisme : the Riisfort Foundation
Pays : International
Informations de copyright
© 2019 Diabetes UK.
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