Diabetes Distress in Young Adults With Youth-Onset Type 2 Diabetes: TODAY2 Study Results.
Journal
Diabetes care
ISSN: 1935-5548
Titre abrégé: Diabetes Care
Pays: United States
ID NLM: 7805975
Informations de publication
Date de publication:
01 03 2022
01 03 2022
Historique:
received:
11
08
2021
accepted:
29
11
2021
pubmed:
12
1
2022
medline:
11
3
2022
entrez:
11
1
2022
Statut:
ppublish
Résumé
To assess the prevalence of high diabetes distress and associated factors in the Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY2) study cohort of young adults with youth-onset type 2 diabetes. Participants completed the Diabetes Distress Scale (DDS) at end-of-study visits. Factors examined for association with high distress were demographic (sex, race/ethnicity, age, education, income), medical (HbA1c, BMI, complications), psychological (depressive and anxiety symptoms), and social (number in household, offspring, health care coverage, established with diabetes care provider). Univariate logistic regression identified factors associated with high distress that were controlled for in multivariate logistic regressions. Of 438 participants, 66% were female (mean age 26.8 years, 18% non-Hispanic White, 37% non-Hispanic Black, 38% Hispanic). High distress (DDS ≥2) was reported by 105 (24%) participants. Subscales identified 40% with high regimen distress and 29.7% with high emotional burden. A greater percentage of those with high distress were female (P = 0.002), diagnosed with hypertension (P = 0.037) and retinopathy (P = 0.005), treated with insulin, had higher HbA1c, and had moderate to severe depressive and anxiety symptoms (all P < 0.001). In multivariate analyses, female sex (P < 0.001), HbA1c (P < 0.001), anxiety symptoms (P = 0.036), and lack of health care coverage (P = 0.019) were associated with high distress, after controlling for potential confounders. Moderate to severe depressive symptoms were associated with high regimen distress (P = 0.018) and emotional burden (P < 0.001); insulin treatment was associated with high emotional burden (P = 0.027). Future research should identify modifiable factors associated with high diabetes distress in young adults with youth-onset type 2 diabetes that may inform distress interventions with this medically vulnerable group.
Identifiants
pubmed: 35015056
pii: 139265
doi: 10.2337/dc21-1689
pmc: PMC8918198
doi:
Substances chimiques
Insulin
0
Banques de données
ClinicalTrials.gov
['NCT00081328', 'NCT01364350', 'NCT02310724']
figshare
['10.2337/figshare.17136365']
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
529-537Subventions
Organisme : NIDDK NIH HHS
ID : U01 DK061254
Pays : United States
Organisme : NIDDK NIH HHS
ID : U01 DK061242
Pays : United States
Organisme : NIDDK NIH HHS
ID : U01 DK061212
Pays : United States
Organisme : NIDDK NIH HHS
ID : U01 DK061230
Pays : United States
Organisme : NIDDK NIH HHS
ID : U01 DK061239
Pays : United States
Informations de copyright
© 2022 by the American Diabetes Association.
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