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Year : 2021  |  Volume : 30  |  Issue : 2  |  Page : 234-239

Prevalence of diabetes distress and its relationship with self-management in patients with type 2 diabetes mellitus

1 Department of Psychiatry, AIIMS, Bhubaneswar, Odisha, India
2 Department of Community and Family Medicine, AIIMS, Bhubaneswar, Odisha, India

Correspondence Address:
Dr. Suravi Patra
Department of Psychiatry, AIIMS, Bhubaneswar, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ipj.ipj_60_19

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Context: Diabetes distress (DD) in India has been studied mainly in the context of depression. Little is known about DD, its determinants, distribution, and its impact. Aims: This study aims to estimate the prevalence of DD and identify its socio-demographic and clinical determinants in type 2 diabetes mellitus patients. To assess the relationship of DD with self-management in nondepressed type 2 diabetes mellitus. Settings and Design: A cross-sectional descriptive study in noncommunicable disease clinic of a tertiary care medical center. Subjects and Methods: DD Scale was used to assess DD in 200 patients with type 2 diabetes mellitus. Diabetes Self-Management Questionnaire was used to evaluate self-management behavior. Patient Health Questionnaire 9 was used to exclude depression. Statistical Analysis Used: Sample size calculation was done as per prevailing prevalence estimates. SPSS 20.0 was used for statistical analysis. ANOVA and Independent t-tests were done to compare between groups means. Hierarchical multiple regression analysis was done, keeping self-management as a dependent variable and socio-demographic, clinical variables, and DD as independent variables. Results: The prevalence of DD was 42% in our sample. The duration of diabetes showed that a significant association with DD. DD was significantly and negatively associated with all four domains of self-management, while statistical significance was reached in three domains: dietary control (β = −0.378, P < 0.01); glucose management (β = −0.181, P < 0.01); and healthcare use (β = −0.244, P < 0.01). Conclusions: DD is widespread in our patients and harms self-management. There is a need to address DD to improve disease-specific outcomes.

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