Psychological factors in diabetes-related foot complications: A cohort study.

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology Pub Date : 2024-11-25 DOI:10.1177/13591053241297736

Mai Loan Nguyen, Dana Wong, Elizabeth Barson, Eva Staunton, Caroline A Fisher

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Abstract

Living with diabetes has been linked with an increased prevalence of psychological distress. Psychological problems may interfere diabetes-related foot complication (DRFC) self-management. We aimed to characterise psychological functioning in DRFC, and identify clinical factors that may be associated with psychological problems. Eighty-one participants (M_age = 62.8, SD = 11.3, range = 30-87) with DRFC were recruited from The Royal Melbourne Hospital. Each participant completed a battery of psychological questionnaires. DRFC participants endorsed an elevated prevalence of depression, anxiety, post-traumatic stress and diabetes distress. There were also maladaptive personality traits, differences in emotion regulation skills and negative illness perceptions. Previous mental health disorder, higher HbA1C levels and diabetes-related complications were also associated with greater psychological symptoms. Elevated prevalence of psychological symptoms is apparent in DRFC. Our study highlights the need to use targeted interventions to address psychological difficulties to help DRFC patients cope better with their condition.

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糖尿病足并发症的心理因素：一项队列研究。

糖尿病患者的心理压力增加。心理问题可能会影响糖尿病足相关并发症（DRFC）的自我管理。我们旨在了解糖尿病足并发症患者的心理功能特点，并找出可能与心理问题相关的临床因素。我们从墨尔本皇家医院招募了81名糖尿病足并发症患者（年龄=62.8，SD=11.3，范围=30-87）。每位参与者都填写了一系列心理问卷。DRFC患者的抑郁、焦虑、创伤后应激和糖尿病困扰的发生率较高。此外，他们还存在适应不良的人格特质、情绪调节能力差异以及对疾病的消极看法。既往精神疾病、较高的 HbA1C 水平和糖尿病相关并发症也与较多的心理症状有关。DRFC 患者的心理症状发生率明显升高。我们的研究突出表明，有必要采取有针对性的干预措施来解决心理障碍，以帮助 DRFC 患者更好地应对病情。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.