Diabetes distress and associated psychosocial factors in type 2 diabetes. A population-based cross-sectional study. The HUNT study, Norway.

IF 3.4 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetology & Metabolic Syndrome Pub Date : 2025-02-19 DOI:10.1186/s13098-025-01631-w

Hilde K R Riise, Anne Haugstvedt, Jannicke Igland, Marit Graue, Eirik Søfteland, Monica Hermann, Sofia Carlsson, Timothy C Skinner, Bjørn Olav Åsvold, Marjolein M Iversen

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Abstract

Background and aim: The world-wide prevalence of diabetes distress varies, and studies are mainly undertaken in clinical settings. By using data from the Trøndelag Health (HUNT) study, we aimed to estimate diabetes distress prevalence, its determinants, and associations with anxiety and depression among adults with type 2 diabetes.

Methods: This population-based cross-sectional study consists of individuals ≥ 20 years with type 2 diabetes participating in the HUNT4 survey (2017-2019). Diabetes-distress prevalence with 95% confidence interval (CI) was calculated based on the five item Problem Areas in Diabetes (PAID-5) questionnaire. PAID-5 sum scores were rescaled to a 0-100 scale by multiplying the sum score by five. Linear and logistic regression models were used to examine associations of demographic, lifestyle- and clinical factors, with diabetes distress.

Results: In total, 1954 individuals completed the PAID-5 questionnaire, with a mean score of 15.2 (SD 18.3) and 11.9% (95% CI 10.6-13.4) reporting high diabetes distress (PAID-5 ≥ 40). Multivariable linear regression showed that diabetes distress was associated with a 0.2 (95% CI 0.2-0.3) lower score for each year older age, 7.6 (95% CI 5.4-9.7) higher score for current insulin use, and 9.3 (95% CI 5.3-13.2) higher score for a history of diabetes foot ulcers. High levels of anxiety and depression symptoms were associated with higher diabetes distress (Anxiety: B 16.0, 95% CI 13.6-18.4, Depression: B 13.3, 95% CI 10.7-16.0).

Conclusions: Diabetes distress is common and strongly associated with younger age at diabetes onset, insulin use, foot ulcer, and anxiety and depression symptoms. Identifying and addressing diabetes distress in diabetes follow-up may facilitate improving health outcomes and prevent more serious mental health issues in individuals with T2D. Nevertheless, the findings should be further examined in longitudinal studies.

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2型糖尿病患者的糖尿病窘迫及相关社会心理因素一项基于人群的横断面研究。HUNT研究，挪威。

背景和目的：世界范围内糖尿病困扰的患病率各不相同，研究主要在临床环境中进行。通过使用来自Trøndelag Health （HUNT）研究的数据，我们旨在评估2型糖尿病成人患者的糖尿病窘迫患病率、其决定因素以及与焦虑和抑郁的关系。方法：这项基于人群的横断面研究包括参加HUNT4调查（2017-2019）的≥20岁2型糖尿病患者。根据5项糖尿病问题领域（PAID-5）问卷，计算糖尿病窘迫患病率的95%置信区间（CI）。通过将总分乘以5，将pay -5总分重新调整为0-100分。使用线性和逻辑回归模型来检查人口统计学、生活方式和临床因素与糖尿病困扰的关系。结果：总共有1954人完成了PAID-5问卷，平均得分为15.2 (SD 18.3), 11.9% （95% CI 10.6-13.4）的人报告患有高度糖尿病窘迫（PAID-5≥40）。多变量线性回归显示，糖尿病困扰与年龄越大得分越低0.2 (95% CI 0.2-0.3)，当前使用胰岛素得分越高7.6 (95% CI 5.4-9.7)，糖尿病足溃疡史得分越高9.3 （95% CI 5.3-13.2）相关。高水平的焦虑和抑郁症状与较高的糖尿病痛苦相关（焦虑：B 16.0, 95% CI 13.6-18.4，抑郁：B 13.3, 95% CI 10.7-16.0）。结论：糖尿病窘迫很常见，且与糖尿病发病年龄较小、胰岛素使用、足部溃疡、焦虑和抑郁症状密切相关。在糖尿病随访中识别和处理糖尿病困扰可能有助于改善健康结果，并预防糖尿病患者出现更严重的心理健康问题。然而，这些发现应该在纵向研究中进一步检验。

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

Diabetology & Metabolic Syndrome ENDOCRINOLOGY & METABOLISM-

CiteScore

6.20

自引率

0.00%

发文量

170

审稿时长

7.5 months

期刊介绍： Diabetology & Metabolic Syndrome publishes articles on all aspects of the pathophysiology of diabetes and metabolic syndrome. By publishing original material exploring any area of laboratory, animal or clinical research into diabetes and metabolic syndrome, the journal offers a high-visibility forum for new insights and discussions into the issues of importance to the relevant community.