Quality of Life in University Students with Diabetes Distress: Type 1 and Type 2 of Diabetes Differences

Overview

Journal J Diabetes Res

Publisher Wiley

Specialty Endocrinology

Date 2022 Jul 5

PMID 35782629

Authors

Samah A Moawd

Affiliations

Soon will be listed here.

Abstract

Background: This study constitutes a preliminary trial to clarify the relationship between quality of life (QoL) and diabetes distress (DD in patients with diabetes mellitus (DM) by comparing patients with type 1 and type 2 diabetes.

Methods: A cross-sectional study of university students with diabetes (type 1 and type 2) diabetes. One hundred sixty-six students were assigned to participate in this study. A self-report questionnaire on demographic and clinical parameters was taken. Rating worries and anxieties related to diabetes were evaluated using the diabetes distress scale-17, and quality of life was tested using SF-36 v2.

Results: No significant differences were observed in the level of DD according to sociodemographics in type 1 DM (T1DM) and type 2 DM (T2DM) ( > 0.05). The mean scores for Physical Component Summary (PCS) and Mental Component Summary (MCS) and six subscales of the SF-36 v2 demonstrated no significant differences between T1DM and T2DM ( > 0.05). High scores of diabetes distress were independently associated with lower glycemic control for students with both types of diabetes. Likewise, high scores of distress were associated with lower PCS ( < 0.05). Additionally, the results showed that high scores of diabetes distress were associated with lower MCS ( < 0.05).

Conclusions: University students with diabetes showed a high level of DD with no significant differences between both types of diabetes; this consequently affects all components of QoL. Psychological support is the better choice for those students for better health and future career.

Citing Articles

Perceptions of Emerging Adults With Type 1 Diabetes Mellitus on How the Condition Influences Sleep Quality: A Qualitative Study.

Nunez-Baila M, Gomez-Aragon A, Gonzalez-Lopez J J Diabetes Res. 2024; 2024:7497059.

PMID: 39022652 PMC: 11254458. DOI: 10.1155/2024/7497059.

Sociodemographic and Clinical Determinants on Health-Related Quality of Life in Emerging Andalusian Adults with Type 1 Diabetes: A Cross-Sectional Study.

Nunez-Baila M, Gomez-Aragon A, Gonzalez-Lopez J J Clin Med. 2024; 13(1).

PMID: 38202247 PMC: 10779847. DOI: 10.3390/jcm13010240.

References

Baek R, Tanenbaum M, Gonzalez J . Diabetes burden and diabetes distress: the buffering effect of social support. Ann Behav Med. 2014; 48(2):145-55. PMC: 4249652. DOI: 10.1007/s12160-013-9585-4. View

Polinski J, Smith B, Curtis B, Seeger J, Choudhry N, Connolly J . Barriers to insulin progression among patients with type 2 diabetes: a systematic review. Diabetes Educ. 2012; 39(1):53-65. DOI: 10.1177/0145721712467696. View

Delahanty L, Grant R, Wittenberg E, Bosch J, Wexler D, Cagliero E . Association of diabetes-related emotional distress with diabetes treatment in primary care patients with Type 2 diabetes. Diabet Med. 2007; 24(1):48-54. DOI: 10.1111/j.1464-5491.2007.02028.x. View

Carper M, Traeger L, Gonzalez J, Wexler D, Psaros C, Safren S . The differential associations of depression and diabetes distress with quality of life domains in type 2 diabetes. J Behav Med. 2013; 37(3):501-10. PMC: 3758402. DOI: 10.1007/s10865-013-9505-x. View

Chew B, Vos R, Metzendorf M, Scholten R, Rutten G . Psychological interventions for diabetes-related distress in adults with type 2 diabetes mellitus. Cochrane Database Syst Rev. 2017; 9:CD011469. PMC: 6483710. DOI: 10.1002/14651858.CD011469.pub2. View

Zhou H, Zhu J, Liu L, Li F, Fish A, Chen T . Diabetes-related distress and its associated factors among patients with type 2 diabetes mellitus in China. Psychiatry Res. 2017; 252:45-50. DOI: 10.1016/j.psychres.2017.02.049. View

Tanenbaum M, Kane N, Kenowitz J, Gonzalez J . Diabetes distress from the patient's perspective: Qualitative themes and treatment regimen differences among adults with type 2 diabetes. J Diabetes Complications. 2016; 30(6):1060-8. PMC: 5792172. DOI: 10.1016/j.jdiacomp.2016.04.023. View

Chew B, Sherina M, Hassan N . Association of diabetes-related distress, depression, medication adherence, and health-related quality of life with glycated hemoglobin, blood pressure, and lipids in adult patients with type 2 diabetes: a cross-sectional study. Ther Clin Risk Manag. 2015; 11:669-81. PMC: 4425326. DOI: 10.2147/TCRM.S81623. View

Robinson D, Coons M, Haensel H, Vallis M, Yale J . Diabetes and Mental Health. Can J Diabetes. 2018; 42 Suppl 1:S130-S141. DOI: 10.1016/j.jcjd.2017.10.031. View

10.

Geleta B, Dingata S, Emanu M, Eba L, Abera K, Tsegaye D . Prevalence of Diabetes Related Distress and Associated Factors Among Type 2 Diabetes Patients Attending Hospitals, Southwest Ethiopia, 2020: A Cross-Sectional Study. Patient Relat Outcome Meas. 2021; 12:13-22. PMC: 7850978. DOI: 10.2147/PROM.S290412. View

11.

Aljuaid M, Almutairi A, Assiri M, Almalki D, Alswat K . Diabetes-Related Distress Assessment among Type 2 Diabetes Patients. J Diabetes Res. 2018; 2018:7328128. PMC: 5892264. DOI: 10.1155/2018/7328128. View

12.

Chew B, Mohd-Sidik S, Shariff-Ghazali S . Negative effects of diabetes-related distress on health-related quality of life: an evaluation among the adult patients with type 2 diabetes mellitus in three primary healthcare clinics in Malaysia. Health Qual Life Outcomes. 2015; 13:187. PMC: 4657278. DOI: 10.1186/s12955-015-0384-4. View

13.

Papathanasiou A, Shea S, Koutsovasilis A, Melidonis A, Papavasiliou E, Lionis C . Reporting distress and quality of life of patients with diabetes mellitus in primary and secondary care in Greece. Ment Health Fam Med. 2012; 5(2):85-93. PMC: 2777562. View

14.

Hagger V, Hendrieckx C, Sturt J, Skinner T, Speight J . Diabetes Distress Among Adolescents with Type 1 Diabetes: a Systematic Review. Curr Diab Rep. 2016; 16(1):9. DOI: 10.1007/s11892-015-0694-2. View

15.

Polonsky W, Fisher L, Earles J, Dudl R, Lees J, Mullan J . Assessing psychosocial distress in diabetes: development of the diabetes distress scale. Diabetes Care. 2005; 28(3):626-31. DOI: 10.2337/diacare.28.3.626. View

16.

Hayashino Y, Okamura S, Matsunaga S, Tsujii S, Ishii H . The association between problem areas in diabetes scale scores and glycemic control is modified by types of diabetes therapy: diabetes distress and care registry in Tenri (DDCRT 2). Diabetes Res Clin Pract. 2012; 97(3):405-10. DOI: 10.1016/j.diabres.2012.04.005. View

17.

Helgeson V, Escobar O, Siminerio L, Becker D . Relation of stressful life events to metabolic control among adolescents with diabetes: 5-year longitudinal study. Health Psychol. 2010; 29(2):153-9. PMC: 2841306. DOI: 10.1037/a0018163. View

18.

Fisher L, Hessler D, Polonsky W, Mullan J . When is diabetes distress clinically meaningful?: establishing cut points for the Diabetes Distress Scale. Diabetes Care. 2012; 35(2):259-64. PMC: 3263871. DOI: 10.2337/dc11-1572. View

19.

Jaser S . Psychological problems in adolescents with diabetes. Adolesc Med State Art Rev. 2010; 21(1):138-51, x-xi. PMC: 3721971. View

20.

Perrin N, Davies M, Robertson N, Snoek F, Khunti K . The prevalence of diabetes-specific emotional distress in people with Type 2 diabetes: a systematic review and meta-analysis. Diabet Med. 2017; 34(11):1508-1520. DOI: 10.1111/dme.13448. View