دورية أكاديمية
Understanding the sources of diabetes distress in adults with type 1 diabetes.
| العنوان: | Understanding the sources of diabetes distress in adults with type 1 diabetes. |
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| المؤلفون: | Fisher, Lawrence, Polonsky, William H, Hessler, Danielle M, Masharani, Umesh, Blumer, Ian, Peters, Anne L, Strycker, Lisa A, Bowyer, Vicky |
| المصدر: | Journal of diabetes and its complications, vol 29, iss 4 |
| بيانات النشر: | eScholarship, University of California |
| سنة النشر: | 2015 |
| المجموعة: | University of California: eScholarship |
| مصطلحات موضوعية: | Humans, Diabetes Mellitus, Type 1, Hyperglycemia, Hypoglycemia, Depression, Stress, Psychological, Anxiety, Social Perception, Adult, Middle Aged, Canada, United States, Female, Male, Surveys and Questionnaires, Assessing distress, Diabetes distress, Distress profile, Type 1 diabetes, Types of distress, Clinical Research, Prevention, Diabetes, Pediatric, Autoimmune Disease, 7.1 Individual care needs, Management of diseases and conditions, Metabolic and endocrine |
| جغرافية الموضوع: | 572 - 577 |
| الوصف: | AimsTo identify the unique sources of diabetes distress (DD) for adults with type 1 diabetes (T1D).MethodsSources of DD were developed from qualitative interviews with 25 T1D adults and 10 diabetes health care providers. Survey items were then developed and analyzed using both exploratory (EFA) and confirmatory CFA) analyses on two patient samples. Construct validity was assessed by correlations with depressive symptoms (PHQ8), complications, HbA1C, BMI, and hypoglycemia worry scale (HWS). Scale cut-points were created using multiple regression.ResultsAn EFA with 305 U.S. participants yielded 7 coherent, reliable sources of distress that were replicated by a CFA with 109 Canadian participants: Powerlessness, Negative Social Perceptions, Physician Distress, Friend/Family Distress, Hypoglycemia Distress, Management Distress, Eating Distress. Prevalence of DD was high with 41.6% reporting at least moderate DD. Higher DD was reported for women, those with complications, poor glycemic control, younger age, without a partner, and non-White patients.ConclusionsWe identified a profile of seven major sources of DD among T1D using a newly developed assessment instrument. The prevalence of DD is high and is related to glycemic control and several patient demographic and disease-related patient characteristics, arguing for a need to address DD in clinical care. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | unknown |
| العلاقة: | qt8rr4f6k2; https://escholarship.org/uc/item/8rr4f6k2Test; https://escholarship.org/content/qt8rr4f6k2/qt8rr4f6k2.pdfTest |
| DOI: | 10.1016/j.jdiacomp.2015.01.012 |
| الإتاحة: | https://doi.org/10.1016/j.jdiacomp.2015.01.012Test https://escholarship.org/uc/item/8rr4f6k2Test https://escholarship.org/content/qt8rr4f6k2/qt8rr4f6k2.pdfTest |
| حقوق: | public |
| رقم الانضمام: | edsbas.6D178FB4 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.jdiacomp.2015.01.012 |
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