التفاصيل البيبلوغرافية
| العنوان: |
Diabetes distress in adults with type 1 diabetes: Prevalence, incidence and change over time |
| المؤلفون: |
Fisher, Lawrence, Hessler, Danielle, Polonsky, William, Strycker, Lisa, Masharani, Umesh, Peters, Anne |
| المصدر: |
Journal of Diabetes and its Complications, vol 30, iss 6 |
| بيانات النشر: |
eScholarship, University of California |
| سنة النشر: |
2016 |
| المجموعة: |
University of California: eScholarship |
| مصطلحات موضوعية: |
Biomedical and Clinical Sciences, Clinical Sciences, Diabetes, Autoimmune Disease, Metabolic and endocrine, Adult, Diabetes Mellitus, Type 1, Emotions, Female, Humans, Incidence, Male, Middle Aged, Prevalence, Stress, Psychological, Diabetes distress, Change over time, Predictors of change, Endocrinology & Metabolism |
| الوقت: |
1123 - 1128 |
| الوصف: |
AimsTo document the prevalence and 9-month incidence of elevated diabetes distress (DD) and the stability of DD over time using both single threshold and minimal clinically important differences (MCID) approaches.MethodsAdults with type 1 diabetes (T1D) (N=224) completed the 28-item T1-Diabetes Distress Scale (T1-DDS) at baseline and 9months. A T1-DDS threshold was identified with spline analysis and MCID was calculated from the standard error of measurement.ResultsAnalyses supported a cut-point of ≥2.0 for elevated DD. The prevalence and 9-month incidence of elevated DD was 42.1% and 54.4%, respectively. MCID was ±0.19 but varied by subscale (.26 to .50). Elevated DD was stable: only 20% crossed 2.0 over 9months. MCID analyses showed that change also occurred among those who remained either below or above 2.0 over time. Change varied by source of distress, with Powerlessness the most prevalent and stable. Using MCID, only participant age, gender and number of complications predicted change.ConclusionsThe prevalence, 9-month incidence and stability of elevated DD are high among adults with T1D, with change based on source of DD. We propose a combined cut-point/MCID framework for measuring change in DD, since each approach reflects unique characteristics of change over time. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
qt0v41c6cv; https://escholarship.org/uc/item/0v41c6cvTest |
| الإتاحة: |
https://escholarship.org/uc/item/0v41c6cvTest |
| حقوق: |
public |
| رقم الانضمام: |
edsbas.D5EA29A0 |
| قاعدة البيانات: |
BASE |
