Distress and its association with self-care in people with type 2 diabetes
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Abstract
Introduction. Low adherence to diabetes self-care affects glycemic control and increases the risk of diabetes complications and premature deaths. Studies from the United States have found a relationship between distress and adherence to self-care in patients with diabetes; however, there is a lack of research on distress and its association with self-care in Mexican patients with diabetes.
Objective. To evaluate the prevalence and association of distress with low self-care in patients with type 2 diabetes.
Method. A cross-sectional study was carried out in two family medicine clinics of the Mexican Institute of Social Security in Mexico City. Four hundred eighty-nine type 2 diabetic patients ≥ 19 years of age participated. The statistical analysis incorporated a multiple Poisson regression.
Results. Of the patients 18.8% had distress, 44.8% had low adherence to medication, 43.8% had low adherence to regular physical exercise, 82.4% did not consume the recommended amount of vegetables and 51.1% consumed foods with high sugar content. The distress was associated with poor adherence to medication and lack of regular physical exercise.
Discussion and conclusion. The high prevalence of distress in type 2 diabetic patients in comparison with the general population reveals the importance of distress screening and health care at family practice clinics
References
Encuesta Nacional de Salud y Nutrición. Resultados nacionales (ENSANUT 2012). Cuernavaca: Instituto de Salud Pública de México; 2012. http://ensanut.insp.mx/informes/ENSANUT2012ResultadosNacionales.pdf.
Córdova-Villalobos JA, Barriguete-Meléndez JA, Lara-Esqueda A, Barquera S, Rosas-Peralta M, Hernández-Ávila M, et al. Chronic non-communicable diseases in Mexico: epidemiologic synopsis and integral prevention. Salud Publica Mex. 2008; 50(5):419-27.
Secretaría de Salud/Dirección General de Información en Salud. Elaborado a partir de la base de datos de defunciones 1979-2008 INEGI/SS y de las proyecciones de la población de México 2005-2050 y proyección retrospectiva 1990-2004. CONAPO; 2006.
World Health Organization. Adherence to long-term therapies: evidence for action. Geneva: WHO; 2005.
Lerman I, Lozano L, Villa AR, Hernández-Jiménez S, Weinger K, Caballero AE, et al. Psychosocial factors associated with poor diabetes self-care management in a specialized center in Mexico City. Biomed Pharmacother. 2004; 58(10):566-70.
Flores-Hernández S, Saturno-Hernández PJ, Reyes-Morales H, Barrientos-Gutiérrez T, Villalpando S, Hernández-Ávila M. Quality of Diabetes Care: The Challenges of an Increasing Epidemic in México. Results from Two National Health Surveys (2006 and 2012). PLoS One. 2015;10(7):e0133958.
Polonsky WH, Fisher L, Earles J, Dudl RD, Lees J, Mullan J, et al. Assesing psychosocial distress in diabetes:development of the diabetes distress scale. Diabetes Care. 2005; 28:626-31.
Wagner FA, González- Forteza C, Sánchez- García S, García- Peña C, Gallo JJ. Enfocando la depresión como problema de salud pública en México. Salud Mental. 2012;35(1): 3-11.
Fisher L, Hessler DM, Polonsky WH, Mullan J. When is diabetes distress clinically meaningful?: establishing cut points for the Diabetes Distress Scale. Diabetes Care. 2012; 35(2):259-64. doi: 10.2337/dc11-1572.
Fabián San Miguel MG, García Sancho MC, Cobo Abreu C. Prevalencia de síntomas de ansiedad y depresión en pacientes con diabetes mellitus tipo 2 y su asociación con el tipo de tratamiento, complicaciones de la diabetes y comorbilidades. Med Int Mex. 2010;26(2):100-8.
Serrano Becerril CI, Zamora Hernández KE, Navarro Rojas MM, Villarreal Ríos E. Comorbilidad entre depresión y diabetes mellitus. Med Int Mex. 2012; 28(4): 325-28.
Castro-Aké GA, Tovar-Espinosa JA, Mendoza-Cruz U. Trastorno depresivo y control glucémico en el paciente con diabetes mellitus 2. Rev Med Inst Mex Seguro Soc. 2009;47(4):377-82.
Sánchez Cruz JF, Hipólito Lorenzo A, Mugártegui Sánchez SG, Yáñez Gonzalez RM. Stress and Depression Associated with Non-Adherence to Treatment in Patients with Diabetes Mellitus Type 2. Atención Familiar. 2016;23(2):43–7.
León Astudillo E, Guillen González MA, Vergara López A. Prevalencia de depresión y factores de riesgo asociados en pacientes con diabetes del Centro Médico Nacional “20 de Noviembre”. Revista de Endocrinología y Nutrición. 2012;20(3): 102-6.
Martínez-Vega IP, Doubova SV, Aguirre-Henández R, Infante Castañeda C. Adapatation and validation of the Distress Scale for Mexican patients with type 2 diabetes and hypertension: across-sectional survey. BMJ Open. 2016; 6(3):e009723. doi: 10.1136/bmjopen-2015-009723.
Abellán J, Sainz de Baranda P, Ortín EJ. [Guideline for prescribing physical exercise in patients with cardiovascular risk.] Madrid: Asociación de la Sociedad Española de Hipertensión. Liga Española para la Lucha contra la Hipertensión Arterial. Sociedades autonómicas de Hipertensión (SEH-LELHA), 2014.
Clinical Practice Guideline, Diagnosis and treatment of type 2 diabetes mellitus. Mexico: Mexican Institute of Social Security, 2012.
Nogueda Orozco MJ, Pérez Terán B, Barrientos Casarrubias V, Robles García R, Sierra Madero JG. Hospital Anxiety and Depression Scale (HADS): validation in Mexican patients with HIV infection. Psicología Iberoamericana. 2013;21:29-7.
Clemens SL, Matthews SL, Young AF, Powers JR. Alcohol consumption of Australian women: results from the Australian Longitudinal Study on Women’s Health. Drug Alcohol Rev. 2007; 26:525-35.
Schwarzer R, Jerusalem W. Generalized self-efficacy scale. In: J. Weinman, J. Wright and M. Johnston. Measures in health psychology: A user's portfolio. Causal and control beliefs. Windsor, England: WFER-WELSON, 1995.
Cid P, Orellana A, Barriga O. General self-efficacy scale validation in Chile. Rev Med Chile. 2010;138:551-57. doi:/S0034-98872010000500004.
Wilson VanVoorhis CR, Morgan BL. Understanding Power and Rules of Thumb for Determining Sample Sizes. Tutorials in Quantitative Methods for Psychology. 2007;3(2):43-50.
Barros AJ, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;3:21.
Medina-Mora ME , Borges G , Lara Muñoz C, Benjet C , Blanco Jaimes J , Fleiz Bautista C. Prevalencia de trastornos mentales y uso de servicios: Resultados de la Encuesta Nacional de Epidemiología Psiquiátrica en México. Salud Mental. 2003; 26(4):1-16.
Weissman JF, Pratt LA, Miller EA, Parker JD. Serious Psychological Distress Among Adults: United States, 2009-2013. NCHS Data Brief. 2015;203:1-8.
Moriarty DG, Zack MM, Holt JB, Chapman DP, Safran MA. Geographic patterns of frequent mental distress: U.S. adults, 1993-2001 and 2003-2006. Am J Prev Med.
;36(6):497-505. doi: 10.1016/j.amepre.2009.01.038.
Doherty DT, Moran R, Doherty YK. Psychological distress, mental health problems and use of health services in Ireland. HRB Research Series 5. Dublin: Health Research Board, 2008.
Sturt J, Dennick K, Due-Christensen M, McCarthy K. The Detection and Management of Diabetes Distress in People With Type 1 Diabetes. Curr Diab Rep. 2015;15(11):101. doi:10.1007/s11892-015-0660-z.
Fisher L, Glasgow RE, Strycker LA. The relationship between diabetes distress and clinical depression with glycemic control among patients with type 2 diabetes.
Diabetes Care. 2010;33(5):1034-36. doi:10.2337/dc09-2175.
Aikens JE. Prospective associations between emotional distress and poor outcomes in type 2 diabetes. Diabetes Care. 2012;35(12):2472-8. doi:10.2337/dc12-0181.
Shin JK, Chiu YL, Choi S, Cho S, Bang H. Serious psychological distress, health risk behaviours, and diabetes care among adults with type 2 diabetes: the California Health Interview Survey 2007. Diabetes Res Clin Pract. 2012; 95(3):406-14.doi: 10.1016/j.diabres.2011.10.043
Berry E, Lockhart S, Davies M, Lindsay JR, Dempster M. Diabetes distress: understanding the hidden struggles of living with diabetes and exploring intervention strategies. Postgrad Med J. 2015;91(1075):278-83. doi:10.1136/postgradmedj-2014-133017
Gonzalez JS, Shreck E, Psaros C, Safren SA. Distress and type 2 diabetes-treatment adherence: A mediating role for perceived control. Health Psychol. 2015;34(5):505-13. doi: 10.1037/hea0000131.
Laaksonen DE, Lindström J, Lakka TA, Eriksson JG, Niskanen L, Wikström K, et al. Physical activity in the prevention of type 2 diabetes: the Finnish diabetes prevention study. Diabetes. 2005; 54(1):158-65.
Ranasinghe P, Pigera AS, Ishara MH, Jayasekara LM, Jayawardena R, Katulanda P. Knowledge and perceptions about diet and physical activity among Sri Lankan adults with diabetes mellitus: a qualitative study. BMC Public Health. 2015;15:1160. doi: 10.1186/s12889-015-2518-3.
Cheng L, Leung DY, Sit JW, Li XM, Wu YN, Yang MY. Factors associated with diet barriers in patients with poorly controlled type 2 diabetes. Patient Prefer Adherence. 2016; 10:37-44. doi: 10.2147/PPA.S94275.
Parajuli J, Saleh F, Thapa N, Ali L. Factors associated with nonadherence to diet and physical activity among Nepalese type 2 diabetes patients; a cross sectional study. BMC Res Notes. 2014;7:758. doi: 10.1186/1756-0500-7-758.
Krass I, Schieback P, Dhippayom T. Adherence to diabetes medication: a systematic review. Diabet Med. 2015;32(6):725-37.
Faria HT, Santos MA, Arrelias CC, Rodrigues FF, Gonela JT, Teixeira CR. [Adherence to diabetes mellitus treatments in family health strategy units]. Rev Esc Enferm USP. 2014; 48(2):257-63.[Article in Portuguese].
Mumu SJ, Saleh F, Ara F, Afnan F, Ali L. Non-adherence to life-style modification and its factors among type 2 diabetic patients. Indian J Public Health. 2014; 58(1):40-4. doi: 10.4103/0019-557X.128165.
