Relationship Between Emotional Disorders (Diabetes Distress and Depression) and Outcomes (Self-care and Clinical) in Adults With Type 2 Diabetes Mellitus in Primary Care: A Retrospective Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 336
- 主要终点
- Diabetes-related distress measured with Diabetes Distress Scale-17
研究概览
简要总结
This study aims to determine which factors are related to change in diabetes-related distress and change in depressive symptoms after three years of follow-up in Asian adults with type 2 diabetes mellitus in primary care. The investigators will explore the impact of patient demographics, cardiometabolic control, medications adherence, health-related quality of life, self-efficacy and self-management behaviors on diabetes-related distress and depressive symptoms.
详细描述
Patients with type 2 diabetes mellitus (T2DM) have been shown to experience psychological burden and distorted illness perception. These psychological burden include feeling of burned-out, fatigue, distress and depression, and in addition of distorted illness perception often lead to difficulty in coping with the demands of life-style changes and adherence to medication. Diabetes-related distress (DRD) and depressive symptoms (DS) were associated with glycaemic control and medication adherence, and life-styles behaviors, respectively. However, evidence on the relationships between DRD, DS and clinically significant outcomes are scarce in Asian adults with T2DM. Primary care patients who participated before will be re-invited. This is a repeated cross-sectional study of a cohorts of 700 patients who were first studied in 2013 (Emotional Distress in adults with type 2 Diabetes Mellitus & Quality of Life [EDDMQoL] study with the National Medical Research Register (NMRR) identification number: NMRR-12-1167-14158). Demographic data (age, gender, ethnicity, religion, educational level, occupation and monthly income), smoking status, self-perceive social support and health literacy will be collected by questionnaires.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 30 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Those who participated in the EDDMQoL study
- •Adults aged at least 30 year-old
- •Diagnosed of T2DM more than three years ago
- •On regular follow-up with at least three visits in the previous year
排除标准
- •Patients who are pregnant or lactating
- •Having psychiatric/psychological disorders that could impair judgments and memory
- •Patients who cannot read or understand English, Malay or Mandarin
结局指标
主要结局
Diabetes-related distress measured with Diabetes Distress Scale-17
时间窗: Baseline and 3 year
Change in diabetes-related distress
Depressive symptoms measured with Patient Health Questionnaire-9
时间窗: Baseline and 3 year
Change in depressive symptoms
次要结局
- Diabetes distress measured with Problem Areas in Diabetes Scale (PAID-5)(Through study completion)
- Diabetes-related distress and depression combined(Baseline and 3 year)
- Illness perceptions measured with Brief Illness Perception Questionnaire(Through study completion)
研究者
Boon-How Chew
Associate Professor
Universiti Putra Malaysia