Faculty of Science, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Division of Endocrinology, University of British Columbia, Vancouver, British Columbia, Canada.
Can J Diabetes. 2017 Feb;41(1):69-72. doi: 10.1016/j.jcjd.2016.07.008. Epub 2016 Oct 10.
South Asians are disproportionately affected by diabetes compared to some other ethnic groups in Canada. Although depression and diabetes distress are psychological issues well studied in the general population of those with diabetes, they have not been investigated in South Asian Canadians with type 2 diabetes. We sought to identify the rates of depression and diabetes distress in South Asian adults with type 2 diabetes and to explore the relationship among glycemic control, depression and diabetes distress.
We recruited 41 South Asian adults with type 2 diabetes for this study. Glycated hemoglobin (A1C) levels were collected via venous puncture. We utilized the Diabetes Distress Scale to assess total diabetes distress and its subscales (emotional distress, interpersonal distress, regimen-related distress and physician distress) and the Personal Health Questionnaire-9 to assess depressive symptoms.
The rate of depression was 15%, and the rate of total diabetes distress was 52.5%. Although neither measure was found to be correlated with A1C levels, depression had a moderate positive correlation with total diabetes distress (r=0.696; p<0.001); subscales of regimen distress and emotional burden emerged as the strongest correlates.
This is the first study to report that diabetes distress is a serious concern for South Asian Canadians with type 2 diabetes. Given that depression and diabetes distress are linked, studies recruiting a larger and more diverse sample of South Asian Canadians should be conducted to better understand the psychological issues that may impact diabetes self-management in this community.
与加拿大的一些其他族裔相比，南亚人受到糖尿病的影响不成比例。尽管抑郁和糖尿病困扰是在糖尿病患者的一般人群中研究得很好的心理问题，但在南亚 2 型糖尿病患者中尚未对此进行调查。我们试图确定 2 型糖尿病南亚成年人中抑郁和糖尿病困扰的发生率，并探讨血糖控制、抑郁和糖尿病困扰之间的关系。
我们招募了 41 名南亚 2 型糖尿病患者参加这项研究。通过静脉穿刺采集糖化血红蛋白（A1C）水平。我们利用糖尿病困扰量表评估总糖尿病困扰及其亚量表（情绪困扰、人际困扰、治疗方案相关困扰和医生困扰），并利用个人健康问卷-9 评估抑郁症状。
抑郁的发生率为 15%，总糖尿病困扰的发生率为 52.5%。尽管这两个指标都与 A1C 水平无关，但抑郁与总糖尿病困扰呈中度正相关（r=0.696；p<0.001）；治疗方案困扰和情绪负担的亚量表是最强的相关因素。
这是第一项报告称糖尿病困扰是南亚 2 型糖尿病患者严重关注的问题的研究。鉴于抑郁和糖尿病困扰是相关的，应该招募更多样化的南亚加拿大人群体进行更大规模的研究，以更好地了解可能影响该社区糖尿病自我管理的心理问题。
