División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco, Tabasco P.C. 86650, Mexico.
División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa, Tabasco P.C. 86100, Mexico.
Int J Environ Res Public Health. 2019 Jul 25;16(15):2652. doi: 10.3390/ijerph16152652.
: individuals with type 2 diabetes show emotional distress as they learn how to cope with the disease. The emotional distress increases the possibility of complications in these patients. The aims of the present study were to evaluate the impact of the emotional distress in the quality of life of individuals with diabetes, and to investigate the demographic and clinical characteristics associated with the emotional distress of living with diabetes in a Mexican population. Methods: a total of 422 Mexican individuals with type 2 diabetes were recruited from the outpatient Diabetes Clinic of the Hospital Regional de Alta Especialidad Dr. Gustavo A. Rovirosa of Villahermosa, Tabasco. Demographic and clinical characteristics along with quality of life (SF-36) were assessed in these individuals. The emotional distress of living with diabetes was measured using the 5-item Problem Areas in Diabetes. Patients were divided according to the presence of high or low distress. : we identified that 31.8% ( = 134) of patients presented high diabetes-related emotional distress. We observed that hepatic diseases as comorbidities ( = 0.008) and diagnosis of major depression ( = 0.04) are factors associated with the emotional distress of living with diabetes. These patients showed a reduced quality of life in all dimensions ( < 0.001); the most affected dimensions were physical role ( = 0.37) and general health ( = 0.89) showing lower scores in comparison with patients with low emotional distress. : our results suggest that Mexican individuals with type 2 diabetes mellitus show high emotional distress living with the disease and have a decreased quality of life. Therefore, it is necessary to decrease factors associated with the high emotional distress of living with diabetes in patients with type 2 diabetes.
: 2 型糖尿病患者在学习如何应对疾病时会感到情绪困扰。这种情绪困扰增加了这些患者发生并发症的可能性。本研究的目的是评估情绪困扰对糖尿病患者生活质量的影响，并调查与墨西哥人群中糖尿病生活情绪困扰相关的人口统计学和临床特征。方法：从塔巴斯科州比亚埃尔莫萨的 Gustavo A. Rovirosa 区域专科医院的糖尿病门诊招募了 422 名 2 型糖尿病墨西哥患者。对这些患者进行了人口统计学和临床特征以及生活质量（SF-36）评估。使用糖尿病问题领域的 5 项评估糖尿病相关的情绪困扰。根据是否存在高或低困扰将患者进行分组。 : 我们发现 31.8%（=134）的患者存在较高的糖尿病相关情绪困扰。我们观察到，合并肝疾病（=0.008）和诊断为重度抑郁症（=0.04）是与糖尿病生活情绪困扰相关的因素。这些患者在所有维度的生活质量都降低（<0.001）；受影响最严重的维度是身体角色（=0.37）和一般健康（=0.89），与情绪困扰较低的患者相比，得分较低。 : 我们的结果表明，墨西哥 2 型糖尿病患者在患病时表现出高度的情绪困扰，生活质量下降。因此，有必要减少 2 型糖尿病患者与糖尿病生活情绪困扰相关的因素。
