Governors State University, Health Administration, 1 University Parkway, University Park, IL 60484-0975, United States.
Gateway Health, Four Gateway Center, Research Development and Analytics, 444 Liberty Avenue -1222, Pittsburgh, PA 15222, United States.
J Affect Disord. 2022 Feb 1;298(Pt B):24-34. doi: 10.1016/j.jad.2021.11.020. Epub 2021 Nov 12.
The study purpose examines diabetes self-care management practices among individuals diagnosed with diabetes with and without mental health stress.
Pooled cross-sectional data (2011-2016) from the Household Component of the Medical Expenditure Panel Survey (HC-MEPS) were used. The sample consisted of individuals ages 25-85 years (n = 13,193; weighted n = 23,559,975). Dependent variables were engagement in moderate/vigorous physical exercise five times weekly, receiving dilated eye exams, foot checks, treating diabetes with diet modification or insulin injections, and eating fewer high fat/cholesterol foods. The independent variable was diabetes with and without mental health stress. The study controlled for predisposing, enabling, and need factors.
Compared with individuals with diabetes without mental health stress, findings indicate individuals with diabetes and low or mild/moderate mental health stress were more likely to treat diabetes with diet modification and to restrict high fat/cholesterol food. Individuals with diabetes and severe mental health stress were more likely to restrict high fat/cholesterol. Additionally, individuals with mild/moderate to severe mental health stress were less likely to engage in diabetes care behavior.
Mental health stress is represented as a non-specific psychological distress index summary during the past 30 days and may not be an actual representation of overall distress in a person's life. There were no variables distinguishing diabetes type or severity. The study uses self-reported data and is cross-sectional.
Mental health stress may contribute to individuals not engaging in self-management practices. It would be beneficial to incorporate psychosocial services for individuals with diabetes and mental health stress.
本研究旨在探讨患有和不患有心理健康压力的糖尿病患者的自我护理管理行为。
使用来自医疗支出面板调查（MEPS）家庭部分（HC-MEPS）的 2011 年至 2016 年的汇总横断面数据。样本包括年龄在 25 至 85 岁之间的个体（n=13193；加权 n=23559975）。因变量为每周进行五次中高强度体育锻炼、接受散瞳检查、足部检查、通过饮食调整或胰岛素注射治疗糖尿病以及少吃高脂肪/高胆固醇食物。自变量为患有和不患有心理健康压力的糖尿病。研究控制了倾向因素、促成因素和需要因素。
与没有心理健康压力的糖尿病患者相比，研究结果表明，患有糖尿病且心理健康压力较低或轻度/中度的个体更有可能通过饮食调整和限制高脂肪/高胆固醇食物来治疗糖尿病。心理健康压力严重的个体更有可能限制高脂肪/高胆固醇。此外，心理健康压力从轻度/中度到严重的个体更不可能参与糖尿病护理行为。
心理健康压力表示为过去 30 天内的非特定心理困扰指数总和，可能无法真实反映一个人生活中的整体困扰。没有区分糖尿病类型或严重程度的变量。该研究使用自我报告数据且为横断面研究。
心理健康压力可能导致个体不参与自我管理行为。为患有糖尿病和心理健康压力的个体提供心理社会服务将是有益的。
