DaSantos Allison, Goddard Carlisle, Ragoobirsingh Dalip
University of the West Indies, Faculty of Medical Sciences, Cave Hill Campus Cave Hill Bridgetown, Barbados.
University of the West Indies Faculty of Medical Sciences, Bridgetown, Barbados.
AIMS Public Health. 2022 May 23;9(3):471-481. doi: 10.3934/publichealth.2022032. eCollection 2022.
Psychological disorders such as diabetes distress may negatively influence how patients effectively manage their illness. Therefore, discernment of such influential psychosocial components could be pertinent in promoting competent diabetes management. The vital psychosocial aspect of diabetes distress in diabetes management within the Caribbean context remains unexplored. The purpose of this study therefore was to investigate the prevalence and distribution of diabetes distress (DD), and explore its relationship to socio-demographic and clinical characteristics in Barbadian adults with type 2 diabetes(T2DM).
A cross-sectional survey was conducted with adults (n = 509) ages 20-80 years with T2DM. The survey comprised, a profile section, and a standardized questionnaire-the Diabetes Distress Scale (DDS). In addition, biological (A1C and blood pressure measurements were also collected.
The sample comprised 30.8% males and 69.2% females. Moderate to high DD identified in 17% of the patients (9.4% moderate distress, 7.2% high distress). Moderate distress was more frequent in unmarried persons; younger persons had high DD. There was no difference in rates of moderate to high DD in women (16.7%) compared to men (16.2%) and, as age and years lived with diabetes increased, diabetes distress decreased.
The results emphasized the need for considerations that must be given to Barbadian diabetes patients' mental well-being. In recognition of the role DD plays in the patients' experiences, screening should be incorporated into clinical care.
糖尿病困扰等心理障碍可能会对患者有效管理疾病的方式产生负面影响。因此，识别这些有影响的社会心理因素可能有助于促进有效的糖尿病管理。在加勒比地区背景下，糖尿病困扰在糖尿病管理中至关重要的社会心理方面仍未得到探索。因此，本研究的目的是调查巴巴多斯2型糖尿病（T2DM）成年患者中糖尿病困扰（DD）的患病率和分布情况，并探讨其与社会人口学和临床特征的关系。
对年龄在20 - 80岁的509名T2DM成年患者进行了横断面调查。该调查包括一个概况部分和一份标准化问卷——糖尿病困扰量表（DDS）。此外，还收集了生物学指标（糖化血红蛋白和血压测量值）。
样本中男性占30.8%，女性占69.2%。17%的患者存在中度至高度DD（9.4%为中度困扰，7.2%为高度困扰）。未婚者中度困扰更为常见；年轻人存在高度DD。女性（16.7%）和男性（16.2%）中度至高度DD的发生率没有差异，并且随着年龄和患糖尿病时间的增加，糖尿病困扰程度降低。
结果强调了必须考虑巴巴多斯糖尿病患者心理健康的必要性。认识到DD在患者体验中所起的作用，应将筛查纳入临床护理。
