Department of General Practice, Monash University, Melbourne, Victoria, Australia.
Menzies Health Institute of Queensland, Griffith University, Southport, Queensland, Australia.
Health Promot J Austr. 2024 Apr;35(2):534-541. doi: 10.1002/hpja.783. Epub 2023 Jul 19.
This cross-sectional analysis of the Australian 3D study aimed to determine the prevalence of psychological distress and describe its associated characteristics in adults recently diagnosed with type 2 diabetes.
Adults (aged 18 years and over) who were recently diagnosed with type 2 diabetes (<6 months prior) were recruited through the Australian National Diabetes Services Scheme in 2018-2019. Demographic and health data were collected via interview-administered telephone surveys. Hierarchical regression was used to analyse whether demographic, self-care and clinical characteristics were associated with psychological distress, as measured by the K10 questionnaire.
Of the participants (n = 223), 26.3% presented with psychological distress, with 8.4% reporting mild, 8.4% reporting moderate and 9.5% reporting severe psychological distress. Neither age, sex, body mass index or taking anti-depressant medications were associated with the presence of psychological distress (p > .05). Being a smoker, living situation, less physical activity and poorer healthy eating beliefs and intentions were significantly associated with psychological distress in those not taking anti-depressant medications (p < .05). Being female was significantly associated with psychological distress in those taking anti-depressant medications (p < .05).
The study found that psychological distress is highly prevalent in adults recently diagnosed with type 2 diabetes. Behavioural factors such as smoking and low physical activity, as well as psycho-social factors such as living situation, poor healthy eating beliefs and intentions were significantly associated with psychological distress. This has implications for the management of people with newly diagnosed type 2 diabetes. SO WHAT?: Psychological distress is highly prevalent in Australian adults newly diagnosed with type 2 diabetes, emphasising the urgent need for enhanced psychological care to support this group.
本项澳大利亚 3D 研究的横断面分析旨在确定近期被诊断为 2 型糖尿病的成年人中心理困扰的患病率，并描述其相关特征。
2018-2019 年，通过澳大利亚国家糖尿病服务计划招募了年龄在 18 岁及以上、近期（<6 个月前）被诊断为 2 型糖尿病的成年人。通过访谈式电话调查收集人口统计学和健康数据。使用分层回归分析人口统计学、自我护理和临床特征是否与 K10 问卷衡量的心理困扰相关。
在参与者（n=223）中，26.3%存在心理困扰，8.4%报告轻度、8.4%报告中度、9.5%报告重度心理困扰。年龄、性别、体重指数或服用抗抑郁药物与心理困扰的存在无关（p>.05）。不服用抗抑郁药物者中，吸烟、居住状况、较少的身体活动以及较差的健康饮食信念和意图与心理困扰显著相关（p<.05）。服用抗抑郁药物者中，女性与心理困扰显著相关（p<.05）。
研究发现，近期被诊断为 2 型糖尿病的成年人中，心理困扰的发生率很高。行为因素，如吸烟和低身体活动，以及心理社会因素，如居住状况、不良的健康饮食信念和意图，与心理困扰显著相关。这对管理新诊断的 2 型糖尿病患者具有重要意义。
澳大利亚近期被诊断为 2 型糖尿病的成年人中，心理困扰的发生率很高，这强调了迫切需要加强心理保健，以支持这一群体。
