Masmoudi Rim, Hadj Kacem Faten, Bouattour Maroua, Guermazi Fatma, Sellami Rim, Feki Ines, Mnif Mouna, Masmoudi Jawaher, Baati Imen, Abid Mohamed
Psychiatry "A" Department, Hedi Chaker University Hospital, Sfax, Tunisia.
Department of Endocrinology, Hedi Chaker University Hospital, Sfax, Tunisia.
Diabetes Metab Syndr Obes. 2023 Nov 6;16:3547-3556. doi: 10.2147/DMSO.S430001. eCollection 2023.
Diabetes distress (DD) refers to the negative emotions and burden of living with diabetes. Illness perceptions are among the factors that can influence self-management and psychological distress in diabetics. This study aimed to determine the prevalence and the associated factors of DD in Tunisian patients with type 2 diabetes mellitus. We also studied the relationship between DD and illness perceptions in diabetics.
This was a cross-sectional study conducted among individuals with type 2 diabetes, followed up at the outpatient endocrinology unit at the Hedi Chaker University Hospital, Tunisia. DD was assessed using the Diabetes Distress Scale (DDS-17). The Brief Illness Perception Questionnaire (Brief-IPQ) was used to assess diabetes illness perceptions. Multivariate logistic regression was used to determine independent factors associated with the presence of DD.
A total of 103 patients were recruited. The mean age was 59.31 (±10.83) years; 54.4% were female. In total, 70.9% had DD. Using regression analysis, we demonstrated that the illness perceptions of personal control, HbA1C, absence of comorbidities, lower age at diabetes diagnosis, and socioeconomic status were significantly associated with DD.
This study sheds light on the high prevalence of DD among patients with type 2 diabetes in Tunisia. Illness perception-focused psychological intervention would be efficacious in reducing diabetes distress in patients with type 2 diabetes mellitus.
糖尿病困扰（DD）是指与糖尿病共存的负面情绪和生活负担。疾病认知是影响糖尿病患者自我管理和心理困扰的因素之一。本研究旨在确定突尼斯2型糖尿病患者中DD的患病率及其相关因素。我们还研究了糖尿病患者中DD与疾病认知之间的关系。
这是一项横断面研究，在突尼斯赫迪·查克大学医院门诊内分泌科对2型糖尿病患者进行随访。使用糖尿病困扰量表（DDS - 17）评估DD。使用简明疾病认知问卷（Brief - IPQ）评估糖尿病疾病认知。采用多因素逻辑回归分析确定与DD存在相关的独立因素。
共招募了103例患者。平均年龄为59.31（±10.83）岁；54.4%为女性。总体而言，70.9%的患者有DD。通过回归分析，我们发现个人控制的疾病认知、糖化血红蛋白（HbA1C）、无合并症、糖尿病诊断时年龄较小以及社会经济状况与DD显著相关。
本研究揭示了突尼斯2型糖尿病患者中DD的高患病率。以疾病认知为重点的心理干预对减轻2型糖尿病患者的糖尿病困扰将是有效的。
