Diabetes distress in Veterans with type 2 diabetes mellitus: Qualitative descriptive study.

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Health Psychology Pub Date : 2024-12-01 Epub Date: 2024-02-21 DOI:10.1177/13591053241233387

Allison A Lewinski, Abigail Shapiro, Matthew J Crowley, Chelsea Whitfield, Joanne Roman Jones, Amy S Jeffreys, Cynthia J Coffman, Teresa Howard, Eleanor McConnell, Paula Tanabe, Susan Barcinas, Hayden B Bosworth

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Abstract

Diabetes distress (DD) is a negative psychosocial response to living with type 2 diabetes mellitus (T2DM). We sought insight into Veterans' experiences with DD in the context of T2DM self-management. The four domains in the Diabetes Distress Scale (i.e. regimen, emotional, interpersonal, healthcare provider) informed the interview guide and analysis (structural coding using thematic analysis). The mean age of the cohort (n = 36) was 59.1 years (SD 10.4); 8.3% of patients were female and 63.9% were Black or Mixed Race; mean A1C was 8.8% (SD 2.0); and mean DDS score was 2.4 (SD 1.1), indicating moderate distress. Veterans described DD and challenges to T2DM self-management across the four domains in the Diabetes Distress Scale. We found that (1) Veterans' challenges with their T2DM self-management routines influenced DD and (2) Veterans experienced DD across a wide range of domains, indicating that clinical interventions should take a "whole-person" approach.Trial Registration: NCT04587336.

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2 型糖尿病退伍军人的糖尿病困扰：定性描述研究。

糖尿病困扰（DD）是2型糖尿病（T2DM）患者的一种负面社会心理反应。我们希望了解退伍军人在 T2DM 自我管理方面的 DD 体验。糖尿病压力量表的四个领域（即疗程、情绪、人际关系、医疗服务提供者）为访谈指南和分析（采用主题分析法进行结构编码）提供了依据。群组（n = 36）的平均年龄为 59.1 岁（SD 10.4）；8.3% 的患者为女性，63.9% 的患者为黑人或混血儿；平均 A1C 为 8.8%（SD 2.0）；平均 DDS 得分为 2.4（SD 1.1），表明存在中度困扰。退伍军人在糖尿病困扰量表的四个领域中描述了 T2DM 自我管理的困扰和挑战。我们发现：(1) 退伍军人在 T2DM 自我管理日常事务中遇到的挑战影响了 DD；(2) 退伍军人在广泛的领域中经历了 DD，这表明临床干预应采取 "全人 "方法：试验注册：NCT04587336。

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来源期刊

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.