Psychological distress in Aotearoa New Zealand adults with type 1 diabetes.

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Health Psychology Pub Date : 2024-10-28 DOI:10.1177/13591053241289189

Joanna M McClintock, Lynne Chepulis, Tania Blackmore, Sonya Fraser, Ryan G Paul

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Abstract

The psychological burden of type 1 diabetes (T1D) can negatively impact health outcomes. This study evaluates the prevalence of low mood (WHO-5), disordered eating (DEPS-R), diabetes distress (PAID) and fear of hypoglycaemia (HFS-II), in a sample of 250 New Zealand adults (8.4% Māori/91.6% non-Māori; 43.6% female/56.4% male) with T1D using validated tools. Māori and female patients indicated low mood, with lower median WHO-5 scores than non-Māori (p = 0.027) and males (p = 0.002). Māori were more likely to score in the clinical range on the WHO-5, DEPS-R, PAID and HFS-II (all p < 0.05). HbA1c was correlated with emotional well-being (r_s = -0.189), diabetes distress (r_s = 0.223) and disordered eating (r_s = 0.389; all p < 0.001) whilst DEPS-R correlated with age (r_s = -0.232) and BMI (r_s = 0.343; both p ≤ 0.001). Thus, diabetes-related psychological distress is common in New Zealand adults with T1D, particularly for Māori, females and those with elevated HbA1c levels.

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新西兰奥特亚罗瓦 1 型糖尿病患者的心理困扰。

1 型糖尿病（T1D）的心理负担会对健康结果产生负面影响。本研究使用经过验证的工具，对250名新西兰成人1型糖尿病患者（8.4%为毛利人，91.6%为非毛利人；43.6%为女性，56.4%为男性）的情绪低落（WHO-5）、饮食紊乱（DEPS-R）、糖尿病困扰（PAID）和低血糖恐惧（HFS-II）的患病率进行了评估。毛利人和女性患者情绪低落，WHO-5评分中位数低于非毛利人（p = 0.027）和男性（p = 0.002）。毛利人更有可能在WHO-5、DEPS-R、PAID和HFS-II（所有p rs = -0.189）、糖尿病困扰（rs = 0.223）、饮食紊乱（rs = 0.389；所有p rs = -0.232）和体重指数（rs = 0.343；两者p均小于0.001）上得分在临床范围内。因此，在患有 T1D 的新西兰成年人中，与糖尿病相关的心理困扰很常见，尤其是毛利人、女性和 HbA1c 水平升高的人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.