Joanna M McClintock, Lynne Chepulis, Tania Blackmore, Sonya Fraser, Ryan G Paul
{"title":"新西兰奥特亚罗瓦 1 型糖尿病患者的心理困扰。","authors":"Joanna M McClintock, Lynne Chepulis, Tania Blackmore, Sonya Fraser, Ryan G Paul","doi":"10.1177/13591053241289189","DOIUrl":null,"url":null,"abstract":"<p><p>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 (<i>p</i> = 0.027) and males (<i>p</i> = 0.002). Māori were more likely to score in the clinical range on the WHO-5, DEPS-R, PAID and HFS-II (all <i>p</i> < 0.05). HbA1c was correlated with emotional well-being (<i>r<sub>s</sub></i> = -0.189), diabetes distress (<i>r<sub>s</sub></i> = 0.223) and disordered eating (<i>r<sub>s</sub></i> = 0.389; all <i>p</i> < 0.001) whilst DEPS-R correlated with age (<i>r<sub>s</sub></i> = -0.232) and BMI (<i>r<sub>s</sub></i> = 0.343; both <i>p</i> ≤ 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.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Psychological distress in Aotearoa New Zealand adults with type 1 diabetes.\",\"authors\":\"Joanna M McClintock, Lynne Chepulis, Tania Blackmore, Sonya Fraser, Ryan G Paul\",\"doi\":\"10.1177/13591053241289189\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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 (<i>p</i> = 0.027) and males (<i>p</i> = 0.002). Māori were more likely to score in the clinical range on the WHO-5, DEPS-R, PAID and HFS-II (all <i>p</i> < 0.05). HbA1c was correlated with emotional well-being (<i>r<sub>s</sub></i> = -0.189), diabetes distress (<i>r<sub>s</sub></i> = 0.223) and disordered eating (<i>r<sub>s</sub></i> = 0.389; all <i>p</i> < 0.001) whilst DEPS-R correlated with age (<i>r<sub>s</sub></i> = -0.232) and BMI (<i>r<sub>s</sub></i> = 0.343; both <i>p</i> ≤ 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.</p>\",\"PeriodicalId\":51355,\"journal\":{\"name\":\"Journal of Health Psychology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-10-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Health Psychology\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1177/13591053241289189\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1177/13591053241289189","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Psychological distress in Aotearoa New Zealand adults with type 1 diabetes.
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 (rs = -0.189), diabetes distress (rs = 0.223) and disordered eating (rs = 0.389; all p < 0.001) whilst DEPS-R correlated with age (rs = -0.232) and BMI (rs = 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.
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.
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