How Much Do We Know about the Biopsychosocial Predictors of Glycaemic Control? Age and Clinical Factors Predict Glycaemic Control, but Psychological Factors Do Not
Objective. Diabetes mellitus is one of the most common noncommunicable diseases in Malaysia. It is associated with significant complications and a high cost of treatment, especially when glycaemic control is poor. Despite its negative impact on health, data is still lacking on the possible biopsycho...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2020/2654208 |
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| author | Mohammad Farris Iman Leong Bin Abdullah Hatta Sidi Arun Ravindran Paula Junggar Gosse Emily Samantha Kaunismaa Roslyn Laurie Mainland Norlaila Mustafa Nurul Hazwani Hatta Puteri Arnawati Amelia Yasmin Zulkifli Luke Sy-Cherng Woon |
| author_facet | Mohammad Farris Iman Leong Bin Abdullah Hatta Sidi Arun Ravindran Paula Junggar Gosse Emily Samantha Kaunismaa Roslyn Laurie Mainland Norlaila Mustafa Nurul Hazwani Hatta Puteri Arnawati Amelia Yasmin Zulkifli Luke Sy-Cherng Woon |
| author_sort | Mohammad Farris Iman Leong Bin Abdullah |
| collection | DOAJ |
| description | Objective. Diabetes mellitus is one of the most common noncommunicable diseases in Malaysia. It is associated with significant complications and a high cost of treatment, especially when glycaemic control is poor. Despite its negative impact on health, data is still lacking on the possible biopsychosocial predictors of poor glycaemic control among the diabetic population. This study is aimed at determining the prevalence of poor glycaemic control as well as its association with biopsychosocial factors such as personality traits, psychiatric factors, and quality of life (QOL) among Malaysian patients with diabetes. Methods. A cross-sectional study was conducted at the Universiti Kebangsaan Malaysia Medical Centre (UKMMC) using outpatient population diabetic patients. Demographic data on social and clinical characteristics were collected from participants. Several questionnaires were administered, including the Beck Depression Inventory-II (BDI-II) to measure depressive symptoms, the Generalized Anxiety Disorder-7 (GAD-7) to assess anxiety symptoms, the Big Five Inventory (BFI) to evaluate personality traits, and the WHO Quality of Life-BREF (WHOQOL-BREF) to assess QOL. Multivariate binary logistic regression was performed to determine the predictors of poor glycaemic control. Results. 300 patients with diabetes mellitus were recruited, with the majority (90%) having type 2 diabetes. In this population, the prevalence of poor glycaemic control (HbA1C≥7.0%) was 69%, with a median HbA1C of 7.6% (IQR=2.7). Longer duration of diabetes mellitus and a greater number of days of missed medications predicted poor glycaemic control, while older age and overall self-perception of QOL protected against poor glycaemic control. No psychological factors were associated with poor glycaemic control. Conclusion. This study emphasizes the importance of considering the various factors that contribute to poor glycaemic control, such as duration of diabetes, medication adherence, age, and QOL. These findings should be used by clinicians, particularly when planning a multidisciplinary approach to the management of diabetes. |
| format | Article |
| id | doaj-art-5bc24c3a53bc46bd8ef46d4864ae31bd |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-5bc24c3a53bc46bd8ef46d4864ae31bd2025-02-03T01:05:29ZengWileyJournal of Diabetes Research2314-67452314-67532020-01-01202010.1155/2020/26542082654208How Much Do We Know about the Biopsychosocial Predictors of Glycaemic Control? Age and Clinical Factors Predict Glycaemic Control, but Psychological Factors Do NotMohammad Farris Iman Leong Bin Abdullah0Hatta Sidi1Arun Ravindran2Paula Junggar Gosse3Emily Samantha Kaunismaa4Roslyn Laurie Mainland5Norlaila Mustafa6Nurul Hazwani Hatta7Puteri Arnawati8Amelia Yasmin Zulkifli9Luke Sy-Cherng Woon10Advanced Medical and Dental Institute, Universiti Sains Malaysia, MalaysiaDepartment of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre, MalaysiaCentre for Addiction and Mental Health, University of Toronto, CanadaFaculty of Medicine, University of Toronto, CanadaFaculty of Medicine, University of Toronto, CanadaFaculty of Medicine, University of Toronto, CanadaDepartment of Medicine, Universiti Kebangsaan Malaysia Medical Centre, MalaysiaUniversity of Galway, IrelandUniversity of Galway, IrelandUniversity of Galway, IrelandDepartment of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre, MalaysiaObjective. Diabetes mellitus is one of the most common noncommunicable diseases in Malaysia. It is associated with significant complications and a high cost of treatment, especially when glycaemic control is poor. Despite its negative impact on health, data is still lacking on the possible biopsychosocial predictors of poor glycaemic control among the diabetic population. This study is aimed at determining the prevalence of poor glycaemic control as well as its association with biopsychosocial factors such as personality traits, psychiatric factors, and quality of life (QOL) among Malaysian patients with diabetes. Methods. A cross-sectional study was conducted at the Universiti Kebangsaan Malaysia Medical Centre (UKMMC) using outpatient population diabetic patients. Demographic data on social and clinical characteristics were collected from participants. Several questionnaires were administered, including the Beck Depression Inventory-II (BDI-II) to measure depressive symptoms, the Generalized Anxiety Disorder-7 (GAD-7) to assess anxiety symptoms, the Big Five Inventory (BFI) to evaluate personality traits, and the WHO Quality of Life-BREF (WHOQOL-BREF) to assess QOL. Multivariate binary logistic regression was performed to determine the predictors of poor glycaemic control. Results. 300 patients with diabetes mellitus were recruited, with the majority (90%) having type 2 diabetes. In this population, the prevalence of poor glycaemic control (HbA1C≥7.0%) was 69%, with a median HbA1C of 7.6% (IQR=2.7). Longer duration of diabetes mellitus and a greater number of days of missed medications predicted poor glycaemic control, while older age and overall self-perception of QOL protected against poor glycaemic control. No psychological factors were associated with poor glycaemic control. Conclusion. This study emphasizes the importance of considering the various factors that contribute to poor glycaemic control, such as duration of diabetes, medication adherence, age, and QOL. These findings should be used by clinicians, particularly when planning a multidisciplinary approach to the management of diabetes.http://dx.doi.org/10.1155/2020/2654208 |
| spellingShingle | Mohammad Farris Iman Leong Bin Abdullah Hatta Sidi Arun Ravindran Paula Junggar Gosse Emily Samantha Kaunismaa Roslyn Laurie Mainland Norlaila Mustafa Nurul Hazwani Hatta Puteri Arnawati Amelia Yasmin Zulkifli Luke Sy-Cherng Woon How Much Do We Know about the Biopsychosocial Predictors of Glycaemic Control? Age and Clinical Factors Predict Glycaemic Control, but Psychological Factors Do Not Journal of Diabetes Research |
| title | How Much Do We Know about the Biopsychosocial Predictors of Glycaemic Control? Age and Clinical Factors Predict Glycaemic Control, but Psychological Factors Do Not |
| title_full | How Much Do We Know about the Biopsychosocial Predictors of Glycaemic Control? Age and Clinical Factors Predict Glycaemic Control, but Psychological Factors Do Not |
| title_fullStr | How Much Do We Know about the Biopsychosocial Predictors of Glycaemic Control? Age and Clinical Factors Predict Glycaemic Control, but Psychological Factors Do Not |
| title_full_unstemmed | How Much Do We Know about the Biopsychosocial Predictors of Glycaemic Control? Age and Clinical Factors Predict Glycaemic Control, but Psychological Factors Do Not |
| title_short | How Much Do We Know about the Biopsychosocial Predictors of Glycaemic Control? Age and Clinical Factors Predict Glycaemic Control, but Psychological Factors Do Not |
| title_sort | how much do we know about the biopsychosocial predictors of glycaemic control age and clinical factors predict glycaemic control but psychological factors do not |
| url | http://dx.doi.org/10.1155/2020/2654208 |
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