Diabetes Distress in Young Adults with Type 2 Diabetes: A Cross-Sectional Survey in China

Background. Diabetes distress is a negative emotion related to diabetes management, which can compromise self-care and management of diabetes. However, few studies on diabetes distress have focused on young adults with type 2 diabetes in China. Methods. A cross-sectional survey was conducted. Using...

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Main Authors: Yanfen Hu, Lingxia Li, Jun Zhang
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2020/4814378
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author Yanfen Hu
Lingxia Li
Jun Zhang
author_facet Yanfen Hu
Lingxia Li
Jun Zhang
author_sort Yanfen Hu
collection DOAJ
description Background. Diabetes distress is a negative emotion related to diabetes management, which can compromise self-care and management of diabetes. However, few studies on diabetes distress have focused on young adults with type 2 diabetes in China. Methods. A cross-sectional survey was conducted. Using a convenient sampling method, 98 young adults with type 2 diabetes who were admitted to our hospital from June 2017 to July 2018 were selected as research subjects. They were investigated using a basic demographic questionnaire, Diabetes Distress Scale, Summary of Diabetes Self-Care Activities Measure, and Audit of Disease Knowledge. Pearson’s correlation analysis and regression analysis were used to analyze the influencing factors of diabetic distress. Results. Among participants, 90.82% suffered from diabetes distress with an average score of 3.01±0.58. Regimen-related, emotional burden-related, and interpersonal-related distress were the most frequently reported as severe. The results of the single-factor analysis showed that gender (P=0.019), age (P=0.003), occupation (P=0.022), smoking (P<0.001), and diabetes complications (P=0.001) were the main factors affecting diabetes distress. The correlation analysis showed that diabetes distress was negatively correlated with the level of diabetic self-management (P<0.001, r=−0.377) but not with the level of diabetes knowledge (P=0.052, r=−0.197). The results of a multiple regression analysis showed that self-management level (P=0.001, 95% CI: -0.039-0.011), age (P=0.002, 95% CI: -0.463-0.104), smoking (P=0.018, 95% CI: -0.504-0.048), and complications (P=0.009, 95% CI: -0.517-0.076) accounted for 35.42% of the total variation in diabetes distress. Conclusion. Young adults with type 2 diabetes reported severe diabetes distress. Age, smoking, and diabetes complications were the main factors influencing diabetes distress in young adults with type 2 diabetes. Results of the present study are fundamental in selecting targeted measures for alleviating diabetes distress and thus improving the quality of life in these patients.
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spelling doaj-art-db1cf24e2a944bb2a2b66b370e1eba892025-02-03T00:58:42ZengWileyJournal of Diabetes Research2314-67452314-67532020-01-01202010.1155/2020/48143784814378Diabetes Distress in Young Adults with Type 2 Diabetes: A Cross-Sectional Survey in ChinaYanfen Hu0Lingxia Li1Jun Zhang2School of Health, Wuhan University, Wuhan, Hubei 430071, ChinaThe Cadre Ward, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi 710004, ChinaSchool of Health, Wuhan University, Wuhan, Hubei 430071, ChinaBackground. Diabetes distress is a negative emotion related to diabetes management, which can compromise self-care and management of diabetes. However, few studies on diabetes distress have focused on young adults with type 2 diabetes in China. Methods. A cross-sectional survey was conducted. Using a convenient sampling method, 98 young adults with type 2 diabetes who were admitted to our hospital from June 2017 to July 2018 were selected as research subjects. They were investigated using a basic demographic questionnaire, Diabetes Distress Scale, Summary of Diabetes Self-Care Activities Measure, and Audit of Disease Knowledge. Pearson’s correlation analysis and regression analysis were used to analyze the influencing factors of diabetic distress. Results. Among participants, 90.82% suffered from diabetes distress with an average score of 3.01±0.58. Regimen-related, emotional burden-related, and interpersonal-related distress were the most frequently reported as severe. The results of the single-factor analysis showed that gender (P=0.019), age (P=0.003), occupation (P=0.022), smoking (P<0.001), and diabetes complications (P=0.001) were the main factors affecting diabetes distress. The correlation analysis showed that diabetes distress was negatively correlated with the level of diabetic self-management (P<0.001, r=−0.377) but not with the level of diabetes knowledge (P=0.052, r=−0.197). The results of a multiple regression analysis showed that self-management level (P=0.001, 95% CI: -0.039-0.011), age (P=0.002, 95% CI: -0.463-0.104), smoking (P=0.018, 95% CI: -0.504-0.048), and complications (P=0.009, 95% CI: -0.517-0.076) accounted for 35.42% of the total variation in diabetes distress. Conclusion. Young adults with type 2 diabetes reported severe diabetes distress. Age, smoking, and diabetes complications were the main factors influencing diabetes distress in young adults with type 2 diabetes. Results of the present study are fundamental in selecting targeted measures for alleviating diabetes distress and thus improving the quality of life in these patients.http://dx.doi.org/10.1155/2020/4814378
spellingShingle Yanfen Hu
Lingxia Li
Jun Zhang
Diabetes Distress in Young Adults with Type 2 Diabetes: A Cross-Sectional Survey in China
Journal of Diabetes Research
title Diabetes Distress in Young Adults with Type 2 Diabetes: A Cross-Sectional Survey in China
title_full Diabetes Distress in Young Adults with Type 2 Diabetes: A Cross-Sectional Survey in China
title_fullStr Diabetes Distress in Young Adults with Type 2 Diabetes: A Cross-Sectional Survey in China
title_full_unstemmed Diabetes Distress in Young Adults with Type 2 Diabetes: A Cross-Sectional Survey in China
title_short Diabetes Distress in Young Adults with Type 2 Diabetes: A Cross-Sectional Survey in China
title_sort diabetes distress in young adults with type 2 diabetes a cross sectional survey in china
url http://dx.doi.org/10.1155/2020/4814378
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AT junzhang diabetesdistressinyoungadultswithtype2diabetesacrosssectionalsurveyinchina