학술논문

Diabetes Distress and Illness Perceptions in Tunisian Type 2 Diabetes Patients
Document Type
Clinical report
Source
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. November 30, 2023, Vol. 16, p3547, 10 p.
Subject
Tunisia
Language
English
ISSN
1178-7007
Abstract
Purpose: Diabetes distress (DD) refers to the negative emotions and burden of living with diabetes. Illness perceptions are among the factors that can influence self-management and psychological distress in diabetics. This study aimed to determine the prevalence and the associated factors of DD in Tunisian patients with type 2 diabetes mellitus. We also studied the relationship between DD and illness perceptions in diabetics. Patients and Methods: This was a cross-sectional study conducted among individuals with type 2 diabetes, followed up at the outpatient endocrinology unit at the Hedi Chaker University Hospital, Tunisia. DD was assessed using the Diabetes Distress Scale (DDS-17). The Brief Illness Perception Questionnaire (Brief-IPQ) was used to assess diabetes illness perceptions. Multivariate logistic regression was used to determine independent factors associated with the presence of DD. Results: A total of 103 patients were recruited. The mean age was 59.31 ([+ or -]10.83) years; 54.4% were female. In total, 70.9% had DD. Using regression analysis, we demonstrated that the illness perceptions of personal control, HbA1C, absence of comorbidities, lower age at diabetes diagnosis, and socioeconomic status were significantly associated with DD. Conclusion: This study sheds light on the high prevalence of DD among patients with type 2 diabetes in Tunisia. Illness perceptionfocused psychological intervention would be efficacious in reducing diabetes distress in patients with type 2 diabetes mellitus. Keywords: diabetes mellitus, type 2, distress, illness perception, Tunisian patients
Introduction Diabetes mellitus (DM) is one of the most serious chronic illnesses in the world. The International Diabetes Federation (IDF) reported in 2021 that 537 million adults were living with [...]