担心
焦虑
苦恼
糖尿病
2型糖尿病
共病
广泛性焦虑症
心理学
萧条(经济学)
医学
精神科
内科学
临床心理学
内分泌学
经济
宏观经济学
作者
Amy McInerney,Nanna Lindekilde,Arie Nouwen,N. Schmitz,Sonya S. Deschênes
标识
DOI:10.2337/figshare.19692721
摘要
<p> </p> <p>Objective</p> <p>This study aimed to explore interactions between individual items assessing diabetes distress, depressive symptoms, and anxiety symptoms in a cohort of adults with type 2 diabetes using network analysis.</p> <p>Research design and methods</p> <p>Participants (<em>N</em> = 1,796) were from the Evaluation of Diabetes Insulin Treatment (EDIT) study from Quebec, Canada. A network of diabetes distress was estimated using the 17 items of the Diabetes Distress Scale (DDS-17). A second network was estimated using the 17 DDS-17 items, the 9 items of the Patient Health Questionnaire, and the 7 items of the Generalized Anxiety Disorder Assessment. Network analysis was used to identify central items, clusters of items, and items that may act as bridges between diabetes distress, depressive symptoms, and anxiety symptoms. </p> <p>Results</p> <p>Regimen-related and physician-related problems were amongst the most central (highly connected) and influential (most positive connections) in the diabetes distress network. <em>Failure</em> (depressive symptom) was found to be a potential bridge between depression and diabetes distress, being highly connected to diabetes distress items. The anxiety symptoms of <em>worrying too much, uncontrollable worry, </em>and<em> trouble relaxing</em> were identified as bridges linking both anxiety and depressive items, and anxiety and diabetes distress items, respectively.</p> <p>Conclusions</p> <p>Regimen-related and physician-related diabetes-specific problems may be important in contributing to the development and maintenance of diabetes distress. Feelings of failure and worry are potentially strong candidates for explaining comorbidity. These individual diabetes-specific problems and mental health symptoms could hold promise for targeted interventions for people with type 2 diabetes.</p>
科研通智能强力驱动
Strongly Powered by AbleSci AI