Depression and diabetes distress in adults with type 2 diabetes: results from the Australian National Diabetes Audit (ANDA) 2016.
Depression and diabetes distress in adults with type 2 diabetes: results from the Australian National Diabetes Audit (ANDA) 2016.
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DOI：
10.1038/s41598-018-26138-5
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发表时间：
2018-05-18
影响因子：
4.6
通讯作者：
Zoungas S
中科院分区：
文献类型：
--
作者：
Nanayakkara N;Pease A;Ranasinha S;Wischer N;Andrikopoulos S;Speight J;de Courten B;Zoungas S
本研究在一个大的全国性样本中探讨了成人2型糖尿病患者的抑郁和糖尿病困扰的患病率及其相关因素。澳大利亚国家糖尿病审计数据分析了来自50个糖尿病中心的2型糖尿病成人患者。抑郁症和糖尿病困扰评分17分别用于筛查可能的抑郁症和糖尿病相关的困扰。共有2,552例成人2型糖尿病患者参与：（mean±SD）年龄为63±13岁，糖尿病病程为12±10年，HbA1c为8±2%。29%的患者可能患有抑郁症，7%患有糖尿病，5%两者兼而有之。难以遵循饮食建议、吸烟、忘记药物治疗和糖尿病困扰均与抑郁的几率较高相关，而自身健康评分较高与抑郁的几率较低相关（均p < 0.02）。女性、HbA1c升高、胰岛素使用、难以遵循饮食建议和抑郁都与糖尿病困扰的几率较高相关；年龄越大，自身健康评级越高，按照建议监测血糖水平的几率越低（均p < 0.04）。抑郁症与次优自我护理相关，而糖尿病困扰与较高的HbA1c和次优自我护理相关。
This study explores the prevalence of, and factors associated with, likely depression and diabetes distress in adults with type 2 diabetes in a large, national sample. Australian National Diabetes Audit data were analysed from adults with type 2 diabetes attending 50 diabetes centres. The Brief Case find for Depression and Diabetes Distress Score 17 were administered to screen for likely depression and diabetes-related distress, respectively. A total of 2,552 adults with type 2 diabetes participated: (mean ± SD) age was 63 ± 13 years, diabetes duration was 12 ± 10 years, and HbA1c was 8 ± 2%. Twenty-nine percent of patients had likely depression, 7% had high diabetes distress, and 5% had both. Difficulty following dietary recommendations, smoking, forgetting medications, and diabetes distress were all associated with greater odds of depression whereas higher own health rating was associated with lower odds (all p < 0.02). Female gender, increasing HbA1c, insulin use, difficulty following dietary recommendations and depression were all associated with greater odds of diabetes distress & older age, higher own health rating and monitoring blood glucose levels as recommended were associated with lower odds (all p < 0.04). Depression was associated with sub-optimal self-care, while diabetes distress was associated with higher HbA1c and sub-optimal self-care.
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影响因子：
5.1
作者：
Guariguata, L.;Whiting, D. R.;Shaw, J. E.
通讯作者：
Shaw, J. E.
影响因子：
8.2
作者：
Gonzalez, J. S.;Delahanty, L. M.;Safren, S. A.;Meigs, J. B.;Grant, R. W.
通讯作者：
Grant, R. W.
影响因子：
5.7
作者：
Egede, Leonard E.;Walker, Rebekah J.;Dismuke, Clara E.
通讯作者：
Dismuke, Clara E.
影响因子：
3.2
作者：
Fenwick, Eva K.;Rees, Gwyn;Speight, Jane
通讯作者：
Speight, Jane
影响因子：
16.2
作者：
Gonzalez JS;Fisher L;Polonsky WH
通讯作者：
Polonsky WH