Association of Diabetes-related emotional distress with Diabetes self-care and Glycemic Control among Adult Filipinos with Type 2 Diabetes Mellitus at a tertiary hospital in Manila, Philippines
https://doi.org/10.15605/jafes.034.02.10
- Author:
Darwin Totesora
1
;
Marie Isobelle Ramos-Rivera
2
;
Mary Queen Villegas-Florencio
1
;
Pia Natalya Reyes-Sia
2
Author Information
1. Section of Endocrinology, Diabetes and Metabolism, The Medical City, Pasig City Philippines
2. Section of Psychiatry, The Medical City, Pasig City, Philippines
- Publication Type:Journal Article
- Keywords:
Filipino;
Diabetes self-management questionnaire
- MeSH:
Psychological Distress;
Self Care
- From:
Journal of the ASEAN Federation of Endocrine Societies
2019;34(2):189-196
- CountryPhilippines
- Language:English
-
Abstract:
Objective:The study aims to determine the association of diabetes-related emotional distress with reported diabetes self-care, and glycemic control of adult Filipinos with type 2 diabetes mellitus at The Medical City using 2 psychometric tests.
Methodology:This is a cross-sectional study conducted among 94 Filipinos diagnosed with type 2 diabetes mellitus, who answered 2 validated English questionnaires: Problem areas in diabetes (PAID-20) and Diabetes self-management questionnaire (DSMQ) that screen for diabetes-related emotional distress and diabetes reported self-care, respectively. Data were encoded and analyzed using Stata SE v.13.
Results:42.6% of Filipinos with type 2 diabetes mellitus had emotional distress showing moderate to severe distress in factor 1 (diabetes-related emotional distress) and factor 3 (food related problems). 51.1% had suboptimal self-care, poorly scoring in areas of health-care use and dietary control. Majority of those who had diabetes-related distress and poor self-care where young, pre-obese and had diabetes duration of ±5 years. There was no significant association between diabetes-related emotional distress with diabetes self-care and emotional distress with glycated hemoglobin, but majority of those who had diabetes distress had higher glycated hemoglobin. There was significant association between diabetes self-care and glycemic outcomes (p=0.006) with relative risk of 1.51 (95% CI 1.10-2.07). There was linear inverse weak correlation between all subdomains of DSMQ with glycated hemoglobin except Dietary Control.
Conclusions:Diabetes-related emotional distress and sub-optimal self-care are prevalent among Filipinos with type 2 diabetes mellitus. Those who had poor self-care were 1.5 times more likely to have poor glycemic outcomes.
- Full text:532-Article Text-8563-1-10-20191112.pdf
