The Adrift Study - Assessing Diabetes Distress and its Associated Factors in the Pakistani Population. | [Journal of Pakistan Medical Association • 2018]

Author(s):

1. Mohammad Ali Arif: Department of Medicine, Shaheed Zulfiqar Ali Bhutto Medical University, Pakistan

2. Fibhaa Syed: Department of Medicine, Shaheed Zulfiqar Ali Bhutto Medical University, Pakistan

3. Rauf Niazi: Department of Medicine, Shaheed Zulfiqar Ali Bhutto Medical University, Pakistan

4. SabaAli Arif: Shaheed Zulfiqar Ali Bhutto Medical University, Pakistan, Institute of Medical Sciences, Islamabad, Pakistan

5. Muhammad Usman Javed: Department of Medicine, Shaheed Zulfiqar Ali Bhutto Medical University, Pakistan

6. Gule Lala Hyder: Shaheed Zulfiqar Ali Bhutto Medical University, Pakistan, Institute of Medical Sciences, Islamabad, Pakistan

7. Awais ur Rehman: Shaheed Zulfiqar Ali Bhutto Medical University, Pakistan, Institute of Medical Sciences, Islamabad, Pakistan

Abstract:

Objective: To assess diabetes distress and its associated factors in Pakistani population. Methods: The cross-sectional study was conducted at Pakistan Institute of Medical Sciences, Islamabad, Pakistan, from July to December 2017, and comprised patients of diabetes type 2. After noting down demographic and clinical parameters, diabetes distress of the subjects was measured by applying the 17-item diabetes distress scale which also assesses sub-domains like emotional burden, physicianrelated distress, regimen-related distress and interpersonal distress. SPSS 20 was used to analyse data. Results: There were 349 subjects with a mean age of 53.14±11.77 years, mean diabetes duration of 8.36±6.64 years and a mean glycated haemoglobin value of 9.05±1.93%. Mean overall diabetes distress score was 2.55±0.75, signifying moderate distress. Overall, prevalence of diabetes distress was found among 266(76.2%) subjects;164(47%) moderate and 102(29.2%) high level distress. Emotional burden was most substantially elevated, with 296(84.8%) patients reporting moderate to high levels. Total diabetes distress was significantly related to demographic background (p<0.0001), education level (p=0.015), monthly income, frequency of administration of medication, adherence to medical treatment (p<0.05), number of complications (p<0.05) and overall glycaemic control (p<0.001). Conclusion: Modifiable factors, such as frequency of medication and compliance to treatment, should be addressed with the aim of decreasing diabetes distress and improve glycaemic control.

Page(s): 1590-1596

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 68, Issue: 11, Year: 2018

Keywords:

Type 2 diabetes mellitus , Glycaemic control , Adherence to medical therapy , Emotional burden

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