Frequency of emotional distress is high in people with primary care-assisted diabetes
DOI:
https://doi.org/10.5712/rbmfc15(42)2078Keywords:
Diabetes Mellitus, Stress, Psychological, Primary Health Care, Quality of LifeAbstract
Introduction: Diabetic persons can suffer from stress of the disease and present feelings such as guilt, anger, fear and depression, featuring the diabetes specific-emotional distress. Objective: to measure the frequency of this distress and its associated factors in people assisted in the primary health care of Blumenau, Santa Catarina. Methods: This is a cross-sectional study. People with diabetes assisted by 4 family health teams (n = 196) answered the “Problems Areas in Diabetes” questionnaire, which presents 20 questions in 4 sub-dimensions, as well as questions about their sociodemographic (gender, age, education) and clinical characteristics (insulin and antidepressant medication use). Overall distress scores and sub-dimensions were estimated based on the sum of responses on a scale from 0 (best) to 100 (worst). The frequency of severe emotional distress was measured (score> 40) and its association with study variables were estimated by unconditional logistic regression. Results: 196 people participated, 58.2% were women, 26.2% were on insulin and 20.6% on antidepressants. The mean age was 61.6 years and the mean duration of diabetes treatment was 9.5 years. The average score of emotional distress was 33.6 (dp=27,6) and median of 23,8. 36,2% of participants had severe emotional distress. Severe emotional distress was mainly seen among people aged 19-64 years (OR = 2.1, 95% CI 1.1 - 4.1), with disease duration from 2 to 5 years (OR = 6.4, 95% CI , 1 - 36.1) and 5 years andmore (OR = 5.4, 95% CI 1.1 - 28.8) and on antidepressant medication (OR = 2.8 95% CI 1.3 - 6.0 ). Conclusion: More than a third of people with diabetes have severe emotional distress, notably adults with longer ilness and treatment for depression. It is suggested that these people must have their care prioritized by health teams in primary care.
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