期刊
PRIMARY CARE DIABETES
卷 10, 期 1, 页码 75-82出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.pcd.2015.06.006
关键词
Type 2 diabetes; Psychological insulin resistance; Beliefs about medications; Diabetes distress
资金
- National Diabetes Services Scheme (NDSS) Strategic Development Grant
- Sanofi Aventis
Aims: To investigate the contribution of general and diabetes-specific emotional wellbeing and beliefs about medicines in the prediction of insulin therapy appraisals in adults with non-insulin-treated type 2 diabetes. Methods: The sample included Diabetes MILES-Australia cross-sectional survey participants whose primary diabetes treatment was oral hypoglycaemic agents (N=313; 49% women; mean SD age: 57 +/- 9 years; diabetes duration: 7 +/- 6 years). They completed validated measures of beliefs about the 'harm' and 'overuse' of medications in general (BMQ General); 'concerns' about and 'necessity' of current diabetes medications (BMQ Specific); negative insulin therapy appraisals (ITAS); depression (PHQ-9); anxiety (GAD-7), and diabetes distress (DDS-17). Factors associated with ITAS Negative scores were examined using hierarchical multiple regressions. Results: Twenty-two percent of the variance in ITAS Negative scores (52 +/- 10), was explained by: number of complications (beta = -.15, p = .005), DDS-17 subscale 'emotional burden' (beta=.23, p<.001), and 'concerns' about current diabetes treatment (beta=.29, p<.001). General beliefs about medications and general emotional wellbeing did not contribute significantly to the model. Conclusions: Psychological insulin resistance may reflect broader distress about diabetes and concerns about its treatment but not general beliefs about medicines, depression or anxiety. Reducing diabetes distress and current treatment concerns may improve attitudes towards insulin as a potential therapeutic option. (C) 2015 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据