Association between chronic complications of diabetes and diabetes distress: Can we prove it?

0578131 - PSÚ 2024 DE eng A - Abstrakt
Konečná, J. - Lacko, David - Horová, E. - Kresáková, N. - Riegel, K. D.
Association between chronic complications of diabetes and diabetes distress: Can we prove it?
Diabetologia. Roč. 66, Supplement 1 (2023), „S-61“. ISSN 0012-186X. E-ISSN 1432-0428.
[Annual Meeting of the European-Association-for-the-Study-of-Diabetes (EASD) /59./. 02.10.2023-06.10.2023, Hamburg]
Institucionální podpora: RVO:68081740
Klíčová slova: complications of diabetes * diabetes distress * diabetes distress scale
Obor OECD: Psychology (including human - machine relations)

Background and aims: The level of negative stress related to diabetes is captured mostly by the Diabetes Distress Scale (DDS). The result reflects the situation of patients during the last month, nevertheless, a high level of diabetes distress (DD) is considered a risk factor in developing chronic complications of diabetes. To prove the causality of DD and diabetes complications is a challenge, and the way to explore it is to focus on aspects more stable in time - personality traits of patients. The study aims to extend the previous knowledge of personality traits and its association with DD with the focus on a connection between chronic complications of diabetes and the prevalence of high levels of DD and complications among Czech people with diabetes. Materials and methods: The sample comprised 347 participants with diabetes mellitus (DM) (63.1 % T1D, 36,9 % T2D). The level of DD was assessed by DDS, personality traits by Personality Inventory for DSM-5 (PID-5), and all subjects completed an anamnestic questionnaire focused on treatment and complications of diabetes. Results: Elevated or high level of DD was confirmed in 53 % of people with T1D and 26,6 % of T2D. Higher levels of pathological personality traits (Negative affectivity, p<.001) were found in the group of patients with chronic complications of diabetes. The combination of complications and high levels of DD did not show any statistically significant difference in comparison to the group with complications and without high levels of DD. In the sample of Czech patients, people with T1D experienced higher level of DD (p<.001). Between frequency of co-morbid chronic complications and the level of DD was found weak correlation (r = 0.12). Conclusion: Personality traits were associated with chronic complications of diabetes, however the association between the level of DD and chronic complications was not confirmed. Experiencing the burden of diabetes is affected more by the stable traits of the patient rather than the situation experienced in past weeks. In the Czech sample, people with T1D experienced higher levels of DD than patients with T2D which could be explained by different demands in diabetes treatment - only 9 from the T2D group were treated with intensive insulin therapy.
Trvalý link: https://hdl.handle.net/11104/0347181