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Age at Diagnosis of Type 2 Diabetes and Depressive Symptoms, Diabetes-Specific Distress, and Self-Compassion
journal contribution
posted on 2023-03-31, 04:20 authored by Mary M Barker, Melanie J Davies, Francesco Zaccardi, Emer M Brady, Andrew P Hall, Joseph J Henson, Kamlesh Khunti, Amelia Lake, Emma L Redman, Alex V Rowlands, Jane SpeightJane Speight, Tom Yates, Jack A Sargeant, Michelle HadjiconstantinouOBJECTIVE
To investigate the association between age at diagnosis of type 2 diabetes and depressive symptoms, diabetes-specific distress, and self-compassion among adults with type 2 diabetes.
RESEARCH DESIGN AND METHODS
This analysis used data from the Chronotype of Patients with Type 2 Diabetes and Effect on Glycemic Control (CODEC) cross-sectional study. Information was collected on depressive symptoms, diabetes-specific distress, and self-compassion, measured using validated self-report questionnaires, in addition to sociodemographic and clinical data. Multivariable regression models, adjusted for diabetes duration, sex, ethnicity, deprivation status, prescription of antidepressants (selective serotonin reuptake inhibitors), and BMI were used to investigate the association between age at diagnosis of type 2 diabetes and each of the three psychological outcomes.
RESULTS
A total of 706 participants were included; 64 (9.1%) were diagnosed with type 2 diabetes at <40 years, 422 (59.8%) between 40 and 59 years, and 220 (31.2%) at ≥60 years of age. After adjustment for key confounders, including diabetes duration, younger age at diagnosis was significantly associated with higher levels of depressive symptoms (βadj: −0.18 [95% CI −0.25 to −0.10]; P < 0.01) and diabetes-specific distress (βadj: −0.03 [95% CI −0.04 to −0.02]; P < 0.01) and lower levels of self-compassion (βadj: 0.01 [95% CI 0.00 to 0.02]; P < 0.01).
CONCLUSIONS
Diagnosis of type 2 diabetes at a younger age is associated with lower psychological well-being, suggesting the need for clinical vigilance and the availability of age-appropriate psychosocial support.
History
Journal
Diabetes CareVolume
46Pagination
579-586Location
Arlington, Va.Publisher DOI
ISSN
0149-5992eISSN
1935-5548Language
enPublication classification
C1 Refereed article in a scholarly journalIssue
3Publisher
American Diabetes AssociationUsage metrics
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No categories selectedKeywords
AdultHumansDiabetes Mellitus, Type 2DepressionSelf-CompassionCross-Sectional StudiesStress, PsychologicalBehavioral and Social ScienceMental HealthDiabetesClinical Research2.3 Psychological, social and economic factors2 AetiologyMetabolic and endocrine3 Good Health and Well BeingMedical and Health Sciences
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