Diabetes self-management during the COVID-19 pandemic and its associations with COVID-19 anxiety syndrome, depression and health anxiety.
| Autor: | Distaso W; Imperial College Business School, Imperial College London, London, UK., Malik MMAH; Department of Digestion, Metabolism and Reproduction, Imperial College London, London, UK., Semere S; Department of Digestion, Metabolism and Reproduction, Imperial College London, London, UK., AlHakami A; Department of Digestion, Metabolism and Reproduction, Imperial College London, London, UK.; Department of Clinical Science, College of Medicine Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia., Alexander EC; Department of Digestion, Metabolism and Reproduction, Imperial College London, London, UK.; William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, London, UK., Hirani D; Department of Digestion, Metabolism and Reproduction, Imperial College London, London, UK., Shah RJ; Department of Digestion, Metabolism and Reproduction, Imperial College London, London, UK., Suba K; Department of Digestion, Metabolism and Reproduction, Imperial College London, London, UK.; Department of Bioengineering, Imperial College London, London, UK., McKechnie V; Department of Digestion, Metabolism and Reproduction, Imperial College London, London, UK.; Department of Clinical Health Psychology and Neuropsychology, Imperial College Healthcare NHS Trust & West London NHS Trust, London, UK., Nikčević A; Department of Psychology, Kingston University, Kingston upon Thames, UK., Oliver N; Department of Digestion, Metabolism and Reproduction, Imperial College London, London, UK., Spada M; Centre for Addictive Behaviours Research, London South Bank University, London, UK., Salem V; Department of Digestion, Metabolism and Reproduction, Imperial College London, London, UK.; Department of Bioengineering, Imperial College London, London, UK. |
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| Jazyk: | angličtina |
| Zdroj: | Diabetic medicine : a journal of the British Diabetic Association [Diabet Med] 2022 Oct; Vol. 39 (10), pp. e14911. Date of Electronic Publication: 2022 Jul 26. |
| DOI: | 10.1111/dme.14911 |
| Abstrakt: | Introduction: The effects of the COVID-19 pandemic on mental health have been profound. Mental health and diabetes self-care are inter-related. We examined whether COVID-19 anxiety, depressive symptoms and health anxiety were associated with domains of diabetes self-management and investigated whether greater COVID-19 anxiety syndrome would independently contribute to suboptimal diabetes self-care. Research Design and Methods: Surveys were sent to people attending diabetes clinics of three London hospitals. Participants completed the Diabetes Self-Management Questionnaire (DSMQ), the COVID-19 Anxiety Syndrome Scale (C-19 ASS), which measures perseveration and avoidant maladaptive coping behaviour, assessed with measures of co-existent depressive symptoms and anxiety, controlling for age, gender and social deprivation. Clinical data, including pre- and post-lockdown HbA Results: Depressive symptom scores were high. Both pre-existing health anxiety and depressive symptoms were independently linked to improvable measures of diabetes care, as was lower socio-economic rank. However, avoidant COVID-19 anxiety responses were independently associated with higher diabetes self-care scores. HbA Conclusion: During the height of lockdown, avoidant coping behaviours characteristic of the COVID-19 anxiety syndrome may in fact work to improve diabetes self-care, at least in the short term. We recommend screening for depressive symptoms and being aware of the significant minority of people with COVID-19 anxiety syndrome who may now find it difficult to re-engage with face-to-face clinic opportunities. (© 2022 Diabetes UK.) |
| Databáze: | MEDLINE |
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