The Association of Psychological Factors, Physical Activity, Neuropathy, and Quality of Life in Type 2 Diabetes
| Autor: | Deborah Katten, Gail D'Eramo Melkus, Gary V. Heller, Wendie J. Price, Neil J. Grey, Janice A. Davey, Deborah Chyun, Frans J. Th. Wackers |
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| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Cross-sectional study Coronary Disease Hostility Type 2 diabetes Anxiety Motor Activity Asymptomatic 03 medical and health sciences 0302 clinical medicine Diabetic Neuropathies 0504 sociology Quality of life Risk Factors Surveys and Questionnaires Internal medicine Diabetes mellitus medicine Humans Aged Research and Theory Depression 05 social sciences Virginia 050401 social sciences methods Middle Aged medicine.disease 030227 psychiatry Connecticut Cross-Sectional Studies Diabetes Mellitus Type 2 Socioeconomic Factors Multivariate Analysis Linear Models Quality of Life Physical therapy Female medicine.symptom Psychology Attitude to Health Body mass index |
| Zdroj: | Biological Research For Nursing. 7:279-288 |
| ISSN: | 1552-4175 1099-8004 |
| Popis: | The objective of this study was to determine the relationship of sociodemographics; diabetes-related factors, including diabetes-related microvascular complications; cardiac risk factors; and psychological factors with quality of life (QOL). Participants enrolled at three sites in the Detection of Ischemia in Asymptomatic Diabetics (DIAD) study were invited to participate in this ancillary study. Questionnaires assessing psychological factors were completed by participants, and the remainder of the data was obtained as part of the DIAD study. Many participants had elevated levels of anxiety (n = 91; 82%), depressive symptoms (n = 16; 14%), anger (n = 38; 34%), and hostility (n = 17; 17%). Results of multivariate analyses conducted for each of the eight domains on the Medical Outcomes Study Short Form-36 and two Diabetes Quality of Life domains demonstrated that in the majority of models (42% to 68% of the variance explained), female sex, peripheral or autonomic neuropathy, physical inactivity, higher body mass index, and the presence of depressive symptoms and anxiety were associated with poorer QOL (p = .0001). These findings demonstrate that anxiety, depressive symptoms, and neuropathy are prevalent in older adults with type 2 diabetes. In addition, potentially important correlations were demonstrated between psychological factors, neuropathy, body mass index, and physical inactivity. |
| Databáze: | OpenAIRE |
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