Diabetes self‐management during the COVID ‐19 pandemic and its associations with COVID ‐19 anxiety syndrome, depression and health anxiety

Autor: Walter Distaso, Mohammad M.A.H. Malik, Saba Semere, Amal AlHakami, Emma C. Alexander, Dhruti Hirani, Ronak J. Shah, Kinga Suba, Vicky McKechnie, Ana Nikčević, Nick Oliver, Marcantonio Spada, Victoria Salem
Rok vydání: 2022
Předmět:
Zdroj: Diabetic Medicine. 39
ISSN: 1464-5491
0742-3071
DOI: 10.1111/dme.14911
Popis: 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.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 HbADepressive 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. HbADuring 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.
Databáze: OpenAIRE
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