Decreased Quality of Life in Individuals with Type 2 Diabetes Mellitus Is Associated with Emotional Distress

Elena Gómez-Pimienta, Thelma Beatriz González-Castro, Ana Fresan, Isela Esther Juárez-Rojop, Miriam Carolina Martínez-López, Hugo Adrián Barjau-Madrigal, Iris Rubí Ramírez-González, Esteban Martínez-Villaseñor, Esther Rodríguez-Sánchez, Mario Villar-Soto, María Lilia López-Narváez, Carlos Alfonso Tovilla-Zárate and Alma Delia Genis-Mendoza
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Elena Gómez-Pimienta: División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco, Tabasco P.C. 86650, Mexico
Thelma Beatriz González-Castro: División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa, Tabasco P.C. 86100, Mexico
Ana Fresan: Subdirección de Investigaciones clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México P.C. 14370, Mexico
Isela Esther Juárez-Rojop: División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa, Tabasco P.C. 86100, Mexico
Miriam Carolina Martínez-López: División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa, Tabasco P.C. 86100, Mexico
Hugo Adrián Barjau-Madrigal: División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco, Tabasco P.C. 86650, Mexico
Iris Rubí Ramírez-González: División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa, Tabasco P.C. 86100, Mexico
Esteban Martínez-Villaseñor: Hospital Civil de Guadalajara, Guadalajara, Jalisco P.C. 44280, Mexico
Esther Rodríguez-Sánchez: Hospital de Alta Especialidad “Gustavo A Rovirosa Pérez”, Secretaría de Salud. Villahermosa, Tabasco P.C. 86020, Mexico
Mario Villar-Soto: Hospital de Alta Especialidad “Gustavo A Rovirosa Pérez”, Secretaría de Salud. Villahermosa, Tabasco P.C. 86020, Mexico
María Lilia López-Narváez: Hospital General de Yajalón “Dr. Manuel Velasco Suarez”, Secretaría de Salud. Yajalón, Chiapas P.C. 29930, Mexico
Carlos Alfonso Tovilla-Zárate: División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco, Tabasco P.C. 86650, Mexico
Alma Delia Genis-Mendoza: Instituto Nacional de Medicina Genómica (INMEGEN), Ciudad de México P.C. 14610, Mexico

IJERPH, 2019, vol. 16, issue 15, 1-9

Abstract: Background : individuals with type 2 diabetes show emotional distress as they learn how to cope with the disease. The emotional distress increases the possibility of complications in these patients. The aims of the present study were to evaluate the impact of the emotional distress in the quality of life of individuals with diabetes, and to investigate the demographic and clinical characteristics associated with the emotional distress of living with diabetes in a Mexican population. Methods: a total of 422 Mexican individuals with type 2 diabetes were recruited from the outpatient Diabetes Clinic of the Hospital Regional de Alta Especialidad Dr. Gustavo A. Rovirosa of Villahermosa, Tabasco. Demographic and clinical characteristics along with quality of life (SF-36) were assessed in these individuals. The emotional distress of living with diabetes was measured using the 5-item Problem Areas in Diabetes. Patients were divided according to the presence of high or low distress. Results : we identified that 31.8% ( n = 134) of patients presented high diabetes-related emotional distress. We observed that hepatic diseases as comorbidities ( p = 0.008) and diagnosis of major depression ( p = 0.04) are factors associated with the emotional distress of living with diabetes. These patients showed a reduced quality of life in all dimensions ( p < 0.001); the most affected dimensions were physical role ( d = 0.37) and general health ( d = 0.89) showing lower scores in comparison with patients with low emotional distress. Conclusions : our results suggest that Mexican individuals with type 2 diabetes mellitus show high emotional distress living with the disease and have a decreased quality of life. Therefore, it is necessary to decrease factors associated with the high emotional distress of living with diabetes in patients with type 2 diabetes.

Keywords: distress; quality of life; diabetes; Mexican population (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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