Ethnic Minorities with Diabetes Differ in Depressive and Anxiety Symptoms and Diabetes-Distress
Objective. To determine the association between ethnicity, diabetes-distress, and depressive and anxiety symptoms in adult outpatients with diabetes. Research Design and Methods. Diabetes-distress (Problem Areas in Diabetes Scale, PAID5), depressive and anxiety symptoms (Extended Kessler-10, EK10),...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2017/1204237 |
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| author | Charlotte B. Schmidt Bert Jan Potter van Loon Bart Torensma Frank J. Snoek Adriaan Honig |
| author_facet | Charlotte B. Schmidt Bert Jan Potter van Loon Bart Torensma Frank J. Snoek Adriaan Honig |
| author_sort | Charlotte B. Schmidt |
| collection | DOAJ |
| description | Objective. To determine the association between ethnicity, diabetes-distress, and depressive and anxiety symptoms in adult outpatients with diabetes. Research Design and Methods. Diabetes-distress (Problem Areas in Diabetes Scale, PAID5), depressive and anxiety symptoms (Extended Kessler-10, EK10), and quality of life (Short-Form 12, SF12) were assessed in an ethnic diverse diabetes outpatient population of a teaching hospital in Amsterdam. Descent of one’s parents and self-classified ethnicity were obtained to define ethnicity. HbA1c, clinical data, and socioeconomic status were derived from the medical charts. Based on established cut-offs for PAID5- and EK10-scores, emotional distress was dichotomized for the purpose of logistic regression analyses. Results. Of 1007 consecutive patients approached, 575 participated. Forty-nine percent were of non-Dutch ethnicity and 24.7% had type 1 diabetes. Diabetes-distress was reported by 12.5% of the native Dutch patients and by 22.0%, 34.5%, and 42.6% of the Surinamese, Turkish, and Moroccan patients, respectively. Prevalence of depressive symptoms was 9.4% in native Dutch patients and 20.4%, 34.5%, and 27.3% in the other groups mentioned. Diabetes-distress and Moroccan origin were significantly associated (OR = 3.60, p<.01) as well as depressive symptoms and Turkish origin (OR = 4.23, p=.04). Conclusions. Different ethnic minorities with diabetes vary in their vulnerability for emotional distress, warranting clinical attention. Future research should elucidate explanatory factors and opportunities for tailored interventions. |
| format | Article |
| id | doaj-art-43f7993e698e40a787c108425f6a9006 |
| institution | OA Journals |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-43f7993e698e40a787c108425f6a90062025-08-20T02:05:50ZengWileyJournal of Diabetes Research2314-67452314-67532017-01-01201710.1155/2017/12042371204237Ethnic Minorities with Diabetes Differ in Depressive and Anxiety Symptoms and Diabetes-DistressCharlotte B. Schmidt0Bert Jan Potter van Loon1Bart Torensma2Frank J. Snoek3Adriaan Honig4Department of Psychiatry, Onze Lieve Vrouwe Gasthuis (OLVG), Amsterdam, NetherlandsDepartment of Internal Medicine, Onze Lieve Vrouwe Gasthuis (OLVG), Amsterdam, NetherlandsDepartment of Epidemiology and Biostatistics, Onze Lieve Vrouwe Gasthuis OLVG, Amsterdam, NetherlandsAmsterdam Public Health Research Institute, Amsterdam, NetherlandsDepartment of Psychiatry, Onze Lieve Vrouwe Gasthuis (OLVG), Amsterdam, NetherlandsObjective. To determine the association between ethnicity, diabetes-distress, and depressive and anxiety symptoms in adult outpatients with diabetes. Research Design and Methods. Diabetes-distress (Problem Areas in Diabetes Scale, PAID5), depressive and anxiety symptoms (Extended Kessler-10, EK10), and quality of life (Short-Form 12, SF12) were assessed in an ethnic diverse diabetes outpatient population of a teaching hospital in Amsterdam. Descent of one’s parents and self-classified ethnicity were obtained to define ethnicity. HbA1c, clinical data, and socioeconomic status were derived from the medical charts. Based on established cut-offs for PAID5- and EK10-scores, emotional distress was dichotomized for the purpose of logistic regression analyses. Results. Of 1007 consecutive patients approached, 575 participated. Forty-nine percent were of non-Dutch ethnicity and 24.7% had type 1 diabetes. Diabetes-distress was reported by 12.5% of the native Dutch patients and by 22.0%, 34.5%, and 42.6% of the Surinamese, Turkish, and Moroccan patients, respectively. Prevalence of depressive symptoms was 9.4% in native Dutch patients and 20.4%, 34.5%, and 27.3% in the other groups mentioned. Diabetes-distress and Moroccan origin were significantly associated (OR = 3.60, p<.01) as well as depressive symptoms and Turkish origin (OR = 4.23, p=.04). Conclusions. Different ethnic minorities with diabetes vary in their vulnerability for emotional distress, warranting clinical attention. Future research should elucidate explanatory factors and opportunities for tailored interventions.http://dx.doi.org/10.1155/2017/1204237 |
| spellingShingle | Charlotte B. Schmidt Bert Jan Potter van Loon Bart Torensma Frank J. Snoek Adriaan Honig Ethnic Minorities with Diabetes Differ in Depressive and Anxiety Symptoms and Diabetes-Distress Journal of Diabetes Research |
| title | Ethnic Minorities with Diabetes Differ in Depressive and Anxiety Symptoms and Diabetes-Distress |
| title_full | Ethnic Minorities with Diabetes Differ in Depressive and Anxiety Symptoms and Diabetes-Distress |
| title_fullStr | Ethnic Minorities with Diabetes Differ in Depressive and Anxiety Symptoms and Diabetes-Distress |
| title_full_unstemmed | Ethnic Minorities with Diabetes Differ in Depressive and Anxiety Symptoms and Diabetes-Distress |
| title_short | Ethnic Minorities with Diabetes Differ in Depressive and Anxiety Symptoms and Diabetes-Distress |
| title_sort | ethnic minorities with diabetes differ in depressive and anxiety symptoms and diabetes distress |
| url | http://dx.doi.org/10.1155/2017/1204237 |
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