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Impact of the COVID-19 pandemic and lockdown restrictions on psychosocial and behavioural outcomes among Australian adults with type 2 diabetes: Findings from the PREDICT cohort study.
Sacre, Julian W; Holmes-Truscott, Elizabeth; Salim, Agus; Anstey, Kaarin J; Drummond, Grant R; Huxley, Rachel R; Magliano, Dianna J; van Wijngaarden, Peter; Zimmet, Paul Z; Speight, Jane; Shaw, Jonathan E.
Afiliação
  • Sacre JW; Baker Heart and Diabetes Institute, Melbourne, Vic., Australia.
  • Holmes-Truscott E; School of Psychology, Deakin University, Geelong, Vic., Australia.
  • Salim A; The Australian Centre for Behavioural Research in Diabetes, Melbourne, Vic., Australia.
  • Anstey KJ; Baker Heart and Diabetes Institute, Melbourne, Vic., Australia.
  • Drummond GR; Department of Mathematics and Statistics, La Trobe University, Melbourne, Vic., Australia.
  • Huxley RR; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Vic., Australia.
  • Magliano DJ; UNSW Ageing Futures Institute, University of New South Wales, Sydney, NSW, Australia.
  • van Wijngaarden P; Neuroscience Research Australia, Sydney, NSW, Australia.
  • Zimmet PZ; Baker Heart and Diabetes Institute, Melbourne, Vic., Australia.
  • Speight J; Centre for Cardiovascular Biology and Disease Research, Department of Physiology, Anatomy and Microbiology, School of Life Sciences, La Trobe University, Melbourne, Vic., Australia.
  • Shaw JE; Faculty of Health, Deakin University, Melbourne, Vic., Australia.
Diabet Med ; 38(9): e14611, 2021 09.
Article em En | MEDLINE | ID: mdl-34053106
AIM: To examine psychosocial and behavioural impacts of the novel coronavirus disease 2019 (COVID-19) pandemic and lockdown restrictions among adults with type 2 diabetes. METHODS: Participants enrolled in the PRogrEssion of DIabetic ComplicaTions (PREDICT) cohort study in Melbourne, Australia (n = 489 with a baseline assessment pre-2020) were invited to complete a phone/online follow-up assessment in mid-2020 (i.e., amidst COVID-19 lockdown restrictions). Repeated assessments that were compared with pre-COVID-19 baseline levels included anxiety symptoms (7-item Generalised Anxiety Disorder scale [GAD-7]), depressive symptoms (8-item Patient Health Questionnaire [PHQ-8]), diabetes distress (Problem Areas in Diabetes scale [PAID]), physical activity/sedentary behaviour, alcohol consumption and diabetes self-management behaviours. Additional once-off measures at follow-up included COVID-19-specific worry, quality of life (QoL), and healthcare appointment changes (telehealth engagement and appointment cancellations/avoidance). RESULTS: Among 470 respondents (96%; aged 66 ± 9 years, 69% men), at least 'moderate' worry about COVID-19 infection was reported by 31%, and 29%-73% reported negative impacts on QoL dimensions (greatest for: leisure activities, feelings about the future, emotional well-being). Younger participants reported more negative impacts (p < 0.05). Overall, anxiety/depressive symptoms were similar at follow-up compared with pre-COVID-19, but diabetes distress reduced (p < 0.001). Worse trajectories of anxiety/depressive symptoms were observed among those who reported COVID-19-specific worry or negative QoL impacts (p < 0.05). Physical activity trended lower (~10%), but sitting time, alcohol consumption and glucose-monitoring frequency remained unchanged. 73% of participants used telehealth, but 43% cancelled a healthcare appointment and 39% avoided new appointments despite perceived need. CONCLUSIONS: COVID-19 lockdown restrictions negatively impacted QoL, some behavioural risk factors and healthcare utilisation in adults with type 2 diabetes. However, generalised anxiety and depressive symptoms remained relatively stable.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Psicologia / Comportamentos Relacionados com a Saúde / Controle de Doenças Transmissíveis / Diabetes Mellitus Tipo 2 / COVID-19 Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged País/Região como assunto: Oceania Idioma: En Revista: Diabet Med Assunto da revista: ENDOCRINOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Austrália

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Psicologia / Comportamentos Relacionados com a Saúde / Controle de Doenças Transmissíveis / Diabetes Mellitus Tipo 2 / COVID-19 Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged País/Região como assunto: Oceania Idioma: En Revista: Diabet Med Assunto da revista: ENDOCRINOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Austrália