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Intern Med J ; 50(1): 70-76, 2020 01.
Article in English | MEDLINE | ID: mdl-31081194

ABSTRACT

BACKGROUND: Psychosocial assessment should be part of clinic visits for people with diabetes mellitus (DM). AIMS: To assess the usage and acceptance of a diabetes psychosocial assessment tool (DPAT) and to profile the clinical and psychosocial characteristics of young people with diabetes. METHODS: Over a 12-month period, young adults (18-25 years) attending diabetes clinic were offered DPAT. The tool embeds validated screening tools including the Problem Areas in Diabetes 20 (PAID-20) questionnaire, the Patient Health Questionnaire-4 (PHQ-4) and the World Health Organization Well-Being Index-5 (WHO-5). Baseline clinical data were collected and questions regarding social support, body image, eating concerns, hypoglycaemia and finances were included. RESULTS: Over the 12 month, the form was offered to 155 participants (64.6% of eligible attendees). The majority (96.1%) had type 1 DM with a mean duration of 10.5 (±5.3 SD) years. Average glycated haemoglobin (HbA1c) was 8.7% (±1.5 SD) (or 71.2 mmol/mol ±16.5 SD). Severe diabetes-related distress (PAID-20 ≥ 40) was found in 19.4%. Low WHO-5 scores (28-50 points) were seen in 14.8%. PHQ-4 identified 25.8% with anxiety and 16.1% with depression. Significant weight, shape and eating concerns were identified in 27.1, 26.6 and 28.4%, respectively. Serious hypoglycaemia concerns were raised by 4.5%. CONCLUSION: DPAT revealed a high prevalence of psychosocial stress among young adults with DM. The tool was easy to use and accepted by patients and may aid streamlining referrals to relevant members of a multidisciplinary team.


Subject(s)
Depression/diagnosis , Diabetes Mellitus, Type 1/psychology , Diabetes Mellitus, Type 1/therapy , Feeding and Eating Disorders/diagnosis , Hypoglycemia/psychology , Stress, Psychological/diagnosis , Adolescent , Adult , Australia , Blood Glucose Self-Monitoring/psychology , Blood Glucose Self-Monitoring/statistics & numerical data , Cross-Sectional Studies , Depression/epidemiology , Depression/therapy , Diabetes Mellitus, Type 1/epidemiology , Feeding and Eating Disorders/epidemiology , Feeding and Eating Disorders/therapy , Female , Glycated Hemoglobin/analysis , Health Knowledge, Attitudes, Practice , Humans , Hypoglycemia/epidemiology , Hypoglycemia/prevention & control , Male , Mass Screening , Predictive Value of Tests , Psychological Tests , Self Care/psychology , Social Support , Stress, Psychological/epidemiology , Stress, Psychological/therapy , Surveys and Questionnaires , Transition to Adult Care , Young Adult
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