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EPA-1331 – Correlates of Quality of Life in Patients with Type 2 Diabetes

Published online by Cambridge University Press:  15 April 2020

Z. Stankovic
Affiliation:
Outpatients Department, Institute for Psychiatry Clinical Centre of Serbia, Belgrade, Serbia
M. Jasovic-Gasic
Affiliation:
Department for Affective Disorders, Institute for Psychiatry Clinical Centre of Serbia, Belgrade, Serbia

Abstract

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Introduction

Quality of life (QoL) in patients with Type 2 diabetes mellitus (T2DM) is an important factor in analyzing of effectiveness in medical and other care. Except for physical discomfort resulting from disease symptoms, diabetic patients also bear mental stress.

Objectives

To investigate quality of life in patients with T2DM in relation to demographic, clinical, psychological, metabolic and anthropometric characteristics.

Methods

97 in- and outpatients of both sexes (<65 years) with endocrinologist-diagnosed T2DM, duration ≥5 years, treated with either oral therapy, insulin or both, were included in this cross-sectional study. The Patient Health Questionnaire (PHQ) was employed for assessment of depression. The Scaling of Life Events was performed for assessment of life events in the past year. The Psychological General Well-Being Scale (WBQ) was used to assess QoL. The Problem Areas in Diabetes (PAID) was employed for assessment of T2DM distress. Laboratory and anthropometric measures (Body mass Index, Waist circumference) were also performed. The exclusion criteria were determined.

Results

Patients with presence of life events (p=0.000), metabolic syndrome (p=0,002), and polyneuropathy (p=0.000) had significantly lower WBQ score in relation to these without (Student's t-test). Considerable correlation between WBQ score and level of education (r=0,231; p=0,023), PHQ (r= −0,811, p=0,000) and PAID score (r= −0,611, p=0,000) (Pearson's Correlation) were found.

Conclusions

Lower level of education, depressive symptoms, and higher level of diabetes distress as well as presence of life events, metabolic syndrome and polyneuropathy were associated with worse QoL in T2DM patients.

Type
EPW35 - Consultation Liaison Psychiatry and Psychosomatics 3
Copyright
Copyright © European Psychiatric Association 2014
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