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Intern Med J. 2019 May 13. doi: 10.1111/imj.14355. [Epub ahead of print]

Diabetes care - addressing psychological wellbeing in young adults with a newly developed assessment tooll.

Author information

1
Endocrinology Advanced Trainee, Queensland Diabetes and Endocrine Centre, Mater Hospital, Raymond Terrace, South Brisbane, QLD 4101, Australia.
2
Director Medical/ Chronic Disease Services, Queensland Diabetes and Endocrine Centre, Mater Hospital, Brisbane, School of Medicine, University of Queensland, Mater Research, Brisbane.
3
Director Endocrinology Department, Queensland Diabetes and Endocrine Centre, Mater Hospital, Brisbane, School of Medicine, University of Queensland, Mater Research, Brisbane.
4
Endocrinology consultant, Queensland Diabetes and Endocrine Centre, Mater Hospital, Brisbane.
5
Credentialed diabetes educator, Queensland Diabetes and Endocrine Centre, Mater Hospital, Brisbane.
6
Dietitian and Credentialed diabetes educator, Queensland Diabetes and Endocrine Centre, Mater Hospital, Brisbane, Mater Research, Brisbane.
7
Dietitian, Queensland Diabetes and Endocrine Centre, Mater Hospital, Brisbane.
8
Biostatistician, QIMR Berghofer Institute, Brisbane.

Abstract

BACKGROUND:

Psychosocial assessment should be part of clinic visits for people with diabetes mellitus.

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 twelve month the form was offered to 155 participants (64.6% of eligible attendees). The majority (96.1%) had type 1 diabetes mellitus 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 diabetes mellitus. The tool was easy to use and accepted by patients and may aide streamlining referrals to relevant members of a multidisciplinary team. This article is protected by copyright. All rights reserved.

KEYWORDS:

diabetes mellitus; psychosocial screening; young adults

PMID:
31081194
DOI:
10.1111/imj.14355

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