Relationship between delay discounting, delay aversion and psychosocial domains of diabetes care. J Affect Disord 2024 Feb 15;347:601-607
Date
12/10/2023Pubmed ID
38070750Pubmed Central ID
PMC10872328DOI
10.1016/j.jad.2023.12.017Scopus ID
2-s2.0-85180506403 (requires institutional sign-in at Scopus site)Abstract
PURPOSE: Delay discounting and aversion are important areas for diabetes management; however, little has been done to understand the relationship with psychosocial outcomes among adults with type 2 diabetes.
METHODS: This study used data from 365 adults with type 2 diabetes to evaluate relationships between delay discounting and aversion and psychosocial outcomes. Delay discounting and aversion were measured with the validated Quick Delay Questionnaire. Psychosocial outcomes included depression, measured by the PHQ, anxiety by the GAD scale, perceived stress by the PSS, and social support by the Duke Social Support and Stress Scale. Multiple linear regression was used to assess the relationship between delay discounting and aversion on psychological health and social support controlling for relevant covariates.
RESULTS: Mean age of the sample was 61.8 years, 54.5 % were NHB, 41.8 % NHW, and 3.7 % Hispanic/Other. After adjusting for covariates, delay aversion was significantly associated with depression (beta = 0.35; p < 0.001), anxiety (beta = 0.52; p < 0.001), perceived stress (beta = 0.22; p < 0.001), and lower family support (beta = -0.62; p < 0.05). Delay discounting was significantly associated with depression (beta = 0.32; p < 0.001), anxiety (beta = 0.46; p < 0.001), and perceived stress (beta = 0.26; p < 0.001).
LIMITATIONS: This data is cross-sectional, future work should examine the longitudinal relationship while also including additional psychosocial outcomes.
CONCLUSIONS: Delay discounting and aversion are significantly associated with poor psychosocial outcomes, including lower social support. As the body of evidence grows, additional research is needed to better understand the construct, mechanisms, and the impact of choice settings to better inform intervention development.
Author List
Campbell JA, Egede LEAuthors
Jennifer Annette Campbell PhD, MPH Assistant Professor in the Medicine department at Medical College of WisconsinLeonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultAnxiety
Cross-Sectional Studies
Delay Discounting
Diabetes Mellitus, Type 2
Humans
Mental Health
Middle Aged
