Faculty Collaboration Database

Relationship of serious psychological distress to quality of life in adults with diabetes. Int J Psychiatry Med 2014;48(2):135-46

Date

11/08/2014

Pubmed ID

25377154

DOI

10.2190/PM.48.2.f

Scopus ID

2-s2.0-84922238022 (requires institutional sign-in at Scopus site)   16 Citations

Abstract

OBJECTIVE: To examine the association between serious psychological distress (SPD) and the Physical and Mental Health components of Quality of Life (QOL) while controlling for depression in a national sample of adults with diabetes.

METHODS: SPD was assessed in 1,659 adults with diabetes who participated in the 2007 Medical Care Expenditure Survey (MEPS). SPD was measured by the 6-item Kessler scale. Depression was assessed with the PHQ-2 screen. Quality of life was measured with the physical (PCS) and mental (MCS) components of the SF-12. We used multiple linear regression to assess the relationship between SPD and quality of life while controlling for relevant covariates and depression screen results to assess the independent effect of SPD on QOL above and beyond the effect of depression.

RESULTS: Among US adults with diabetes, 9% had SPD and 15.4% screened positive for depression. Among those with SPD, 85.8% had depression and among those with depression, 50.5% had SPD. In the adjusted model for socio-demographic factors and comorbidities, SPD was significantly associated with lower PCS scores (-5.51 95% CI -7.55; -3.45) and MCS scores (-18.99 95% CI -20.81; -17.18). In the adjusted model that also controlled for depression, SPD was still significantly associated with lower PCS scores (-3.03 95% CI -5.63; -0.43) and MCS scores (-9.46 95% CI -11.67; -7.24).

CONCLUSIONS: Among U. S. adults, SPD is associated with significantly diminished QOL above and beyond the effects of depression. Targeted interventions to mitigate the adverse effects of SPD are needed, independent of programs to address depression.

Author List

Dismuke CE, Hernandez-Tejada MA, Egede LE

Author

Leonard 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

Adult
Aged
Comorbidity
Cross-Sectional Studies
Demography
Depression
Diabetes Mellitus, Type 2
Female
Health Surveys
Humans
Linear Models
Male
Middle Aged
Needs Assessment
Psychiatric Status Rating Scales
Quality of Life
Stress, Psychological
United States