Objective: This is a cross-sectional study aimed to explore the risk factors associated with diabetes distress in type 2 diabetes.

Research Design and Methods: Patients with type 2 diabetes were recruited from tertiary hospital in central Taiwan for a diabetes distress evaluation. Diabetes distress was assessed both at baseline using a 17-item Diabetes Distress Scale (DDS-17) in Chinese version. Baseline demographic characteristics and biochemistry data were collected. Linear regression models were used to examine the relationship between baseline variables and the scores in DDS-17.

Results: Three hundred and sixty participants completed DDS-17 scale, their mean (SD) age and diabetes duration were 59.9 (11.6) years and 9.8 (7.4) years, respectively, and 49.1% were women.The correlation between glycaemia and distress was significantly positive (r=.472, p<.01) and distress can predict glycaemia significantly (R2=.223, p<.01). The correlation between HbA1C and diabetes duration, diabetes distress were significantly positive (r = .142, .294, p<.01). Furthermore, when diabetes distress predicted HbA1C, diabetes duration and age were mediators (βd = -.121, δR2 = .102, p<.05; βa = -.128, δR2 = .091, p<.05). Linear regression models, diabetes duration less than 4 years group were 3.26 times than the others (OR = 3.26, 95% CI 1.22-8.71). Younger age less than 50 years old were 5.53 times than the older aged (OR = 5.53, 95% CI 5.23-5.83). If considering age and duration simultaneously, the odds ratio of younger age and shorter disease duration were 10.71 times (OR = 10.71, 95% CI 2.28-50.36).

Conclusions: The high-risk group for diabetes distress was younger than 50 years old and shorter duration less than 4 years. HbA1C was easily raised in shorter duration of disease and in younger age patients when their diabetes distress increased. The findings can help clinicians to select in education or psychotherapy, and improve their distress and stabilize their glycemic control.


Y. Liao: None. Y. Yang: None. C. Huang: None. H. Peng: None.

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