Mental health burden of patients with diabetes before and after the initial outbreak of COVID-19: predictors of mental health impairment

Abstract Background The COVID-19 pandemic is affecting people’s mental health worldwide. Patients with diabetes are at risk for a severe course of illness when infected with SARS-CoV-2. The present study aims to retrospectively examine mental health changes in patients with diabetes in Germany befor...

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Autores principales:	Sheila Moradian, Martin Teufel, Lisa Jahre, Venja Musche, Madeleine Fink, Hannah Dinse, Adam Schweda, Benjamin Weismüller, Nora Dörrie, Susanne Tan, Eva-Maria Skoda, Alexander Bäuerle
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Mental health COVID-19 Diabetes Changes in mental health Anxiety Depression Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/7b0f6dcf62274eca84fb2646ee1b6580
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spelling	oai:doaj.org-article:7b0f6dcf62274eca84fb2646ee1b65802021-11-14T12:14:14ZMental health burden of patients with diabetes before and after the initial outbreak of COVID-19: predictors of mental health impairment10.1186/s12889-021-12101-z1471-2458https://doaj.org/article/7b0f6dcf62274eca84fb2646ee1b65802021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12101-zhttps://doaj.org/toc/1471-2458Abstract Background The COVID-19 pandemic is affecting people’s mental health worldwide. Patients with diabetes are at risk for a severe course of illness when infected with SARS-CoV-2. The present study aims to retrospectively examine mental health changes in patients with diabetes in Germany before and after the initial COVID-19 outbreak, and to furthermore explore potential predictors of such changes. Methods Over the course of eight weeks from April to June 2020, 253 individuals diagnosed with diabetes participated in an online cross-sectional study. Participants completed an anonymous survey including demographics, depression (PHQ-2) and generalized anxiety symptoms (GAD-2), distress (DT), and health status (EQ-5D-3L). In addition, all instruments used were modified to retrospectively ask participants to recall their mental health and health status before the outbreak had started. Additionally examined factors were COVID-19-related fear, trust in governmental actions to face the pandemic, and the subjective level of information about COVID-19. Results This study shows a significant increase in prevalence of depression symptoms, generalized anxiety symptoms and distress, as well as significantly decreased health statuses in diabetes patients after the initial COVID-19 outbreak. Increased depression symptoms, generalized anxiety symptoms and distress were predicted by COVID-19-related fear, whereas trust in governmental actions to face COVID-19 predicted higher depression symptoms. Conclusions The results indicate a negative impact of the initial COVID-19 outbreak on mental health and health status in patients with diabetes. In order to improve the efficacy of psychological support strategies for diabetes patients during the pandemic, possible predictors of mental health impairment such as the aforementioned should be examined more thoroughly and addressed more openly.Sheila MoradianMartin TeufelLisa JahreVenja MuscheMadeleine FinkHannah DinseAdam SchwedaBenjamin WeismüllerNora DörrieSusanne TanEva-Maria SkodaAlexander BäuerleBMCarticleMental healthCOVID-19DiabetesChanges in mental healthAnxietyDepressionPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mental health COVID-19 Diabetes Changes in mental health Anxiety Depression Public aspects of medicine RA1-1270
spellingShingle	Mental health COVID-19 Diabetes Changes in mental health Anxiety Depression Public aspects of medicine RA1-1270 Sheila Moradian Martin Teufel Lisa Jahre Venja Musche Madeleine Fink Hannah Dinse Adam Schweda Benjamin Weismüller Nora Dörrie Susanne Tan Eva-Maria Skoda Alexander Bäuerle Mental health burden of patients with diabetes before and after the initial outbreak of COVID-19: predictors of mental health impairment
description	Abstract Background The COVID-19 pandemic is affecting people’s mental health worldwide. Patients with diabetes are at risk for a severe course of illness when infected with SARS-CoV-2. The present study aims to retrospectively examine mental health changes in patients with diabetes in Germany before and after the initial COVID-19 outbreak, and to furthermore explore potential predictors of such changes. Methods Over the course of eight weeks from April to June 2020, 253 individuals diagnosed with diabetes participated in an online cross-sectional study. Participants completed an anonymous survey including demographics, depression (PHQ-2) and generalized anxiety symptoms (GAD-2), distress (DT), and health status (EQ-5D-3L). In addition, all instruments used were modified to retrospectively ask participants to recall their mental health and health status before the outbreak had started. Additionally examined factors were COVID-19-related fear, trust in governmental actions to face the pandemic, and the subjective level of information about COVID-19. Results This study shows a significant increase in prevalence of depression symptoms, generalized anxiety symptoms and distress, as well as significantly decreased health statuses in diabetes patients after the initial COVID-19 outbreak. Increased depression symptoms, generalized anxiety symptoms and distress were predicted by COVID-19-related fear, whereas trust in governmental actions to face COVID-19 predicted higher depression symptoms. Conclusions The results indicate a negative impact of the initial COVID-19 outbreak on mental health and health status in patients with diabetes. In order to improve the efficacy of psychological support strategies for diabetes patients during the pandemic, possible predictors of mental health impairment such as the aforementioned should be examined more thoroughly and addressed more openly.
format	article
author	Sheila Moradian Martin Teufel Lisa Jahre Venja Musche Madeleine Fink Hannah Dinse Adam Schweda Benjamin Weismüller Nora Dörrie Susanne Tan Eva-Maria Skoda Alexander Bäuerle
author_facet	Sheila Moradian Martin Teufel Lisa Jahre Venja Musche Madeleine Fink Hannah Dinse Adam Schweda Benjamin Weismüller Nora Dörrie Susanne Tan Eva-Maria Skoda Alexander Bäuerle
author_sort	Sheila Moradian
title	Mental health burden of patients with diabetes before and after the initial outbreak of COVID-19: predictors of mental health impairment
title_short	Mental health burden of patients with diabetes before and after the initial outbreak of COVID-19: predictors of mental health impairment
title_full	Mental health burden of patients with diabetes before and after the initial outbreak of COVID-19: predictors of mental health impairment
title_fullStr	Mental health burden of patients with diabetes before and after the initial outbreak of COVID-19: predictors of mental health impairment
title_full_unstemmed	Mental health burden of patients with diabetes before and after the initial outbreak of COVID-19: predictors of mental health impairment
title_sort	mental health burden of patients with diabetes before and after the initial outbreak of covid-19: predictors of mental health impairment
publisher	BMC
publishDate	2021
url	https://doaj.org/article/7b0f6dcf62274eca84fb2646ee1b6580
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Mental health burden of patients with diabetes before and after the initial outbreak of COVID-19: predictors of mental health impairment

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