Attitudes in patients with diabetes mellitus type 1 and type 2

Aims. To compare disease attitudes in patients with type 1 and type 2 diabetes mellitus (T1DM and T2DM) and to evaluate relationship between attitudes and psychological welfare of these groups. Materials and Methods. We examined 140 patients with T1DM and 70 patients with T2DM on insulin therapy (...

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Autores principales:	Oleg Gennad'evich Motovilin, Olga Vital'evna Lunyakina, Elena Viktorovna Surkova, Yulia Andreevna Shishkova, Olga Georgievna Mel'nikova, Alexander Yur'evich Mayorov
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2012
Materias:	diabetes mellitus type 1 diabetes mellitus type 2 attitudes psychological well-being Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/81fea9a254b847b1b04bda7b6b69fd5f
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spelling	oai:doaj.org-article:81fea9a254b847b1b04bda7b6b69fd5f2021-11-14T09:00:17ZAttitudes in patients with diabetes mellitus type 1 and type 22072-03512072-037810.14341/2072-0351-5538https://doaj.org/article/81fea9a254b847b1b04bda7b6b69fd5f2012-12-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/5538https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aims. To compare disease attitudes in patients with type 1 and type 2 diabetes mellitus (T1DM and T2DM) and to evaluate relationship between attitudes and psychological welfare of these groups. Materials and Methods. We examined 140 patients with T1DM and 70 patients with T2DM on insulin therapy (mean age 22.6?3.2 and 60.1?7.8 years; male/female ratio 47/93 and 15/55; duration of diabetes 12.1?5.7 and 11.4?6.5 years, HbA1c 9.3?2.2 и 9.0?1.4%, respectively). Psychological parameters were assessed by following methods: Bekhterev Disease Attitude Typing (DAT), Colour Attitude Test (CAT), SF-36 (36-Item Short Form Health Survey), Spielberger Anxiety Inventory (SAI), CES-D Depression Scale, Dembo-Rubinstein (DR) technique for self-esteem assessment. Results. DAT showed increased sensitive attitude to their disease in patients with T1 and T2DM, being significantly higher in T2DM. According to CAT, T2DM patients perceive DM as a disease, associated with severe manifestations and complications, while T1DM patients tend to incorporate the notion of diabetes with lifestyle. Cluster analysis showed negative disease attitude to be associated independently of diabetes type with decrease in quality of life and emotional deterioration (higher anxiety and depression score, as measured by SF-36, SAI and CES-D). Conclusion. Disease attitude typing and correction is important in management of DM. Emotional acceptance allows improvement in quality of life and promotes psychological welfare. Also, despite the absence of direct relationship between HbA1c and disease attitudes (which, is plausibly non-linear), emotional acceptance may favour glycemic compensation due to increase in compliance.Oleg Gennad'evich MotovilinOlga Vital'evna LunyakinaElena Viktorovna SurkovaYulia Andreevna ShishkovaOlga Georgievna Mel'nikovaAlexander Yur'evich MayorovEndocrinology Research Centrearticlediabetes mellitus type 1diabetes mellitus type 2attitudespsychological well-beingNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 15, Iss 4, Pp 51-58 (2012)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	diabetes mellitus type 1 diabetes mellitus type 2 attitudes psychological well-being Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	diabetes mellitus type 1 diabetes mellitus type 2 attitudes psychological well-being Nutritional diseases. Deficiency diseases RC620-627 Oleg Gennad'evich Motovilin Olga Vital'evna Lunyakina Elena Viktorovna Surkova Yulia Andreevna Shishkova Olga Georgievna Mel'nikova Alexander Yur'evich Mayorov Attitudes in patients with diabetes mellitus type 1 and type 2
description	Aims. To compare disease attitudes in patients with type 1 and type 2 diabetes mellitus (T1DM and T2DM) and to evaluate relationship between attitudes and psychological welfare of these groups. Materials and Methods. We examined 140 patients with T1DM and 70 patients with T2DM on insulin therapy (mean age 22.6?3.2 and 60.1?7.8 years; male/female ratio 47/93 and 15/55; duration of diabetes 12.1?5.7 and 11.4?6.5 years, HbA1c 9.3?2.2 и 9.0?1.4%, respectively). Psychological parameters were assessed by following methods: Bekhterev Disease Attitude Typing (DAT), Colour Attitude Test (CAT), SF-36 (36-Item Short Form Health Survey), Spielberger Anxiety Inventory (SAI), CES-D Depression Scale, Dembo-Rubinstein (DR) technique for self-esteem assessment. Results. DAT showed increased sensitive attitude to their disease in patients with T1 and T2DM, being significantly higher in T2DM. According to CAT, T2DM patients perceive DM as a disease, associated with severe manifestations and complications, while T1DM patients tend to incorporate the notion of diabetes with lifestyle. Cluster analysis showed negative disease attitude to be associated independently of diabetes type with decrease in quality of life and emotional deterioration (higher anxiety and depression score, as measured by SF-36, SAI and CES-D). Conclusion. Disease attitude typing and correction is important in management of DM. Emotional acceptance allows improvement in quality of life and promotes psychological welfare. Also, despite the absence of direct relationship between HbA1c and disease attitudes (which, is plausibly non-linear), emotional acceptance may favour glycemic compensation due to increase in compliance.
format	article
author	Oleg Gennad'evich Motovilin Olga Vital'evna Lunyakina Elena Viktorovna Surkova Yulia Andreevna Shishkova Olga Georgievna Mel'nikova Alexander Yur'evich Mayorov
author_facet	Oleg Gennad'evich Motovilin Olga Vital'evna Lunyakina Elena Viktorovna Surkova Yulia Andreevna Shishkova Olga Georgievna Mel'nikova Alexander Yur'evich Mayorov
author_sort	Oleg Gennad'evich Motovilin
title	Attitudes in patients with diabetes mellitus type 1 and type 2
title_short	Attitudes in patients with diabetes mellitus type 1 and type 2
title_full	Attitudes in patients with diabetes mellitus type 1 and type 2
title_fullStr	Attitudes in patients with diabetes mellitus type 1 and type 2
title_full_unstemmed	Attitudes in patients with diabetes mellitus type 1 and type 2
title_sort	attitudes in patients with diabetes mellitus type 1 and type 2
publisher	Endocrinology Research Centre
publishDate	2012
url	https://doaj.org/article/81fea9a254b847b1b04bda7b6b69fd5f
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Attitudes in patients with diabetes mellitus type 1 and type 2

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