Cognitive Impairment and Related Factors Among Middle-Aged and Elderly Patients with Type 2 Diabetes from a Bio-Psycho-Social Perspective

Weiran Xu,1,&ast; Xiling Hu,2,&ast; Xing Zhang,3 Cong Ling,4 Chaofan Wang,5 Lingling Gao1 1School of Nursing, Sun Yat-sen University, Guangzhou, People’s Republic of China; 2Department of Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People’s Republic of China...

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Autores principales:	Xu W, Hu X, Zhang X, Ling C, Wang C, Gao L
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	type 2 diabetes mellitus cognitive impairment depression self-care social support Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/fb2bfab4e87747eabff1e383a816249b
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spelling	oai:doaj.org-article:fb2bfab4e87747eabff1e383a816249b2021-12-02T19:41:29ZCognitive Impairment and Related Factors Among Middle-Aged and Elderly Patients with Type 2 Diabetes from a Bio-Psycho-Social Perspective1178-7007https://doaj.org/article/fb2bfab4e87747eabff1e383a816249b2021-10-01T00:00:00Zhttps://www.dovepress.com/cognitive-impairment-and-related-factors-among-middle-aged-and-elderly-peer-reviewed-fulltext-article-DMSOhttps://doaj.org/toc/1178-7007Weiran Xu,1,&ast; Xiling Hu,2,&ast; Xing Zhang,3 Cong Ling,4 Chaofan Wang,5 Lingling Gao1 1School of Nursing, Sun Yat-sen University, Guangzhou, People’s Republic of China; 2Department of Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People’s Republic of China; 3Department of Endocrinology and Metabolism, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, People’s Republic of China; 4Department of Neurosurgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People’s Republic of China; 5Department of Endocrinology and Metabolism, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Lingling Gao Email gaoll@mail.sysu.edu.cnObjective: This study investigated the biomedical, psychological, and social behavior risk factors for cognitive impairment in middle-aged and elderly patients with type 2 diabetes mellitus (T2DM).Methods: This cross-sectional study included 240 patients with T2DM. A questionnaire was used to collect demographic and disease-related data on patients, and the Self-rating Depression Scale (SDS), Diabetes Self-care Scale (DSCS), and Social Support Rating Scale (SSRS) were used to assess patients’ depression status, self-management behavior, and social support, respectively. The Chinese version of the Montreal Cognitive Assessment (MoCA) was used to evaluate cognitive function, with a score < 26 set as the threshold for cognitive impairment.Results: The prevalence of cognitive dysfunction in middle-aged and elderly patients with T2DM was 52.5%. Multivariate logistic regression analysis showed that older age, a history of hypoglycemia within 1 month, and depression were independent risk factors for cognitive impairment. Education for > 12 years, urban living, and a higher total score on the DSCS were independent protective factors against cognitive impairment.Conclusion: T2DM patients with high risk of cognitive impairment can be identified early from the bio-psycho-social perspective. Patients with T2DM who are older, less educated, living in rural areas, have hypoglycemia history, and have poor self-management of diabetes are at increased risk of cognitive impairment. Closer monitoring of patients with hypoglycemia, early detection of depression, and improving patients’ self-management capacity can prevent cognitive impairment in middle-aged and elderly patients with T2DM.Keywords: type 2 diabetes mellitus, cognitive impairment, depression, self-care, social supportXu WHu XZhang XLing CWang CGao LDove Medical Pressarticletype 2 diabetes mellituscognitive impairmentdepressionself-caresocial supportSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 4361-4369 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	type 2 diabetes mellitus cognitive impairment depression self-care social support Specialties of internal medicine RC581-951
spellingShingle	type 2 diabetes mellitus cognitive impairment depression self-care social support Specialties of internal medicine RC581-951 Xu W Hu X Zhang X Ling C Wang C Gao L Cognitive Impairment and Related Factors Among Middle-Aged and Elderly Patients with Type 2 Diabetes from a Bio-Psycho-Social Perspective
description	Weiran Xu,1,&ast; Xiling Hu,2,&ast; Xing Zhang,3 Cong Ling,4 Chaofan Wang,5 Lingling Gao1 1School of Nursing, Sun Yat-sen University, Guangzhou, People’s Republic of China; 2Department of Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People’s Republic of China; 3Department of Endocrinology and Metabolism, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, People’s Republic of China; 4Department of Neurosurgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People’s Republic of China; 5Department of Endocrinology and Metabolism, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Lingling Gao Email gaoll@mail.sysu.edu.cnObjective: This study investigated the biomedical, psychological, and social behavior risk factors for cognitive impairment in middle-aged and elderly patients with type 2 diabetes mellitus (T2DM).Methods: This cross-sectional study included 240 patients with T2DM. A questionnaire was used to collect demographic and disease-related data on patients, and the Self-rating Depression Scale (SDS), Diabetes Self-care Scale (DSCS), and Social Support Rating Scale (SSRS) were used to assess patients’ depression status, self-management behavior, and social support, respectively. The Chinese version of the Montreal Cognitive Assessment (MoCA) was used to evaluate cognitive function, with a score < 26 set as the threshold for cognitive impairment.Results: The prevalence of cognitive dysfunction in middle-aged and elderly patients with T2DM was 52.5%. Multivariate logistic regression analysis showed that older age, a history of hypoglycemia within 1 month, and depression were independent risk factors for cognitive impairment. Education for > 12 years, urban living, and a higher total score on the DSCS were independent protective factors against cognitive impairment.Conclusion: T2DM patients with high risk of cognitive impairment can be identified early from the bio-psycho-social perspective. Patients with T2DM who are older, less educated, living in rural areas, have hypoglycemia history, and have poor self-management of diabetes are at increased risk of cognitive impairment. Closer monitoring of patients with hypoglycemia, early detection of depression, and improving patients’ self-management capacity can prevent cognitive impairment in middle-aged and elderly patients with T2DM.Keywords: type 2 diabetes mellitus, cognitive impairment, depression, self-care, social support
format	article
author	Xu W Hu X Zhang X Ling C Wang C Gao L
author_facet	Xu W Hu X Zhang X Ling C Wang C Gao L
author_sort	Xu W
title	Cognitive Impairment and Related Factors Among Middle-Aged and Elderly Patients with Type 2 Diabetes from a Bio-Psycho-Social Perspective
title_short	Cognitive Impairment and Related Factors Among Middle-Aged and Elderly Patients with Type 2 Diabetes from a Bio-Psycho-Social Perspective
title_full	Cognitive Impairment and Related Factors Among Middle-Aged and Elderly Patients with Type 2 Diabetes from a Bio-Psycho-Social Perspective
title_fullStr	Cognitive Impairment and Related Factors Among Middle-Aged and Elderly Patients with Type 2 Diabetes from a Bio-Psycho-Social Perspective
title_full_unstemmed	Cognitive Impairment and Related Factors Among Middle-Aged and Elderly Patients with Type 2 Diabetes from a Bio-Psycho-Social Perspective
title_sort	cognitive impairment and related factors among middle-aged and elderly patients with type 2 diabetes from a bio-psycho-social perspective
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/fb2bfab4e87747eabff1e383a816249b
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Cognitive Impairment and Related Factors Among Middle-Aged and Elderly Patients with Type 2 Diabetes from a Bio-Psycho-Social Perspective

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