Self-care adherence and affective disorders in Barbadian adults with type 2 diabetes |
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| Authors: | Allison DaSantos Carlisle Goddard Dalip Ragoobirsingh |
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| Affiliation: | 1. University of the West Indies, Faculty of Medical Sciences, Cave Hill Campus Cave Hill Bridgetown, Barbados ; 2. University of the West Indies, Faculty of Medical Sciences, Bridgetown, Barbados ; 3. Professor-Medical Biochemistry and Diabetology, Director-UWI Diabetes Education Programme, University of the West Indies Faculty of Medical Sciences Teaching & Research Complex (Level 2) Mona, Kingston 7, Jamaica |
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| Abstract: | PurposeDiabetes management requires adherence to complicated self-care behaviors. Therefore, the emotional state of the individual living with diabetes, is likely to affect their ability to comply with recommendations. This study explored the relationship of self-care adherence to diabetes distress and depression in Barbadian adults with type 2 diabetes.MethodsAdults aged 20 to 80 years, with type 2 diabetes, completed self-report questionnaires comprised of a profile section consisting of demographic and clinical characteristics; and standardized questionnaires comprising, The Diabetes Distress Scale (DDS), The Patient Health Questionnaire (PQH-9), and the Summary of Diabetes Self-care Activities Scale (SDSCA). Additionally biological measures (BP and HbA1c) were collected.ResultsFor the 509 participants there were no differences in adherence for males (30.8%) and females (69.2%), high diabetes distress and depression were associated with low adherence. General diet was negatively associated with BP and HbA1c; while HbA1c was positively correlated with blood glucose testing.ConclusionSelf-care non-adherence is more than a behavioral problem; it is a multidimensional phenomenon inclusive of demographic factors, condition or disease factors, psychological and social factors. |
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| Keywords: | Barbados adherence diabetes distress depression type 2 diabetes |
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