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Age at Diagnosis of Type 2 Diabetes and Depressive Symptoms, Diabetes-Specific Distress, and Self-Compassion

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Version 2 2023-06-19, 16:18
Version 1 2023-06-12, 13:07
journal contribution
posted on 2023-06-19, 16:18 authored by MM Barker, MJ Davies, F Zaccardi, EM Brady, AP Hall, JJ Henson, K Khunti, A Lake, EL Redman, AV Rowlands, J Speight, T Yates, JA Sargeant, M Hadjiconstantinou

OBJECTIVE

To investigate the association between age at diagnosis of type 2 diabetes and depressive symptoms, diabetes-specific distress, and self-compassion among adults with type 2 diabetes.


RESEARCH DESIGN AND METHODS

This analysis used data from the Chronotype of Patients with Type 2 Diabetes and Effect on Glycemic Control (CODEC) cross-sectional study. Information was collected on depressive symptoms, diabetes-specific distress, and self-compassion, measured using validated self-report questionnaires, in addition to sociodemographic and clinical data. Multivariable regression models, adjusted for diabetes duration, sex, ethnicity, deprivation status, prescription of antidepressants (selective serotonin reuptake inhibitors), and BMI were used to investigate the association between age at diagnosis of type 2 diabetes and each of the three psychological outcomes.


RESULTS

A total of 706 participants were included; 64 (9.1%) were diagnosed with type 2 diabetes at <40 years, 422 (59.8%) between 40 and 59 years, and 220 (31.2%) at ≥60 years of age. After adjustment for key confounders, including diabetes duration, younger age at diagnosis was significantly associated with higher levels of depressive symptoms (βadj: −0.18 [95% CI −0.25 to −0.10]; P < 0.01) and diabetes-specific distress (βadj: −0.03 [95% CI −0.04 to −0.02]; P < 0.01) and lower levels of self-compassion (βadj: 0.01 [95% CI 0.00 to 0.02]; P < 0.01).


CONCLUSIONS

Diagnosis of type 2 diabetes at a younger age is associated with lower psychological well-being, suggesting the need for clinical vigilance and the availability of age-appropriate psychosocial support.

History

Author affiliation

Diabetes Research Centre, University of Leicester

Version

  • AM (Accepted Manuscript)

Published in

Diabetes Care

Volume

46

Issue

3

Pagination

579 - 586

Publisher

American Diabetes Association

issn

0149-5992

eissn

1935-5548

Copyright date

2023

Spatial coverage

United States

Language

eng

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