PMID- 28243446
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20191120
IS  - 2052-4897 (Print)
IS  - 2052-4897 (Electronic)
IS  - 2052-4897 (Linking)
VI  - 5
IP  - 1
DP  - 2017
TI  - Impact of a type 2 diabetes diagnosis on mental health, quality of life, and 
      social contacts: a longitudinal study.
PG  - e000198
LID - 10.1136/bmjdrc-2016-000198 [doi]
LID - e000198
AB  - AIMS: The aim was to examine whether a type 2 diabetes mellitus (T2DM) diagnosis 
      increases the odds of psychological distress, a worsening in overall quality of 
      life, and a potential reduction in social contacts. METHOD: Longitudinal data 
      were obtained from the 45 and Up Study (baseline 2006-2008; 3.4+/-0.95 years 
      follow-up time). Fixed effects logistic and negative binomial regression models 
      were fitted on a complete case on outcome sample that did not report T2DM at 
      baseline (N=26 344), adjusted for time-varying confounders. The key exposure was 
      doctor-diagnosed T2DM at follow-up. Outcome variables examined included the 
      Kessler Psychological Distress Scale, self-rated quality of life, and four 
      indicators of social contacts. RESULTS: A modest increase in the odds of 
      psychological distress associated with T2DM diagnosis (OR=1.30) was not 
      statistically significant (95% CI 0.75 to 2.25). A T2DM diagnosis was associated 
      with a fivefold increase in the odds of a participant reporting that their 
      quality of life had become significantly poorer (OR 5.49, 95% CI 1.26 to 23.88). 
      T2DM diagnosis was also associated with a reduction in times spent with friends 
      and family (RR 0.88, 95% CI 0.82 to 0.95), contacts by telephone (RR 0.95, 95% CI 
      0.87 to 1.02), attendance at social clubs or religious groups (RR 0.82, 95% CI 
      0.73 to 0.91), and the number of people nearby but outside the home that 
      participants felt they could rely on (RR 0.92, 95% CI 0.86 to 0.98). CONCLUSIONS: 
      A T2DM diagnosis can have important impacts on quality of life and on social 
      contacts, which may have negative impacts on mental health and T2DM management in 
      the longer term.
FAU - Feng, Xiaoqi
AU  - Feng X
AD  - Population Wellbeing and Environment Research Lab (PowerLab), School of Health 
      and Society, Faculty of Social Sciences, University of Wollongong, Wollongong, 
      New South Wales, Australia; Early Start Research Institute, Faculty of Social 
      Sciences, University of Wollongong, Wollongong, New South Wales, Australia; 
      Illawarra Health and Medical Research Institute, University of Wollongong, 
      Wollongong, New South Wales, Australia.
FAU - Astell-Burt, Thomas
AU  - Astell-Burt T
AD  - Population Wellbeing and Environment Research Lab (PowerLab), School of Health 
      and Society, Faculty of Social Sciences, University of Wollongong, Wollongong, 
      New South Wales, Australia; Early Start Research Institute, Faculty of Social 
      Sciences, University of Wollongong, Wollongong, New South Wales, Australia; 
      Illawarra Health and Medical Research Institute, University of Wollongong, 
      Wollongong, New South Wales, Australia.
LA  - eng
PT  - Journal Article
DEP - 20170216
PL  - England
TA  - BMJ Open Diabetes Res Care
JT  - BMJ open diabetes research & care
JID - 101641391
PMC - PMC5316913
OTO - NOTNLM
OT  - Diagnosis
OT  - Mental Illness
OT  - Quality of Life
OT  - Social Support
COIS- Competing interests: None declared.
EDAT- 2017/03/01 06:00
MHDA- 2017/03/01 06:01
PMCR- 2017/02/16
CRDT- 2017/03/01 06:00
PHST- 2016/01/16 00:00 [received]
PHST- 2016/12/03 00:00 [revised]
PHST- 2016/12/17 00:00 [accepted]
PHST- 2017/03/01 06:00 [entrez]
PHST- 2017/03/01 06:00 [pubmed]
PHST- 2017/03/01 06:01 [medline]
PHST- 2017/02/16 00:00 [pmc-release]
AID - bmjdrc-2016-000198 [pii]
AID - 10.1136/bmjdrc-2016-000198 [doi]
PST - epublish
SO  - BMJ Open Diabetes Res Care. 2017 Feb 16;5(1):e000198. doi: 
      10.1136/bmjdrc-2016-000198. eCollection 2017.