PMID- 28246057 OWN - NLM STAT- MEDLINE DCOM- 20180109 LR - 20221207 IS - 1872-7123 (Electronic) IS - 0165-1781 (Linking) VI - 252 DP - 2017 Jun TI - Diabetes-related distress and its associated factors among patients with type 2 diabetes mellitus in China. PG - 45-50 LID - S0165-1781(16)30592-3 [pii] LID - 10.1016/j.psychres.2017.02.049 [doi] AB - Diabetes-related distress is one of the psychological disorders affecting patients with diabetes, yet there are few studies about diabetes-related distress in Chinese patients. To assess the level of psychological distress and examine its associated factors, we conducted a cross-sectional analysis of patients with type 2 diabetes mellitus from a Chinese tertiary hospital. The Diabetes Distress Scale (DDS) and the General Self-Efficacy Scale (GSES) were administered. There were 210 (57.85%) patients with little or no diabetes-related distress, 84 (23.14%) with moderate diabetes-related distress and 69 (19.01%) with high diabetes-related distress. Stepwise multiple linear regression showed that sleep time was significantly related to the DDS total score and the subscale scores of emotional burden (EB) (beta=-0.190, -0.379), respectively. GSES was associated with the DDS total score (beta=-0.128) and the EB score (beta=-0.153). Oral medication plus insulin was significantly related to regimen-related distress (RD) (beta=0.137), physician-related distress (PD) (beta=0.152) and interpersonal distress (ID) (beta=0.103). Physical activity (beta=-0.185) and making meal plan with health care professionals(HCP) (beta=-0.169) were associated with RD. The prevalence of diabetes-related distress among patients with type 2 diabetes mellitus was high in China. DDS and EB were associated with poorer sleep time and lower self-efficacy. Interventions to improve sleep are needed. Qualitative and longitudinal studies are required to understand why type 2 diabetic patients are not getting enough sleep. CI - Copyright (c) 2017. Published by Elsevier B.V. FAU - Zhou, Huanhuan AU - Zhou H AD - Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China; Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing, Jiangsu Province, China; Nursing College, Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China. FAU - Zhu, Junya AU - Zhu J AD - Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Baltimore, MD, USA. FAU - Liu, Lin AU - Liu L AD - Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China; Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing, Jiangsu Province, China. FAU - Li, Fan AU - Li F AD - Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China; Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing, Jiangsu Province, China. FAU - Fish, Anne F AU - Fish AF AD - College of Nursing (ISP Program), University of Missouri-St. Louis, St. Louis, MO, USA. FAU - Chen, Tao AU - Chen T AD - Department of Clinical Sciences, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK. FAU - Lou, Qingqing AU - Lou Q AD - Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China; Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing, Jiangsu Province, China. Electronic address: lqq188@yahoo.com. LA - eng PT - Journal Article DEP - 20170224 PL - Ireland TA - Psychiatry Res JT - Psychiatry research JID - 7911385 SB - IM MH - Adult MH - Asian People/*psychology MH - Attitude to Health MH - China/epidemiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/physiopathology/*psychology MH - Emotions MH - Exercise/psychology MH - Female MH - Humans MH - Linear Models MH - Male MH - Middle Aged MH - Prevalence MH - *Self Efficacy MH - Sleep/physiology MH - Stress, Psychological/epidemiology/*psychology MH - Time Factors OTO - NOTNLM OT - Chinese OT - Diabetes OT - Diabetes-related distress OT - Self-efficacy OT - Sleep time, Insulin, Physical activity EDAT- 2017/03/02 06:00 MHDA- 2018/01/10 06:00 CRDT- 2017/03/02 06:00 PHST- 2016/04/11 00:00 [received] PHST- 2017/02/08 00:00 [revised] PHST- 2017/02/14 00:00 [accepted] PHST- 2017/03/02 06:00 [pubmed] PHST- 2018/01/10 06:00 [medline] PHST- 2017/03/02 06:00 [entrez] AID - S0165-1781(16)30592-3 [pii] AID - 10.1016/j.psychres.2017.02.049 [doi] PST - ppublish SO - Psychiatry Res. 2017 Jun;252:45-50. doi: 10.1016/j.psychres.2017.02.049. Epub 2017 Feb 24.