| Can sharing experiences in groups reduce the burden of living with diabetes, regardless of glycaemic control? | |
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MedLine Citation:
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PMID: 22061095 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Aims: To test whether patients with Type 1 diabetes would join support groups and benefit by improving psychosocial functioning, regardless of their HbA(1c) levels. Methods: A pre-post test with follow-up after 6 and 12 months was conducted as a concurrent mixed-method study. The convenience sample included patients with Type 1 diabetes aged ≥ 21 years, having been diagnosed ≥ 1 year earlier. Primary outcome was diabetes-related distress (using the Problem Areas in Diabetes scale). Secondary outcomes were psychological distress and depressive symptoms (Symptom Check List 90R/Global Severity Index and depression subscale), well-being (World Health Organization 5) and HbA(1c) . Results: Equal numbers of patients with HbA(1c) above and below 64 mmol/mol (8%) joined the support groups (n = 54). Focus group interviews revealed that major benefits were feeling less alone and being intuitively understood among peers. The patients perceived the support groups as a safe environment for sharing experiences. Problem Areas in Diabetes, Global Severity Index and depression subscale scores were significantly reduced post-intervention and maintained at 1-year follow-up. Well-being increased insignificantly. HbA(1c) was unchanged. Conclusions: Support groups are able to reduce diabetes-related and psychological distress 1 year after the intervention for patients with both good and poor glycaemic control displaying high levels of distress. Patients with severely high levels of diabetes-related distress might need more extensive therapeutic interventions to further reduce their level of distress. Further, interventions that target specific self-management problems are needed for patients with poor glycaemic control to help them accomplish lower levels of HbA(1c.) Healthcare providers must be aware that patients with good glycaemic control might have an unacknowledged psychosocial burden of living with the illness. |
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Authors:
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M Due-Christensen; V Zoffmann; E Hommel; M Lau |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-11-7 |
Journal Detail:
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Title: Diabetic medicine : a journal of the British Diabetic Association Volume: - ISSN: 1464-5491 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-8 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8500858 Medline TA: Diabet Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Journal compilation © 2011 Diabetes UK. |
Affiliation:
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Steno Diabetes Center Stolpegaard Psychotherapy Centre, Gentofte, Denmark. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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