The detection and management of diabetes distress in people with type 1 diabetes

Sturt, Jackie; Dennick, Kathryn; Due-Christensen, Mette; McCarthy, Kate

doi:10.1007/s11892-015-0660-z

Cited by 157Diabetes Management and EducationDiabetes Management and ResearchDiabetes Treatment and Management

The detection and management of diabetes distress in people with type 1 diabetes

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Sturt, Jackie, Dennick, Kathryn, Due-Christensen, Mette, McCarthy, Kate·2015·Current Diabetes Reports

DOI 10.1007/s11892-015-0660-z

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Abstract

Diabetes distress (DD) represents a significant clinical burden in which levels of DD are related to both glycated haemoglobin (HbA1c) and some self-management behaviours. DD is related to, but different from, depression. Differences in DD experienced in people with type 1 and type 2 diabetes have been observed. Commonly measured using the Problem Areas in Diabetes Scale (PAID) and the Diabetes Distress Scale (DDS), rates of elevated DD in research study participants range from 20 to 30 %. Risk factors for elevated DD in type 1 diabetes are longer duration of diabetes, severe hypoglycaemia, younger age and being female. A systematic review of intervention studies assessing DD identified eight randomised controlled trials (RCTs) and nine pre-post design studies. Only three studies targeted DD with the intervention. Intervention types were diabetes self-management education (DSME), psychologically informed self-management and devices. DSME pre-post studies, namely the Dose Adjustment For Normal Eating (DAFNE) programme, produced more consistent improvements in DD and HbA1c at follow-up. Psychologically informed self-management was more heterogeneous, but several RCTs were effective in reducing DD. Group interventions offered the greatest benefits across intervention designs.

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Self-citation
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“38 Statistical subgroup analyses were then performed based on a priori defined intervention criteria to examine their impact on diabetesrelated distress for CBT and thirdwave CBT interventions (1) whether the intervention was diabetes specific, (2) whether the intervention included a digital component, (3) whether the…”
Method
Actondiabetes-a guided psychological Internet intervention based on acceptance and commitment therapy (ACT) for adults living with type 1 or 2 diabetes: results of a randomised controlled feasibility trial
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“14 Furthermore, the prevalence of depression is up to threefold higher among individuals living with type 1 diabetes.”
Background
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Im, J. H. B., Escudero, C., Zhang, K., Choi, D., Sivakumar, A., Booth, G. L., Sale, J., Pritlove, C., Advani, A., & Yu, C. H. (2022) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2021.10.006 · Cited by 11 · see citing works
“Thus, diabetes self-management education and psychological interventions such as cognitive behavioural therapy, which have shown success in reducing diabetes distress (43,44), may be useful for PwD for reducing COVID distress as well.”

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Authors: Sturt, J., Dennick, K., Due-Christensen, M., & McCarthy, K.
Affiliations: King's College London (GB)
University Hospital Coventry (GB)
Corresponding author: Sturt, Jackie
ORCID: Sturt, Jackie
Venue: Current Diabetes Reports
Publisher: Springer Science and Business Media LLC
Published: 2015-09-28
Volume: 15
Issue: 11
Pages: 101-101
ISSN: 1534-4827 (ISSN-L)
1539-0829
DOI: 10.1007/s11892-015-0660-z
OpenAlex: W1591730265
Cited by: 157
References: 82
Citations by year: 2026: 16 · 2025: 12 · 2024: 18 · 2023: 17 · 2022: 19 · 2021: 26 · 2020: 10 · 2019: 12 · 2018: 10 · 2017: 10 · 2016: 6 · 2015: 1
FWCI: 1.36
Type: journal article
Language: en
Open access: green
kclpure.kcl.ac.uk
Licence: www.springer.com/tdm (tdm)
Locations: Current Diabetes Reports (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (submittedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords: diabetes distress, type 1 diabetes, HbA1c, diabetes self-management education, psychological intervention, hypoglycemia, Problem Areas in Diabetes scale, Diabetes Distress Scale, group intervention
MeSH terms: Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Glycated Hemoglobin, Humans, Hypoglycemia, Self Care

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The detection and management of diabetes distress in people with type 1 diabetes

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