The DOI matches its Crossref record; 129 of the 130 references it cites were found in a registry or an index; none of the 129 sources its claims cite is checked for support yet.
Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association
Open accessAbstract
Complex environmental, social, behavioral, and emotional factors, known as psychosocial factors, influence living with diabetes, both type 1 and type 2, and achieving satisfactory medical outcomes and psychological well-being.Thus, individuals with diabetes and their families are challenged with complex, multifaceted issues when integrating diabetes care into daily life.To promote optimal medical outcomes and psychological well-being, patient-centered care is essential, defined as "providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions" (1).Practicing personalized, patient-centered psychosocial care requires that communications and interactions, problem identification, psychosocial screening, diagnostic evaluation, and intervention services take into account the context of the person with diabetes (PWD) and the values and preferences of the PWD.This article provides diabetes care providers with evidence-based guidelines for psychosocial assessment and care of PWD and their families.Recommendations are based on commonly used clinical models, expert consensus, and tested interventions, taking into account available resources, practice patterns, and practitioner burden.Consideration of life span and disease course factors (Fig. 1) is critical in the psychosocial care of PWD.This Position Statement focuses on the most common psychological factors affecting PWD, including diabetes distress and psychological comorbidities, while also considering the needs of special populations and the context of care. GENERAL CONSIDERATIONS IN PSYCHOSOCIAL CARERecommendations c Psychosocial care should be integrated with collaborative, patient-centered medical care and provided to all people with diabetes, with the goals of optimizing health outcomes and health-related quality of life.A c Providers should consider an assessment of symptoms of diabetes distress, depression, anxiety, and disordered eating and of cognitive capacities using patient-appropriate standardized/validated tools at the initial visit, at periodic intervals, and when there is a change in disease, treatment, or life circumstance.Including caregivers and family members in this assessment is recommended.B c Consider monitoring patient performance of self-management behaviors as well as psychosocial factors impacting the person's self-management.E c Consider assessment of life circumstances that can affect physical and psychological health outcomes and their incorporation into intervention strategies.E c Addressing psychosocial problems upon identification is recommended.If an intervention cannot be initiated during the visit when the problem is identified, a follow-up visit or referral to a qualified behavioral health care provider may be scheduled during that visit.EPractitioners should identify behavioral/mental health providers, ideally those who are knowledgeable about diabetes treatment and the psychosocial aspects of diabetes, with whom they can form alliances and use for referrals (Table 1) in the psychosocial care of PWD.Ideally, psychosocial care providers should be embedded in diabetes care settings.
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In the paper
“In one study of individuals with type 1 diabetes, sexual dysfunction was reported in as many as 50% of male patients (107).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > Adults
What the sources say
- Not checked yetcites [107] Hatzimouratidis, 2014, How to treat erectile dysfunction in men with diabetes: from pathophysiology to treatment, Curr Diab Rep source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“A meta-analysis of prospective and observational studies in PWD showed a 73% increased risk of all types of dementia, a 56% increased risk of Alzheimer dementia, and a 127% increased risk of vascular dementia compared with individuals without diabetes (115).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > Older Adults
What the sources say
- Not checked yetcites [115] Gudala, 2013, Diabetes mellitus and risk of dementia: a meta-analysis of prospective observational studies, J Diabetes Investig source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“A meta-analysis of prospective and observational studies in PWD showed a 73% increased risk of all types of dementia, a 56% increased risk of Alzheimer dementia, and a 127% increased risk of vascular dementia compared with individuals without diabetes (115).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > Older Adults
What the sources say
- Not checked yetcites [115] Gudala, 2013, Diabetes mellitus and risk of dementia: a meta-analysis of prospective observational studies, J Diabetes Investig source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“A meta-analysis of prospective and observational studies in PWD showed a 73% increased risk of all types of dementia, a 56% increased risk of Alzheimer dementia, and a 127% increased risk of vascular dementia compared with individuals without diabetes (115).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > Older Adults
What the sources say
- Not checked yetcites [115] Gudala, 2013, Diabetes mellitus and risk of dementia: a meta-analysis of prospective observational studies, J Diabetes Investig source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“Care models that take into account cultural influences, as well as personal, family, and community resources, and tailor care to the core values and lifestyle of the individual are more likely to be successful (2).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > GENERAL CONSIDERATIONS IN PSYCHOSOCIAL CARE
What the sources say
- Not checked yetcites [2] Kahn, 2009, Improving diabetes care: the model for health care reform, Diabetes Care source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIn the paper
“Therefore, it is not appropriate to automatically attribute suboptimal A1C and adverse events such as hypoglycemia (17) solely to self-management behaviors without their direct assessment.”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOSOCIAL ISSUES IMPACTING DIABETES SELF-MANAGEMENT
What the sources say
- Not checked yetcites [17] Lopez, 2014, Impact of hypoglycemia on patients with type 2 diabetes mellitus and their quality of life, work productivity, and medication adherence, Patient Prefer Adherence source
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In the paper
“Multiple factors other than patient behavior affect diabetes treatment outcomes, including adequacy of medical management, duration of diabetes, weight gain, and other health-related (e.g., comorbid illness and concomitant medication) and social-structural factors (e.g., poverty, access to care, health insurance coverage) (13–16).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOSOCIAL ISSUES IMPACTING DIABETES SELF-MANAGEMENT
What the sources say
- Not checked yetcites [13] Grant, 2005, Quality of diabetes care in U.S. academic medical centers: low rates of medical regimen change, Diabetes Care source
- Not checked yetcites [14] UK Prospective Diabetes Study (UKPDS) Group, 1998, Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33), Lancet source
- Not checked yetcites [15] Vigersky, 2011, An overview of management issues in adult patients with type 2 diabetes mellitus, J Diabetes Sci Technol source
- Not checked yetcites [16] Wallace, 2000, Poor glycaemic control in type 2 diabetes: a conspiracy of disease, suboptimal therapy and attitude, QJM source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIn the paper
“with prospective monitoring for 6 months (a period of increased risk) (5).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > GENERAL CONSIDERATIONS IN PSYCHOSOCIAL CARE
What the sources say
- Not checked yetcites [5] Young-Hyman, 2012 source
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In the paper
“Patient perceptions about their own ability, or self-efficacy, to self-manage diabetes are one important psychosocial factor related to improved diabetes self-management and treatment outcomes in diabetes (22–26) and should be a target of ongoing assessment and treatment planning.”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOSOCIAL ISSUES IMPACTING DIABETES SELF-MANAGEMENT
What the sources say
- Not checked yetcites [22] Sarkar, 2006, Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy?, Diabetes Care source
- Not checked yetcites [23] King, 2010, Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors, Diabetes Care source
- Not checked yetcites [24] Nouwen, 2009, Comparison of the role of self-efficacy and illness representations in relation to dietary self-care and diabetes distress in adolescents with type 1 diabetes, Psychol Health source
- Not checked yetcites [25] Beckerle, 2013, Association of self-efficacy and self-care with glycemic control in diabetes, Diabetes Spectr source
- Not checked yetcites [26] Iannotti, 2006, Self-efficacy, outcome expectations, and diabetes self-management in adolescents with type 1 diabetes, J Dev Behav Pediatr source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesNone of the sources cited for this claim have been checked yet.
In the paper
“Incorporation of a physical activity regimen into routine self-management has also been shown to improve the health and mental well-being of PWD (58,59).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOLOGICAL COMORBIDITIES > Depression
What the sources say
- Not checked yetcites [58] Piette, 2011, A randomized trial of telephonic counseling plus walking for depressed diabetes patients, Med Care source
- Not checked yetcites [59] Umpierre, 2011, Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis, JAMA source
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- It may state two separate claims as one. 27
- Probably not a substantial claim. 9
In the paper
“Anxiety symptoms and diagnosable disorders (e.g., generalized anxiety disorder [GAD], body dysmorphic disorder, obsessive compulsive disorder [OCD], specific phobias, and posttraumatic stress disorder [PTSD]) are common in PWD (61);”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOLOGICAL COMORBIDITIES > Anxiety Disorders
What the sources say
- Not checked yetcites [61] Smith, 2013, Association of diabetes with anxiety: a systematic review and meta-analysis, J Psychosom Res source
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“While following treatment regimens consistently improves A1C (9–12), the impact is modest.”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOSOCIAL ISSUES IMPACTING DIABETES SELF-MANAGEMENT
What the sources say
- Not checked yetcites [9] Asche, 2011, A review of diabetes treatment adherence and the association with clinical and economic outcomes, Clin Ther source
- Not checked yetcites [10] Hood, 2009, Association between adherence and glycemic control in pediatric type 1 diabetes: a meta-analysis, Pediatrics source
- Not checked yetcites [11] Schectman, 2002, The association between diabetes metabolic control and drug adherence in an indigent population, Diabetes Care source
- Not checked yetcites [12] Feldman, 2014, Defining the role of medication adherence in poor glycemic control among a general adult population with diabetes, PLoS One source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Thus, psychosocial factors impacting self-care such as diabetes distress (burdens of diabetes and its treatment, worries about adverse consequences), lack of social and economic resources, and other psychological states (e.g., depression, anxiety, eating disorders, cognitive impairment) (3), as well as health literacy and numeracy, should be monitored.”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > GENERAL CONSIDERATIONS IN PSYCHOSOCIAL CARE
What the sources say
- Not checked yetcites [3] Ducat, 2014, The mental health comorbidities of diabetes, JAMA source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Its prevalence is reported to be 18–45% with an incidence of 38–48% over 18 months (41).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > DIABETES DISTRESS
What the sources say
- Not checked yetcites [41] Aikens, 2012, Prospective associations between emotional distress and poor outcomes in type 2 diabetes, Diabetes Care source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“FoH and hypoglycemia unawareness often co-occur, and interventions aimed at treating one often benefit both (69).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOLOGICAL COMORBIDITIES > Anxiety Disorders
What the sources say
- Not checked yetcites [69] Yeoh, 2015, Interventions that restore awareness of hypoglycemia in adults with type 1 diabetes: a systematic review and meta-analysis, Diabetes Care source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“High levels of diabetes distress significantly impact medication-taking behaviors and are linked to higher A1C, lower self-efficacy, and poorer dietary and exercise behaviors (39,41,42).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > DIABETES DISTRESS
What the sources say
- Not checked yetcites [39] Fisher, 2012, When is diabetes distress clinically meaningful?, Establishing cut points for the Diabetes Distress Scale. Diabetes Care
- Not checked yetcites [41] Aikens, 2012, Prospective associations between emotional distress and poor outcomes in type 2 diabetes, Diabetes Care source
- Not checked yetcites [42] Fisher, 2013, REDEEM: a pragmatic trial to reduce diabetes distress, Diabetes Care source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Common diabetes-specific concerns include fears related to hyperglycemia (63,64), not meeting blood glucose targets (61), and insulin injections or infusion (65).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOLOGICAL COMORBIDITIES > Anxiety Disorders
What the sources say
- Not checked yetcites [63] Cox, 1987, Fear of hypoglycemia: quantification, validation, and utilization, Diabetes Care source
- Not checked yetcites [64] Wild, 2007, A critical review of the literature on fear of hypoglycemia in diabetes: Implications for diabetes management and patient education, Patient Educ Couns source
- Not checked yetcites [61] Smith, 2013, Association of diabetes with anxiety: a systematic review and meta-analysis, J Psychosom Res source
- Not checked yetcites [65] Zambanini, 1999, Injection related anxiety in insulin-treated diabetes, Diabetes Res Clin Pract source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Prevalence of clinically significant psychopathology in PWD ranges across diagnostic categories, and some diagnoses are considerably more common in PWD than in those without the disease (47–52).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOLOGICAL COMORBIDITIES
What the sources say
- Not checked yetcites [47] Anderson, 2001, The prevalence of comorbid depression in adults with diabetes: a meta-analysis, Diabetes Care source
- Not checked yetcites [48] McIntyre, 2005, Bipolar disorder and diabetes mellitus: epidemiology, etiology, and treatment implications, Ann Clin Psychiatry source
- Not checked yetcites [49] Mezuk, 2008, Depression and type 2 diabetes over the lifespan: a meta-analysis, Diabetes Care source
- Not checked yetcites [50] Anderson, 2002, Anxiety and poor glycemic control: a meta-analytic review of the literature, Int J Psychiatry Med source
- Not checked yetcites [51] Young-Hyman, 2010, Disordered eating behavior in individuals with diabetes: importance of context, evaluation, and classification, Diabetes Care source
- Not checked yetcites [52] Lawrence, 2006, Prevalence and correlates of depressed mood among youth with diabetes: the SEARCH for Diabetes in Youth study, Pediatrics source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“About one-third of adolescents with diabetes develop diabetes distress, which may be associated with declines in self-management behaviors and suboptimal blood glucose levels (44).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > DIABETES DISTRESS
What the sources say
- Not checked yetcites [44] Hagger, 2016, Diabetes distress among adolescents with type 1 diabetes: a systematic review, Curr Diab Rep source
Strength:hedged· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“the Behavioral Risk Factor Surveillance System estimated the lifetime prevalence of GAD to be 19.5% in people with either type 1 or type 2 diabetes (62).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOLOGICAL COMORBIDITIES > Anxiety Disorders
What the sources say
- Not checked yetcites [62] Li, 2008, Diabetes and anxiety in US adults: findings from the 2006 Behavioral Risk Factor Surveillance System, Diabet Med source
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Remission of depressive symptoms or disorder in adult patients suggests the need for ongoing monitoring of depression recurrence within the context of routine care (53).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOLOGICAL COMORBIDITIES > Depression
What the sources say
- Not checked yetcites [53] Lustman, 1988, Depression in adults with diabetes. Results of 5-yr follow-up study, Diabetes Care source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
None of the sources cited for this claim have been checked yet.
In the paper
“Diabetes distress is very common and is distinct from a psychological disorder (38–40).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > DIABETES DISTRESS
What the sources say
- Not checked yetcites [38] Nicolucci, 2013, Diabetes Attitudes, Wishes and Needs second study (DAWN2™): cross-national benchmarking of diabetes-related psychosocial outcomes for people with diabetes, Diabet Med source
- Not checked yetcites [39] Fisher, 2012, When is diabetes distress clinically meaningful?, Establishing cut points for the Diabetes Distress Scale. Diabetes Care
- Not checked yetcites [40] Fisher, 2010, The relationship between diabetes distress and clinical depression with glycemic control among patients with type 2 diabetes, Diabetes Care source
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None of the sources cited for this claim have been checked yet.
In the paper
“If FoH is identified and a person does not have symptoms of hypoglycemia, a structured program, Blood Glucose Awareness Training, delivered in routine clinical practice can improve A1C, reduce the rate of severe hypoglycemia, and restore hypoglycemia awareness (70,71).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOLOGICAL COMORBIDITIES > Anxiety Disorders
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Such improvements in disease state have been shown to reduce diabetes distress and improve psychological well-being (69,72,73).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOLOGICAL COMORBIDITIES > Anxiety Disorders
What the sources say
- Not checked yetcites [69] Yeoh, 2015, Interventions that restore awareness of hypoglycemia in adults with type 1 diabetes: a systematic review and meta-analysis, Diabetes Care source
- Not checked yetcites [72] Walz, 2014, Impact of symptomatic hyoglycemia on medication adherence, patients satisfaction with treatment, and glycemic control in patients with type 2 diabetes, Patient Prefer Adherence source
- Not checked yetcites [73] Lopez, 2014, Impact of hypoglycemia on patients with type 2 diabetes mellitus and their quality of life, work productivity, and medication adherence, Patient Prefer Adherence source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“General anxiety is a predictor of injection-related anxiety and associated with fear of hypoglycemia (FoH) (64,66).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOLOGICAL COMORBIDITIES > Anxiety Disorders
What the sources say
- Not checked yetcites [64] Wild, 2007, A critical review of the literature on fear of hypoglycemia in diabetes: Implications for diabetes management and patient education, Patient Educ Couns source
- Not checked yetcites [66] Mitsonis, 2009, Clinical implication of anxiety in diabetes: a critical review of the evidence base, Eur Psychiatry source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“Parents of children with type 1 diabetes are also prone to diabetes distress (45), which could impact their ability to provide psychological and diabetes management support for their child.”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > DIABETES DISTRESS
What the sources say
- Not checked yetcites [45] Hessler, 2016, Understanding the areas and correlates of diabetes-related distress in parents of teens with type 1 diabetes, J Pediatr Psychol source
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“Current medical nutrition therapy guidelines promote flexible and healthy eating patterns personalized to the individual rather than defining a wide range of behaviors as dietary “nonadherence” (37).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOSOCIAL ISSUES IMPACTING DIABETES SELF-MANAGEMENT
What the sources say
- Not checked yetcites [37] Evert, 2013, Nutrition therapy recommendations for the management of adults with diabetes
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Binge eating disorder has been found to be more likely in PWD than in the nondiabetes population, though studies of prevalence in specific diabetes samples show varying rates (77,83).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOLOGICAL COMORBIDITIES > Disordered Eating Behavior: Clinical and Subclinical
What the sources say
- Not checked yetcites [77] Papelbaum, 2005, Prevalence of eating disorders and psychiatric comorbidity in a clinical sample of type 2 diabetes mellitus patients, Rev Bras Psiquiatr source
- Not checked yetcites [83] Crow, 2001, Binge eating and other psychopathology in patients with type II diabetes mellitus, Int J Eat Disord source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Bariatric surgery supports weight loss in people with severe obesity, often with adjunctive remission of type 2 diabetes (129,130).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > PWD in Need of Special Considerations
What the sources say
- Not checked yetcites [129] Inge, 2016, Weight loss and health status 3 years after bariatric surgery in adolescents, N Engl J Med source
- Not checked yetcites [130] Keidar, 2011, Bariatric surgery for type 2 diabetes reversal: the risks
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“Teaching family members effective problem-solving and conflict-resolution skills can improve diabetes management and facilitate better glycemic management, with the potential to reduce diabetes distress (92).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > Youth and Emerging Adults
What the sources say
- Not checked yetcites [92] Wysocki, 2006, Effects of behavioral family systems therapy for diabetes on adolescents’ family relationships, treatment adherence, and metabolic control, J Pediatr Psychol source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Emerging technologies, such as phone and computer transmission of management data, can be useful in maintaining communication of information through nonconfrontational channels and may provide a means for youth to communicate directly with care providers as they transition to more independent self-management (100).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > Youth and Emerging Adults
What the sources say
- Not checked yetcites [100] Driscoll, 2014, Use of technology when assessing adherence to diabetes self-management behaviors
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“As people enter adulthood, establishment of a work role, intimate partnering, childbearing, and parenting are typical life tasks (7).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > Adults
What the sources say
- Not checked yetcites [7] Trief, 2012, Lifespan development issues for adults
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“For example, people with visual disability may benefit from materials that meet low-vision guidelines (128).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > PWD in Need of Special Considerations
What the sources say
- Not checked yetcites [128] American Association of Diabetes Educators (AADE), 2002, Diabetes education for people with disabilities, Diabetes Educ source
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“People presenting for bariatric surgery have increased rates of depression and other major psychiatric disorders compared with healthy people and are prone to clinically significant body image disorders, sexual dysfunction, and suicidal behavior (131).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > PWD in Need of Special Considerations
What the sources say
- Not checked yetcites [131] Kalarchian, 2007, Psychiatric disorders among bariatric surgery candidates: relationship to obesity and functional health status, Am J Psychiatry source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Chronic pain from neuropathy is associated with prevalent psychosocial distress, depression, and sleep disturbance (125,126).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > PWD in Need of Special Considerations
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“However, older adults may have issues particular to their age, such as advanced disease, cognitive dysfunction, complex treatment regimens, comorbid health conditions, functional impairment, limited social and financial resources, and depression (111).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > Older Adults
What the sources say
- Not checked yetcites [111] Kirkman, 2012, Diabetes in older adults
Load-bearingStrength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Adjunctive medication such as glucagon-like peptide 1 receptor agonists (86) may not only help individuals meet glycemic targets but also help regulate hunger and food intake, thus having the potential to reduce uncontrollable hunger and bulimic symptoms.”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > PSYCHOLOGICAL COMORBIDITIES > Disordered Eating Behavior: Clinical and Subclinical
What the sources say
- Not checked yetcites [86] Garber, 2012, Novel GLP-1 receptor agonists for diabetes, Expert Opin Investig Drugs source
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Diabetes complications, including peripheral neuropathy, foot ulcers, limb amputation, diabetic kidney disease, vision impairment, stroke, and heart attack, are associated with depression, anxiety, reduced autonomy, role impairment, and reduced overall physical function and quality of life (119–122).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > PWD in Need of Special Considerations
What the sources say
- Not checked yetcites [119] Vileikyte, 2009, Predictors of depressive symptoms in persons with diabetic peripheral neuropathy: a longitudinal study, Diabetologia source
- Not checked yetcites [120] Carrington, 1996, Psychological status of diabetic people with or without lower limb disability, Diabetes Res Clin Pract source
- Not checked yetcites [121] Palmer, 2013, Prevalence of depression in chronic kidney disease: systematic review and meta-analysis of observational studies, Kidney Int source
- Not checked yetcites [122] Cukor, 2008, Anxiety disorders in adults treated by hemodialysis: a single-center study, Am J Kidney Dis source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Preconception counseling for females during reproductive years increases knowledge about diabetes-related risk, delays age of sexual initiation, decreases unprotected sex, and improves preconception care and health (104,105).”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > LIFE COURSE CONSIDERATIONS > Youth and Emerging Adults
What the sources say
- Not checked yetcites [104] Sereika, 2014, Long-term effects of preconception counseling (PC) during adolescence on family planning vigilance (FPV) in adult women with type 1 diabetes (TID): 15 year follow-up, Diabetes
- Not checked yetcites [105] Charron-Prochownik, 2013, Long-term effects of the booster-enhanced READY-Girls preconception counseling program on intentions and behaviors for family planning in teens with diabetes, Diabetes Care source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Disease management cannot be successful unless the lifestyle and emotional status of the individual is taken into consideration.”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > CONCLUSIONS: PSYCHOSOCIAL CARE IN CONTEXT
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✗ Based: failsProbably not a substantial claim. The paper may give no reason why it holds.
- Rests on an assumption: People with diabetes must master many complex tasks and behaviors to incorporate diabetes care into daily life.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Collaborative care shows the most promise for supporting physical and behavioral health outcomes.”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > CONCLUSIONS: PSYCHOSOCIAL CARE IN CONTEXT
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✗ Based: failsProbably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Knowing how to evaluate and treat common psychosocial issues that impact PWD can inform routine care.”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > CONCLUSIONS: PSYCHOSOCIAL CARE IN CONTEXT
Tests✓ Asserted: passes✗ Checkable: fails✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. It may be too vague to check against evidence.
In the paper
“With changing laws mandating minimum standards and payment for diabetes care services (135) and the availability of low-cost insurance that also reimburses preventive services, this balance is changing, allowing the practitioner to incorporate previously unsupported services into routine practice.”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > CONCLUSIONS: PSYCHOSOCIAL CARE IN CONTEXT
What the sources say
- Not checked yetcites [135] Burge, 2014, Diabetes and the Affordable Care Act, Diabetes Technol Ther source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The integration of psychosocial care and ensuring access to services will benefit the PWD and the care team.”
§ Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association > CONCLUSIONS: PSYCHOSOCIAL CARE IN CONTEXT
Tests✓ Asserted: passes✗ Checkable: fails✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. It may be too vague to check against evidence. It may state two separate claims as one.
The paper relies on this without support.
Psychosocial factors shape the experience of living with type 1 or type 2 diabetes and the achievement of medical and psychological outcomes.
“Complex environmental, social, behavioral, and emotional factors, known as psychosocial factors, influence living with diabetes, both type 1 and type 2, and achieving satisfactory medical outcomes and psychological well-being.”
The paper relies on this without support.
Diabetes medical management depends on patients carrying out a treatment regimen.
“Medical management of diabetes requires patient implementation of a treatment regimen.”
The paper relies on this without support.
Combining mental and physical health care can improve outcomes.
“Integrating mental and physical health care can improve outcomes.”
The paper relies on this without support.
Shared resources like electronic health records, management data, and patient-reported information help providers identify and address psychosocial issues that hinder regimen implementation and improve diabetes management and well-being.
“Shared resources such as electronic health records, management data, and patient-reported information regarding adjustment to illness and life course issues facilitate providers’ capacity to identify and remediate psychosocial issues that impede regimen implementation and improve diabetes management and well-being.”
The paper relies on this without support.
Fear of hypoglycemia may account for avoidance of glucose-lowering behaviors such as increasing insulin doses or monitoring frequency.
“FoH may explain avoidance of behaviors associated with lowering glucose such as increasing insulin doses or frequency of monitoring.”
The paper relies on this without support.
OCD symptoms may reflect generalized anxiety or may be specific to diabetes.
“OCD symptoms can represent generalized anxiety or be diabetes specific,”
The paper relies on this without support.
Behavioral health provider support may be effective when difficulties persist.
“Support from a behavioral health provider may be effective when difficulties are persistent.”
The paper relies on this without support.
Confounders in identifying disordered eating symptoms include prescribed treatment behaviors, disease-related behaviors or effects, and adverse treatment effects like excessive hunger from hypoglycemia.
“Potential confounders to the identification of symptoms of disordered eating are behaviors that are prescribed as part of treatment (e.g., carbohydrate counting and calorie restriction), behaviors or effects that are part of the disease (e.g., loss of control over satiety regulation secondary to disease processes), and adverse effects of treatment such as excessive hunger secondary to hypoglycemia”
The paper relies on this without support.
Missed insulin injections from poor self-management are significantly different from deliberate medication omission for weight loss.
“For example, missed insulin injections as a result of suboptimal self-management differ significantly from intentional medication omission to produce weight loss.”
The paper relies on this without support.
Early detection of depression, anxiety, eating problems, and learning disabilities in youth broadens and improves treatment options and may reduce negative effects on diabetes management and outcomes.
“Given the rapid and dynamic nature of cognitive, developmental, and emotional changes in youth, early detection of depression, anxiety disorders, eating issues, and learning disabilities enhance the range and effectiveness of potential treatment options and may help to minimize adverse effects on diabetes management and disease outcomes.”
The paper relies on this without support.
Youth rely on social support systems (family and providers) and will eventually need to transition to independent diabetes self-management.
“Because youth are dependent on social support systems (family and care providers) and must eventually transition to independent diabetes self-management, their families and related social networks need to be included in psychosocial assessment and treatment (92–94).”
The paper relies on this without support.
Adolescence is known for disruptions in diabetes care and communication among family, youth, and providers.
“The adolescent years are known for disruption in diabetes care and communication between family members, youth, and providers.”
The paper relies on this without support.
Normal adolescent development includes greater independence in decision making and reliance on peers for self-concept and self-worth validation.
“Hallmarks of normal adolescence are increased independence in decision making and turning to the peer group for validation of self-concept and self-worth.”
The paper relies on this without support.
Open, factual discussions about sexual health make youth more comfortable disclosing sexual function concerns later.
“Open and factual discussions of these topics facilitate future comfort in disclosing any concerns regarding sexual function.”
The paper relies on this without support.
Attendance at diabetes care visits is typically less frequent in the 18- to 30-year-old age group.
“As less frequent attendance to diabetes care visits is typical in the 18- to 30-year-old age-group, screening regarding risk behaviors may be necessary at each visit.”
The paper relies on this without support.
Living with and self-managing diabetes is expected to affect all life-course decisions for people with diabetes and their partners.
“Living with and self-managing diabetes can be expected to impact all life-course decisions for PWD and their partners.”
The paper relies on this without support.
Sexual dysfunction is often linked to depression and is commonly reported in clinical encounters.
“Sexual dysfunction is often associated with depression and is routinely reported in clinical encounters (see depression).”
The paper relies on this without support.
Some older adults with diabetes are functional and cognitively intact with significant life expectancy and may not need psychosocial care beyond that of younger adults.
“Older adults with diabetes may be functional and cognitively intact and have significant life expectancy, and they may not require psychosocial care beyond that of younger adults.”
The paper relies on this without support.
Glycemic target achievement may be affected by unique nutritional needs, physical limitations such as reduced sensation, memory loss, and low literacy and numeracy.
“Meeting glycemic targets may be impacted by unique nutritional requirements, physical limitations (such as reduced sensation), memory loss, and low literacy and numeracy skills.”
The paper relies on this without support.
The onset of diabetes complications threatens independence, self-image, and quality of life.
“Onset of diabetes complications threatens independence, self-image, and quality of life.”
The paper relies on this without support.
People with diabetes must master many complex tasks and behaviors to incorporate diabetes care into daily life.
“PWD must master many complex tasks and behaviors to successfully incorporate diabetes care into daily life.”
The paper relies on this without support.
Challenges to achieving this standard of care are considerable, including too few qualified mental health professionals familiar with diabetes and medical care models unsuited to team care.
“Challenges to accomplishing this standard of care are considerable, including too few qualified mental health professionals who understand living with diabetes and medical care models that are not conducive to team care.”
The paper relies on this without support.
The recommended psychosocial services are reimbursable for mental health providers in routine medical care under CMS.
“The psychosocial services recommended are reimbursable for mental health providers in routine medical care under Centers for Medicare & Medicaid Services (CMS).”
The paper relies on this without support.
New CMS reimbursement is planned for the Collaborative Care Model in routine care.
“In addition, new CMS reimbursement is planned for the Collaborative Care Model in routine care.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“In its inaugural Position Statement on Psychosocial Care for People with Diabetes, the American Diabetes Association identified diabetes self-management education and ongoing support (DSME/S) as the first-line intervention for DD (29).”
From Addressing emotional distress to improve outcomes in adults with type 1 diabetes: Protocol for ACT1VATE randomized controlled trial (2024) · cites this paper as [29]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Diabetes Canada, along with the American Diabetes Association and the International Society for Pediatric and Adolescent Diabetes, recognized the burdens and complexity of efforts required to manage diabetes and suggested psychosocial support be a standard part of diabetes care (4”
From Life With Diabetes Does Not Occur in a Vacuum: Considering Mental Health (2022) · cites this paper as [4]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“People with diabetes are also more likely to exhibit depression, anxiety, serious mental illness, disordered eating, stress- and trauma-related disorders and sleep disorders, compared with those without diabetes (2–4”
From Life With Diabetes Does Not Occur in a Vacuum: Considering Mental Health (2022) · cites this paper as [4]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Thus, these multifaceted domains (heterogeneity across individual characteristics, social determinants of health, and psychosocial factors) challenge individuals with diabetes, their families, and their providers when attempting to integrate diabetes care into daily life (49).”
In the citing paper
“several clinical guidelines underscore the importance of applying information about patients’ social risk (e.g., information about housing or incarceration status) to inform care decisions, such as when to test for tuberculosis or offer specific vaccinations. 46 , 47 , 48”
From Revising the logic model behind health care's social care investments (2024) · cites this paper as [48]
In the citing paper
“Building positive health behaviors and maintaining psychological well-being are foundational for achieving diabetes treatment goals and maximizing quality of life (1,2).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [1]
In the citing paper
“Standardized, validated, age-appropriate tools for psychosocial monitoring and screening can also be used (1).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [1]
In the citing paper
“Other common sources of diabetes-related anxiety include not meeting blood glucose targets (373), insulin injections or infusion (377), and onset of complications (1).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [1]
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Metadata
- Authors
- Young-Hyman, D., de Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., & Peyrot, M.
- Affiliations
- National Institutes of Health (US)
- Indiana University School of Medicine, Indianapolis, IN
- Johns Hopkins School of Medicine, Baltimore, MD
- Albert Einstein College of Medicine (US)
- Stanford University (US)
- Loyola University Maryland (US)
- Corresponding author
- Young-Hyman, Deborah
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2016-11-10
- Volume
- 39
- Issue
- 12
- Pages
- 2126-2140
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC5127231
- OpenAlex
- W2556561633
- Cited by
- 1,072
- References
- 130
- Citations by year
- 2026: 94 · 2025: 108 · 2024: 106 · 2023: 100 · 2022: 135 · 2021: 157 · 2020: 132 · 2019: 96 · 2018: 74 · 2017: 59 · 2016: 9
- FWCI
- 11.65
- Type
- journal article
- Language
- en
- Update notices
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly and Company
- AstraZeneca
- GlaxoSmithKline
- Bigfoot Biomedical
- Dexcom
- Novo Nordisk
- National Institutes of Health
- Genentech
- National Institute of Diabetes and Digestive and Kidney Diseases (R18DK098742, R01DK104845, R18DK092765, P30DK020541, P30DK097512, P30DK111022)
- 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 › Oncology › Cancer survivorship and care
- Keywords
- psychosocial care, diabetes mellitus, type 1 diabetes, type 2 diabetes, diabetes distress, depression, anxiety, disordered eating, psychological comorbidity, patient-centered care, psychosocial screening, self-management behavior, family caregivers, health-related quality of life, special populations, patient values and preferences
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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