Impact of diabetic retinopathy on patients' beliefs about diabetes

Clinical & Experimental Optometry : Journal of the Australian Optometrical Association
Gwyn ReesEcosse L Lamoureux

Abstract

The aim was to compare beliefs about diabetes and determine their associations with psychological well-being, self-management behaviour and glycaemic control in those with and without diabetic retinopathy (DR). We recruited 400 patients with diabetes aged 18 years or more from specialised eye clinics, as part of the Diabetes Management Project (DMP). Two-field retinal photographs were taken to assess DR and detailed clinical and psychological well-being examinations were performed following standardised procedures. Glycaemic control was determined using glycated haemoglobin levels. We assessed beliefs about diabetes (diabetes-specific version of the Revised Illness Perception Questionnaire [IPQ-R]), self-management behaviour (Summary of Diabetes Self Care Activities [SDSCA]) questionnaire) and depression and anxiety (the Hospital Anxiety and Depression Scale [HADS]). Patients with DR (n = 256, 64 per cent) believed that they experienced more symptoms related to their diabetes, that diabetes had a greater impact on their life and that this condition was more unpredictable compared with those without DR (p < 0.05 for all). Patients with DR were also more engaged in glucose testing compared with those without DR. Furthermore, nega...Continue Reading

References

Nov 23, 2000·Archives of Internal Medicine·P S CiechanowskiJ E Russo
Aug 4, 2001·Psychosomatic Medicine·M de GrootP J Lustman
Aug 14, 2003·Health and Quality of Life Outcomes·R Philip Snaith
Jan 14, 2004·Archives of Ophthalmology·Ecosse L LamoureuxJill E Keeffe
Feb 4, 2010·Ophthalmology·Ecosse L LamoureuxTien Y Wong
Oct 14, 2010·The British Journal of Ophthalmology·E K FenwickE L Lamoureux

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Citations

Aug 20, 2014·Journal of Diabetes Research·Anna PraidouStavros Dimitrakos
May 19, 2012·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Nathan Efron, Erica Fletcher
Sep 16, 2016·Endocrine·Marina TrentoUNKNOWN EUROCONDOR trial investigators
Jun 23, 2020·Journal of Diabetes Research·Ebaa Al-OzairiKhalida Ismail

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