To what extent is the elevated risk of psychological distress in people with diabetes accounted for by physical disability? Findings from a large population-based study

BMJ Open
Elza ElmiraGrace Joshy

Abstract

People with diabetes experience an elevated risk of psychological distress compared with people without diabetes. It is unclear how much of this elevated risk is attributable to the greater levels of physical disability in people with diabetes, and how this risk varies according to sociodemographic and health-behavioural characteristics. This study quantified levels of psychological distress in people with and without diabetes, considering these factors. Cross-sectional analysis of questionnaire data. Men and women aged ≥45 years, in the 45 and Up Study, from New South Wales, Australia. 236 441 people who completed the baseline postal questionnaire (distributed from 1 January 2006-31 December 2008), with valid data for diabetes status and psychological distress. High psychological distress (Kessler-10 >22). Modified Poisson regression with robust error variance was used to estimate prevalence ratios (PRs), comparing prevalence of high psychological distress among those with and without diabetes and across physical functional limitation (PFL) levels, adjusting for potential confounders. Overall, 8.4% (19 803/236 441) of participants reported diabetes. 11.8% (2339) of individuals with diabetes and 7.2% (15 664) without diabetes h...Continue Reading

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Citations

Apr 27, 2021·Ophthalmic Epidemiology·Elizabeth A LundeenJinan Saaddine

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