The association of psychological factors, physical activity, neuropathy, and quality of life in type 2 diabetes

Deborah Chyun, Gail D'Eramo Melkus, Deborah M. Katten, Wendie J. Price, Janice A. Davey, Neil Grey, Gary Heller, Frans J Th Wackers

Research output: Contribution to journalArticle

Abstract

The objective of this study was to determine the relationship of sociodemographics; diabetes-related factors, including diabetes-related microvascular complications; cardiac risk factors; and psychological factors with quality of life (QOL). Participants enrolled at three sites in the Detection of Ischemia in Asymptomatic Diabetics (DIAD) study were invited to participate in this ancillary study. Questionnaires assessing psychological factors were completed by participants, and the remainder of the data was obtained as part of the DIAD study. Many participants had elevated levels of anxiety (n = 91; 82%), depressive symptoms (n = 16; 14%), anger (n = 38; 34%), and hostility (n = 17; 17%). Results of multivariate analyses conducted for each of the eight domains on the Medical Outcomes Study Short Form-36 and two Diabetes Quality of Life domains demonstrated that in the majority of models (42% to 68% of the variance explained), female sex, peripheral or autonomic neuropathy, physical inactivity, higher body mass index, and the presence of depressive symptoms and anxiety were associated with poorer QOL (p =.0001). These findings demonstrate that anxiety, depressive symptoms, and neuropathy are prevalent in older adults with type 2 diabetes. In addition, potentially important correlations were demonstrated between psychological factors, neuropathy, body mass index, and physical inactivity.

Original languageEnglish (US)
Pages (from-to)279-288
Number of pages10
JournalBiological Research for Nursing
Volume7
Issue number4
DOIs
StatePublished - Apr 2006

Fingerprint

Type 2 Diabetes Mellitus
Anxiety
Quality of Life
Depression
Psychology
Body Mass Index
Ischemia
Hostility
Anger
Diabetes Complications
Multivariate Analysis
Outcome Assessment (Health Care)
Surveys and Questionnaires

Keywords

  • Neuropathy
  • Physical activity
  • Psychological factors
  • Quality of life
  • Type 2 diabetes

ASJC Scopus subject areas

  • Research and Theory

Cite this

The association of psychological factors, physical activity, neuropathy, and quality of life in type 2 diabetes. / Chyun, Deborah; D'Eramo Melkus, Gail; Katten, Deborah M.; Price, Wendie J.; Davey, Janice A.; Grey, Neil; Heller, Gary; Wackers, Frans J Th.

In: Biological Research for Nursing, Vol. 7, No. 4, 04.2006, p. 279-288.

Research output: Contribution to journalArticle

Chyun, Deborah ; D'Eramo Melkus, Gail ; Katten, Deborah M. ; Price, Wendie J. ; Davey, Janice A. ; Grey, Neil ; Heller, Gary ; Wackers, Frans J Th. / The association of psychological factors, physical activity, neuropathy, and quality of life in type 2 diabetes. In: Biological Research for Nursing. 2006 ; Vol. 7, No. 4. pp. 279-288.
@article{9f6c7739c33942259118319c180c0661,
title = "The association of psychological factors, physical activity, neuropathy, and quality of life in type 2 diabetes",
abstract = "The objective of this study was to determine the relationship of sociodemographics; diabetes-related factors, including diabetes-related microvascular complications; cardiac risk factors; and psychological factors with quality of life (QOL). Participants enrolled at three sites in the Detection of Ischemia in Asymptomatic Diabetics (DIAD) study were invited to participate in this ancillary study. Questionnaires assessing psychological factors were completed by participants, and the remainder of the data was obtained as part of the DIAD study. Many participants had elevated levels of anxiety (n = 91; 82{\%}), depressive symptoms (n = 16; 14{\%}), anger (n = 38; 34{\%}), and hostility (n = 17; 17{\%}). Results of multivariate analyses conducted for each of the eight domains on the Medical Outcomes Study Short Form-36 and two Diabetes Quality of Life domains demonstrated that in the majority of models (42{\%} to 68{\%} of the variance explained), female sex, peripheral or autonomic neuropathy, physical inactivity, higher body mass index, and the presence of depressive symptoms and anxiety were associated with poorer QOL (p =.0001). These findings demonstrate that anxiety, depressive symptoms, and neuropathy are prevalent in older adults with type 2 diabetes. In addition, potentially important correlations were demonstrated between psychological factors, neuropathy, body mass index, and physical inactivity.",
keywords = "Neuropathy, Physical activity, Psychological factors, Quality of life, Type 2 diabetes",
author = "Deborah Chyun and {D'Eramo Melkus}, Gail and Katten, {Deborah M.} and Price, {Wendie J.} and Davey, {Janice A.} and Neil Grey and Gary Heller and Wackers, {Frans J Th}",
year = "2006",
month = "4",
doi = "10.1177/1099800405285748",
language = "English (US)",
volume = "7",
pages = "279--288",
journal = "Biological Research for Nursing",
issn = "1099-8004",
publisher = "SAGE Publications Inc.",
number = "4",

}

TY - JOUR

T1 - The association of psychological factors, physical activity, neuropathy, and quality of life in type 2 diabetes

AU - Chyun, Deborah

AU - D'Eramo Melkus, Gail

AU - Katten, Deborah M.

AU - Price, Wendie J.

AU - Davey, Janice A.

AU - Grey, Neil

AU - Heller, Gary

AU - Wackers, Frans J Th

PY - 2006/4

Y1 - 2006/4

N2 - The objective of this study was to determine the relationship of sociodemographics; diabetes-related factors, including diabetes-related microvascular complications; cardiac risk factors; and psychological factors with quality of life (QOL). Participants enrolled at three sites in the Detection of Ischemia in Asymptomatic Diabetics (DIAD) study were invited to participate in this ancillary study. Questionnaires assessing psychological factors were completed by participants, and the remainder of the data was obtained as part of the DIAD study. Many participants had elevated levels of anxiety (n = 91; 82%), depressive symptoms (n = 16; 14%), anger (n = 38; 34%), and hostility (n = 17; 17%). Results of multivariate analyses conducted for each of the eight domains on the Medical Outcomes Study Short Form-36 and two Diabetes Quality of Life domains demonstrated that in the majority of models (42% to 68% of the variance explained), female sex, peripheral or autonomic neuropathy, physical inactivity, higher body mass index, and the presence of depressive symptoms and anxiety were associated with poorer QOL (p =.0001). These findings demonstrate that anxiety, depressive symptoms, and neuropathy are prevalent in older adults with type 2 diabetes. In addition, potentially important correlations were demonstrated between psychological factors, neuropathy, body mass index, and physical inactivity.

AB - The objective of this study was to determine the relationship of sociodemographics; diabetes-related factors, including diabetes-related microvascular complications; cardiac risk factors; and psychological factors with quality of life (QOL). Participants enrolled at three sites in the Detection of Ischemia in Asymptomatic Diabetics (DIAD) study were invited to participate in this ancillary study. Questionnaires assessing psychological factors were completed by participants, and the remainder of the data was obtained as part of the DIAD study. Many participants had elevated levels of anxiety (n = 91; 82%), depressive symptoms (n = 16; 14%), anger (n = 38; 34%), and hostility (n = 17; 17%). Results of multivariate analyses conducted for each of the eight domains on the Medical Outcomes Study Short Form-36 and two Diabetes Quality of Life domains demonstrated that in the majority of models (42% to 68% of the variance explained), female sex, peripheral or autonomic neuropathy, physical inactivity, higher body mass index, and the presence of depressive symptoms and anxiety were associated with poorer QOL (p =.0001). These findings demonstrate that anxiety, depressive symptoms, and neuropathy are prevalent in older adults with type 2 diabetes. In addition, potentially important correlations were demonstrated between psychological factors, neuropathy, body mass index, and physical inactivity.

KW - Neuropathy

KW - Physical activity

KW - Psychological factors

KW - Quality of life

KW - Type 2 diabetes

UR - http://www.scopus.com/inward/record.url?scp=33646439907&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33646439907&partnerID=8YFLogxK

U2 - 10.1177/1099800405285748

DO - 10.1177/1099800405285748

M3 - Article

C2 - 16581898

AN - SCOPUS:33646439907

VL - 7

SP - 279

EP - 288

JO - Biological Research for Nursing

JF - Biological Research for Nursing

SN - 1099-8004

IS - 4

ER -