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Evaluation of glycemic control, quality of life and psychological characteristics in patients with type 1 diabetes mellitus

https://doi.org/10.14341/DM2013458-65

Abstract

Aim.
To identify psychological characteristics associated with better glycemic control and higher quality of life (QoL) in patients with type 1 diabetes mellitus (T1DM).
Materials and Methods.
 The study included 140 T1DM patients (47 males) aged 18 to 28 years. Assessment of the QoL and associated emotional state (ES) was performed by validated localized questionnaires, supplemented with the inventories for evaluation of psychological characteristics. Based on the acquired data we performed a trilateral analysis of glycemic control, QoL and ES, followed by testing of these parameters for correlation with certain psychological characteristics, including disease attitude, mindfulness, self-attitude and self-assessment, coping strategies, autoregulation parameters and the locus of control.
Results.
 In the studied sample, better glycemic control was associated with higher QoL and more favourable ES. We also identified several psychological characteristics associated with an improvement in all three primary parameters, namely: higher level of mindfulness, internal locus of control and ergopathic attitude.
Conclusion.
 The diagnostic inventory for QoL and ES evaluation used in the present study may be helpful for psychological testing in patients with T1DM.

About the Authors

Yuliya Andreevna Shishkova
Endocrinology Research Centre, Moscow
Russian Federation
Postgraduate student in the Diabetic education and treatment department


Oleg Gennad'evich Motovilin
Endocrinology Research Centre, Moscow
Russian Federation
PhD, Associate Professor, Leading Researcher in the Diabetic education and treatment department


Elena Viktorovna Surkova
Endocrinology Research Centre, Moscow
Russian Federation
MD, PhD, Leading Researcher in the Diabetic education and treatment department


Alexander Yur'evich Mayorov
Endocrinology Research Centre, Moscow
Russian Federation
MD, PhD, Head of the Diabetic education and treatment department


References

1. Redekop WK, Koopmanschap MA, Stolk RP, Rutten GEHM, Wolffenbuttel BHR, Niessen LW. Health-Related Quality of Life and Treatment Satisfaction in Dutch Patients With Type 2 Diabetes. Diabetes Care. 2002;25(3):458–463.

2. DOI: 10.2337/diacare.25.3.458

3. Stojanović J, Milosević D, Antović I, Sekulić G, Beljić-Zivković T. Different insulin treatment regimens in patient with diabetes mellitus type 1: effects on quality of life. Vojnosanitetski Pregled. 2012; 69(7): 569–575.

4. DOI: 10.2298/VSP101216018S

5. Hanestad BR, Albrektsen G. Quality of Life, Perceived Difficulties in Adherence to a Diabetes Regimen, and Blood Glucose Control. Diabetic Medicine. 1991;8(8):759–764.

6. DOI: 10.1111/j.1464-5491.1991.tb01696.x

7. Wikblad K, Leksell J, Wibell L. Health-related quality of life in relation to metabolic control and late complications in patients with insulin dependent diabetes mellitus. Quality of Life Research. 1996;5(1):123–130.

8. DOI: 10.1007/BF00435977

9. Anderson RM, Fitzgerald JT, Wisdom K, Davis WK, Hiss RG. A Comparison of Global Versus Disease-Specific Quality-of-Life Measures in Patients With NIDDM. Diabetes Care. 1997;20(3):299–305.

10. DOI: 10.2337/diacare.20.3.299

11. Hanestad BR, Graue M. To maintain quality of life and satisfactory metabolic control in Type 2 diabetic Patients. Quality of Life Research. 1995; (4): 436–437.


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For citations:


Shishkova Yu.A., Motovilin O.G., Surkova E.V., Mayorov A.Yu. Evaluation of glycemic control, quality of life and psychological characteristics in patients with type 1 diabetes mellitus. Diabetes mellitus. 2013;16(4):58-65. https://doi.org/10.14341/DM2013458-65

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ISSN 2072-0351 (Print)
ISSN 2072-0378 (Online)