Ethnic aspects of emotional distress in patients with diabetes

The Amsterdam Health Monitor Study

F. Pouwer, H.A. Wijnhoven, J.K. Ujcic-Voortman, M. de Wit, M.T. Schram, C.A. Baan, F.J. Snoek

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Aims
Depression and anxiety are relatively common in patients with diabetes, but it is unclear whether migrant patients with diabetes are at increased risk for emotional distress. We determined levels of emotional distress in patients with diabetes with a Turkish, Moroccan or Dutch ethnic background and compare distress levels with healthy control subjects. Among patients with diabetes, we examined demographic and clinical correlates of higher levels of emotional distress.
Methods
Cross-sectional data were collected within the framework of the population-based Amsterdam Health Monitor Survey. Adult participants were interviewed to assess demographics, presence of chronic disease(s) and ethnic background. Emotional distress was determined with the Kessler psychological distress scale. Blood was drawn to determine HbA1c, glucose, HDL and total cholesterol. Anthropometrics and blood pressure were assessed during a medical examination.
Results
The total sample comprised of 1736 participants. The prevalence of emotional distress was significantly higher in participants with diabetes (31%) compared with healthy participants (19%). Increased levels of emotional distress were reported by 38% of the Turkish, 35% of the native Dutch and 29% of the Moroccan patients with diabetes. Among patients with diabetes, the presence of two or more co-morbid chronic diseases was most strongly associated with higher levels of emotional distress, whereas glycaemic control, cholesterol, blood pressure or waist circumference were not.
Conclusions
Emotional distress affects approximately one third of adult patients with diabetes living in Amsterdam. Having multiple co-morbid diseases seems related to more emotional distress among these patients, while ethnicity and diabetes-related characteristics are not.
Original languageEnglish
Pages (from-to)e25-e31
JournalDiabetic Medicine: Journal of Diabetes UK
Volume30
Issue number1
DOIs
Publication statusPublished - 2013

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Pouwer, F. ; Wijnhoven, H.A. ; Ujcic-Voortman, J.K. ; de Wit, M. ; Schram, M.T. ; Baan, C.A. ; Snoek, F.J. / Ethnic aspects of emotional distress in patients with diabetes : The Amsterdam Health Monitor Study. In: Diabetic Medicine: Journal of Diabetes UK. 2013 ; Vol. 30, No. 1. pp. e25-e31.
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title = "Ethnic aspects of emotional distress in patients with diabetes: The Amsterdam Health Monitor Study",
abstract = "AimsDepression and anxiety are relatively common in patients with diabetes, but it is unclear whether migrant patients with diabetes are at increased risk for emotional distress. We determined levels of emotional distress in patients with diabetes with a Turkish, Moroccan or Dutch ethnic background and compare distress levels with healthy control subjects. Among patients with diabetes, we examined demographic and clinical correlates of higher levels of emotional distress.MethodsCross-sectional data were collected within the framework of the population-based Amsterdam Health Monitor Survey. Adult participants were interviewed to assess demographics, presence of chronic disease(s) and ethnic background. Emotional distress was determined with the Kessler psychological distress scale. Blood was drawn to determine HbA1c, glucose, HDL and total cholesterol. Anthropometrics and blood pressure were assessed during a medical examination.ResultsThe total sample comprised of 1736 participants. The prevalence of emotional distress was significantly higher in participants with diabetes (31{\%}) compared with healthy participants (19{\%}). Increased levels of emotional distress were reported by 38{\%} of the Turkish, 35{\%} of the native Dutch and 29{\%} of the Moroccan patients with diabetes. Among patients with diabetes, the presence of two or more co-morbid chronic diseases was most strongly associated with higher levels of emotional distress, whereas glycaemic control, cholesterol, blood pressure or waist circumference were not.ConclusionsEmotional distress affects approximately one third of adult patients with diabetes living in Amsterdam. Having multiple co-morbid diseases seems related to more emotional distress among these patients, while ethnicity and diabetes-related characteristics are not.",
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Ethnic aspects of emotional distress in patients with diabetes : The Amsterdam Health Monitor Study. / Pouwer, F.; Wijnhoven, H.A.; Ujcic-Voortman, J.K.; de Wit, M.; Schram, M.T.; Baan, C.A.; Snoek, F.J.

In: Diabetic Medicine: Journal of Diabetes UK, Vol. 30, No. 1, 2013, p. e25-e31.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Ethnic aspects of emotional distress in patients with diabetes

T2 - The Amsterdam Health Monitor Study

AU - Pouwer, F.

AU - Wijnhoven, H.A.

AU - Ujcic-Voortman, J.K.

AU - de Wit, M.

AU - Schram, M.T.

AU - Baan, C.A.

AU - Snoek, F.J.

N1 - >2000 woorden

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N2 - AimsDepression and anxiety are relatively common in patients with diabetes, but it is unclear whether migrant patients with diabetes are at increased risk for emotional distress. We determined levels of emotional distress in patients with diabetes with a Turkish, Moroccan or Dutch ethnic background and compare distress levels with healthy control subjects. Among patients with diabetes, we examined demographic and clinical correlates of higher levels of emotional distress.MethodsCross-sectional data were collected within the framework of the population-based Amsterdam Health Monitor Survey. Adult participants were interviewed to assess demographics, presence of chronic disease(s) and ethnic background. Emotional distress was determined with the Kessler psychological distress scale. Blood was drawn to determine HbA1c, glucose, HDL and total cholesterol. Anthropometrics and blood pressure were assessed during a medical examination.ResultsThe total sample comprised of 1736 participants. The prevalence of emotional distress was significantly higher in participants with diabetes (31%) compared with healthy participants (19%). Increased levels of emotional distress were reported by 38% of the Turkish, 35% of the native Dutch and 29% of the Moroccan patients with diabetes. Among patients with diabetes, the presence of two or more co-morbid chronic diseases was most strongly associated with higher levels of emotional distress, whereas glycaemic control, cholesterol, blood pressure or waist circumference were not.ConclusionsEmotional distress affects approximately one third of adult patients with diabetes living in Amsterdam. Having multiple co-morbid diseases seems related to more emotional distress among these patients, while ethnicity and diabetes-related characteristics are not.

AB - AimsDepression and anxiety are relatively common in patients with diabetes, but it is unclear whether migrant patients with diabetes are at increased risk for emotional distress. We determined levels of emotional distress in patients with diabetes with a Turkish, Moroccan or Dutch ethnic background and compare distress levels with healthy control subjects. Among patients with diabetes, we examined demographic and clinical correlates of higher levels of emotional distress.MethodsCross-sectional data were collected within the framework of the population-based Amsterdam Health Monitor Survey. Adult participants were interviewed to assess demographics, presence of chronic disease(s) and ethnic background. Emotional distress was determined with the Kessler psychological distress scale. Blood was drawn to determine HbA1c, glucose, HDL and total cholesterol. Anthropometrics and blood pressure were assessed during a medical examination.ResultsThe total sample comprised of 1736 participants. The prevalence of emotional distress was significantly higher in participants with diabetes (31%) compared with healthy participants (19%). Increased levels of emotional distress were reported by 38% of the Turkish, 35% of the native Dutch and 29% of the Moroccan patients with diabetes. Among patients with diabetes, the presence of two or more co-morbid chronic diseases was most strongly associated with higher levels of emotional distress, whereas glycaemic control, cholesterol, blood pressure or waist circumference were not.ConclusionsEmotional distress affects approximately one third of adult patients with diabetes living in Amsterdam. Having multiple co-morbid diseases seems related to more emotional distress among these patients, while ethnicity and diabetes-related characteristics are not.

U2 - 10.1111/dme.12031

DO - 10.1111/dme.12031

M3 - Article

VL - 30

SP - e25-e31

JO - Diabetic Medicine: Journal of the British Diabetic Association

JF - Diabetic Medicine: Journal of the British Diabetic Association

SN - 0742-3071

IS - 1

ER -