Evaluation of Stress in Korean Patients with Diabetes Mellitus Using the Problem Areas in Diabetes-Korea Questionnaire

BackgroundIt is known that diabetes and stress are directly or indirectly related, and that it is important to evaluate stress in patients with diabetes. The relationship between Korean diabetics and diabetes-related stress has never been reported. The objective of this study was to develop a stress...

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Main Authors: Young Sil Eom, Hwa Sun Park, Sei-Hyun Kim, Sun Mee Yang, Moon Suk Nam, Hyoung Woo Lee, Ki Young Lee, Sihoon Lee, Yeun Sun Kim, Ie Byung Park
Format: Article
Language:English
Published: Korean Diabetes Association 2011-04-01
Series:Diabetes & Metabolism Journal
Subjects:
Online Access:http://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-35-182.pdf
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spelling doaj-9c4fc7762d884645a66db3a06f1fc4892020-11-24T21:27:44ZengKorean Diabetes AssociationDiabetes & Metabolism Journal2233-60792233-60872011-04-0135218218710.4093/dmj.2011.35.2.1822758Evaluation of Stress in Korean Patients with Diabetes Mellitus Using the Problem Areas in Diabetes-Korea QuestionnaireYoung Sil EomHwa Sun ParkSei-Hyun KimSun Mee YangMoon Suk NamHyoung Woo LeeKi Young LeeSihoon LeeYeun Sun KimIe Byung ParkBackgroundIt is known that diabetes and stress are directly or indirectly related, and that it is important to evaluate stress in patients with diabetes. The relationship between Korean diabetics and diabetes-related stress has never been reported. The objective of this study was to develop a stress questionnaire suitable for use with Korean diabetics and to evaluate its utility.MethodsThis study subjects were 307 Korean diabetics, aged 40 to 74 years old, who visited the Department of Endocrinology and Metabolism at Gachon University Gil Hospital, Yeungnam University Medical Center, and Inha University Hospital in Korea between March 2006 and February 2008. We developed a Korean version of Polonsky's Problem Areas in Diabetes (PAID) stress questionnaire (PAID-K) and used it to assess degrees of stress in our sample of Korean patients. We evaluated the utility of the questionnaire and analyzed the relationships between clinical characteristics of the study subjects and degrees of stress.ResultsCronbach's alpha for PAID-K was 0.95, and PAID-K scores were significantly correlated with Hypoglycemia Fear Survey scores (r=0.44, P<0.05) and State Trait Anxiety Inventory-6 scores (r=0.21, P<0.05). PAID-K scores were significantly higher in patients with longer durations of diabetes, patients using insulin, and female patients (P=0.02, P=0.038, and P=0.001, respectively). The score also tended to increase as HbA1c levels increased, except for very high HbA1c levels (above 11%) (P for trend<0.05).ConclusionWe developed the PAID-K questionnaire and demonstrated its utility to evaluate levels of stress in diabetic patients in Korea.http://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-35-182.pdfDiabetes mellitus, type 2KoreanPsychologic stress
collection DOAJ
language English
format Article
sources DOAJ
author Young Sil Eom
Hwa Sun Park
Sei-Hyun Kim
Sun Mee Yang
Moon Suk Nam
Hyoung Woo Lee
Ki Young Lee
Sihoon Lee
Yeun Sun Kim
Ie Byung Park
spellingShingle Young Sil Eom
Hwa Sun Park
Sei-Hyun Kim
Sun Mee Yang
Moon Suk Nam
Hyoung Woo Lee
Ki Young Lee
Sihoon Lee
Yeun Sun Kim
Ie Byung Park
Evaluation of Stress in Korean Patients with Diabetes Mellitus Using the Problem Areas in Diabetes-Korea Questionnaire
Diabetes & Metabolism Journal
Diabetes mellitus, type 2
Korean
Psychologic stress
author_facet Young Sil Eom
Hwa Sun Park
Sei-Hyun Kim
Sun Mee Yang
Moon Suk Nam
Hyoung Woo Lee
Ki Young Lee
Sihoon Lee
Yeun Sun Kim
Ie Byung Park
author_sort Young Sil Eom
title Evaluation of Stress in Korean Patients with Diabetes Mellitus Using the Problem Areas in Diabetes-Korea Questionnaire
title_short Evaluation of Stress in Korean Patients with Diabetes Mellitus Using the Problem Areas in Diabetes-Korea Questionnaire
title_full Evaluation of Stress in Korean Patients with Diabetes Mellitus Using the Problem Areas in Diabetes-Korea Questionnaire
title_fullStr Evaluation of Stress in Korean Patients with Diabetes Mellitus Using the Problem Areas in Diabetes-Korea Questionnaire
title_full_unstemmed Evaluation of Stress in Korean Patients with Diabetes Mellitus Using the Problem Areas in Diabetes-Korea Questionnaire
title_sort evaluation of stress in korean patients with diabetes mellitus using the problem areas in diabetes-korea questionnaire
publisher Korean Diabetes Association
series Diabetes & Metabolism Journal
issn 2233-6079
2233-6087
publishDate 2011-04-01
description BackgroundIt is known that diabetes and stress are directly or indirectly related, and that it is important to evaluate stress in patients with diabetes. The relationship between Korean diabetics and diabetes-related stress has never been reported. The objective of this study was to develop a stress questionnaire suitable for use with Korean diabetics and to evaluate its utility.MethodsThis study subjects were 307 Korean diabetics, aged 40 to 74 years old, who visited the Department of Endocrinology and Metabolism at Gachon University Gil Hospital, Yeungnam University Medical Center, and Inha University Hospital in Korea between March 2006 and February 2008. We developed a Korean version of Polonsky's Problem Areas in Diabetes (PAID) stress questionnaire (PAID-K) and used it to assess degrees of stress in our sample of Korean patients. We evaluated the utility of the questionnaire and analyzed the relationships between clinical characteristics of the study subjects and degrees of stress.ResultsCronbach's alpha for PAID-K was 0.95, and PAID-K scores were significantly correlated with Hypoglycemia Fear Survey scores (r=0.44, P<0.05) and State Trait Anxiety Inventory-6 scores (r=0.21, P<0.05). PAID-K scores were significantly higher in patients with longer durations of diabetes, patients using insulin, and female patients (P=0.02, P=0.038, and P=0.001, respectively). The score also tended to increase as HbA1c levels increased, except for very high HbA1c levels (above 11%) (P for trend<0.05).ConclusionWe developed the PAID-K questionnaire and demonstrated its utility to evaluate levels of stress in diabetic patients in Korea.
topic Diabetes mellitus, type 2
Korean
Psychologic stress
url http://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-35-182.pdf
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