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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Korean Diabetes Association
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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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