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Sanatkar S, Baldwin P, Clarke J, Fletcher S, Gunn J, Wilhelm K, Campbell L, Zwar N, Harris M, Lapsley H, Hadzi-Pavlovic D, Christensen H, Proudfoot J. The influence of personality on trajectories of distress, health and functioning in mild-to-moderately depressed adults with type 2 diabetes. PSYCHOL HEALTH MED 2019; 25:296-308. [PMID: 31537118 DOI: 10.1080/13548506.2019.1668567] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Identification of mental health risk is important for optimising diabetes care in type 2 diabetes mellitus (T2DM). Personality is linked to diabetes health and may assist detection of individuals with T2DM most at risk of chronic mental health difficulties. This study examined the moderator effect of personality factors on changes in psychological distress and functioning in adults with T2DM and mild-to-moderate depressive symptoms across a 12-month period. Data were obtained from participants in a randomised controlled trial of adults with T2DM. Participants completed measures of depression (Patient Health Questionnaire-9), anxiety (General Anxiety Disorder-7), general functioning (Work and Social Adjustment Scale), diabetes distress (Diabetes Distress Scale), and diabetes self-management (Self-Management Profile for Type 2 Diabetes) at baseline, 3-, 6- and 12-months. Glycaemic control (HbA1c) was measured at baseline, 6- and 12-months. Two hundred trial completers agreed to complete a personality inventory (Big Five Inventory). Low neuroticism was linked with reduced depression, anxiety, functional impairment and diabetes distress over the year. High extraversion was associated with decreased anxiety and functional impairment. High conscientiousness was linked to increased healthy eating. No personality trait moderated HbA1c levels. Personality screening may help identify mental health risk and guide medical carer approach in T2DM patients.
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Affiliation(s)
- Samineh Sanatkar
- Black Dog Institute, Sydney, Australia.,School of Psychiatry, UNSW Sydney, Sydney, Australia
| | - Peter Baldwin
- Black Dog Institute, Sydney, Australia.,School of Psychiatry, UNSW Sydney, Sydney, Australia
| | - Janine Clarke
- Black Dog Institute, Sydney, Australia.,School of Psychiatry, UNSW Sydney, Sydney, Australia
| | - Susan Fletcher
- Department of General Practice, University of Melbourne, Victoria, Australia
| | - Jane Gunn
- Department of General Practice, University of Melbourne, Victoria, Australia
| | - Kay Wilhelm
- School of Psychiatry, UNSW Sydney, Sydney, Australia
| | - Lesley Campbell
- Diabetes and Metabolism Division, Garvan Institute of Medical Research, Sydney, Australia
| | - Nick Zwar
- School of Medicine, University of Wollongong, Wollongong, Australia
| | - Mark Harris
- Centre for Primary Health Care and Equity, UNSW Sydney, Sydney, Australia
| | - Helen Lapsley
- School of Psychiatry, UNSW Sydney, Sydney, Australia
| | | | - Helen Christensen
- Black Dog Institute, Sydney, Australia.,School of Psychiatry, UNSW Sydney, Sydney, Australia
| | - Judith Proudfoot
- Black Dog Institute, Sydney, Australia.,School of Psychiatry, UNSW Sydney, Sydney, Australia
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Young-Hyman D, de Groot M, Hill-Briggs F, Gonzalez J, Hood K, Peyrot M. Response to Comments on Young-Hyman et al. Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care 2016;39:2126-2140. Diabetes Care 2017; 40:e131-e132. [PMID: 28830965 PMCID: PMC5566281 DOI: 10.2337/dci16-0051] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- Deborah Young-Hyman
- Office of Behavioral and Social Sciences Research, Office of the Director, National Institutes of Health, Bethesda, MD
| | - Mary de Groot
- Department of Medicine, Indiana University School of Medicine, Indianapolis, IN
| | - Felicia Hill-Briggs
- Department of Medicine, Johns Hopkins University School of Medicine, and Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Jeffrey Gonzalez
- Ferkauf Graduate School of Psychology, Yeshiva University, New York, NY
- Department of Medicine and New York Regional Center for Diabetes Translation Research, Albert Einstein College of Medicine, Bronx, NY
| | | | - Mark Peyrot
- Department of Sociology, Loyola University Maryland, Baltimore, MD
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