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Psychological factors in diabetes-related foot complications

A cohort study

Bibliographic Data

ID5067305
AuthorsMai Loan Nguyen (0000-0001-8007-7152, La Trobe University), Dana Wong (0000-0001-9619-1929, La Trobe University), Elizabeth Barson (0000-0002-2985-2579, Western Health), Eva Staunton (The Royal Melbourne Hospital), Caroline A Fisher (0000-0002-4570-8526, La Trobe University)
Year2025
Volume30
Issue10
Pages2577-2597
Publication date2025-09-01
Open AccessYes
TypeARTICLE
VenueJournal of Health Psychology (JOURNAL)
Journal identifiersISSN: 1359-1053 • E-ISSN: 1461-7277
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/13591053241297736
PMID39584528
OpenAlexW4404699048
LanguageEN
References cited60

Living with diabetes has been linked with an increased prevalence of psychological distress. Psychological problems may interfere diabetes-related foot complication (DRFC) self-management. We aimed to characterise psychological functioning in DRFC, and identify clinical factors that may be associated with psychological problems. Eighty-one participants (mean age = 62.8, SD = 11.3, range = 30-87) with DRFC were recruited from The Royal Melbourne Hospital. Each participant completed a battery of psychological questionnaires. DRFC participants endorsed an elevated prevalence of depression, anxiety, post-traumatic stress and diabetes distress. There were also maladaptive personality traits, differences in emotion regulation skills and negative illness perceptions. Previous mental health disorder, higher HbA1C levels and diabetes-related complications were also associated with greater psychological symptoms. Elevated prevalence of psychological symptoms is apparent in DRFC. Our study highlights the need to use targeted interventions to address psychological difficulties to help DRFC patients cope better with their condition

Anxiety · Cohort · Depression (economics · Diabetes mellitus · Distress · Mental health · Psychiatry · Psychological distress · Psychological intervention · Psychological well-being · Diabetes Management and Education · Diabetic Foot Ulcer Assessment and Management · Medicine · Skin Diseases and Diabetes · Clinical Psychology

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