ASSESSMENT OF PSYCHOSOCIAL CONSEQUENCES OF COVID-19 IN DIABETES PATIENTS: A CROSS SECTIONAL STUDY
Keywords:Psychosocial consequences, COVID-19, Diabetes, diabetes-distress scale, 3-item UCLA loneliness scale
OBJECTIVE- The aim of the study was to assess the psychosocial health, to identify COVID -19 specific concerns in people with diabetes and to analyze the changes in the management of diabetes during the corona crisis.
MATERIALS & METHODS-An online cross-sectional survey was conducted for a period of 6 months among south Indian diabetes population. A validated questionnaire containing socio demographics, general health status, diabetes distress scale (DDS17) and 3-item UCLA loneliness scale was sent to 600 people, out of which 226 participants were included in the study based on inclusion and exclusion criteria. Responses were analyzed using univariate and multivariate logistic regressions.
RESULTS-Among the participants, females had moderate to high diabetes distress (54.4%). The subjects in the age group of 40-59 years felt lonely and had more diabetes distress. The major two worries among the participants were “They are labeled as risk group”, “They might be overly affected. Participants with GDM, duration of DM between 7 months to 1 year, who took both medications (OAD medication and insulin), HbA1c level more than 8%, who got infected with coronavirus and someone close to them been infected with coronavirus, who were more concerned of taking medication daily and who changed their meal plan during corona period had the highest worries.
CONCLUSION-People who participated in the survey were more worried about the COVID 19 situation and were very disturbed. Psychosocial consequences of COVID-19 were more prevalent in diabetes patients including diabetes distress, loneliness, and changes in daily diabetes management.
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