Diabetes - Psychosocial Assessment

9 important questions on Diabetes - Psychosocial Assessment

What can be reasons to refer patients with diabetes to a medical psychologists?

  • Voluntary
  • Poor somatic outcomes: too High/ low Hba1C
  • Poor psychological outcomes: anxious, depressed
  • non/low adherence, selfcare
  • Too strict

What are the 6 most common psychological problems among patients with diabetes?

  1. Anxiety/Trauma
  2. Depression
  3. Acceptance/adaptation
  4. Eating problems
  5. Stress/energy
  6. Cognitive dysfunction

What is the association between depression and diabetes?

  • 2 times higher chance of diabetes
  • often underdiagnosed
  • Can lead to a vicious cycle of low mood --> low selfcare-->  worse blood glucose levels --> negative emotions/cognitions  --> feeling more depressed
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What are the most important diabetes related fears?

  • Fear of hypoglycemia
  • Fear of hyperglycemia (complications)
  • Fear of injections/needles
  • Fear of gaining weight due to insulin/carbohydrates

Which measurement instrument can be used to assess hypo fear?

Hypoglycemia fear survey, measures cognitions and behaviour in relation to a hypoglycemia

How can fear of hyperglycemia be assessed?

Fear of complications questionnaire

Which instrument can be used to assess anxiety towards needles/injections?

Diabetes Fear of Injecting and Self-Testing Questionnaire (D-FisQ)

How can diabetes stress be assessed?

Diary, ecological momentary assessment, measuring cortisol levels

How does disturbed eating behaviour manifestate in patients with diabetes?

Injecting too less insulin, skipping insulin, restricting eating, restricting carbs, eating excessive carbs.

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