The impact of social and emotional support on serious psychological distress among people with functional disabilities and type 2 diabetes

Author:

Huang Ya-Ching1ORCID,Bhattarai Muna2ORCID,Cho Emma3ORCID,Yoon Hyunwoo4

Affiliation:

1. School of Nursing, Texas A&M University, Round Rock, TX, USA

2. School of Nursing, Texas A&M University, Bryan, TX, USA

3. School of Nursing, University of Pennsylvania, Philadelphia, PA, USA

4. Department of Social Welfare, Kongju National University, Gongju-si, South Korea

Abstract

Objectives To examine the impact of social and emotional support on serious psychological distress (SPD) in individuals with type 2 diabetes (T2DM) and functional disabilities after controlling for socio-demographic factors and health status. Findings provide information for healthcare providers to enhance patients’ psychological well-being. Methods Data from 529 adults were obtained from the 2021 National Health Interview Survey, including those who had T2DM and also reported significant difficulty or inability to perform an activity in any of the following domains: seeing, hearing, walking or climbing stairs, communicating, remembering or concentrating, or practicing self-care. Descriptive analysis and a hierarchical regression model of SPD were used. Results The mean age of participants was 67.88 years old, and the mean duration of diabetes diagnosis was 16.88 years. Notably, 12.5% of individuals reported SPD. A decreased likelihood of reporting SPD occurrence was associated with older age (odds ratio (OR) = 0.95), a longer duration of T2DM diagnosis (OR = 0.97), having at least a high school education (OR = 0.54), and receiving social and emotional support. Discussion Social and emotional support likely mitigates psychological distress, suggesting that social and emotional support resources should be enhanced, especially among individuals who are younger and those more recently diagnosed with T2DM.

Publisher

SAGE Publications

Reference39 articles.

1. Centers for Diabetes Control and Prevention. Disability impacts all of us, https://www.cdc.gov/ncbddd/disabilityandhealth/documents/disabilities_impacts_all_of_us.pdf (2022, accessed 10 February 2023).

2. Centers for Diabetes Control and Prevention. Functional limitation, https://www.cdc.gov/nchs/hus/topics/functional-limitation.htm (2022, accessed 10 February 2023).

3. Centers for Diabetes Control and Prevention. Increasing prevalence of diagnosed diabetes- United States and Puerto Rico, 1995-2010, https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6145a4.htm#:∼:text=In%202010%2C%20an%20estimated%2018.8,had%20undiagnosed%20diabetes%20(1) (2012, accessed 10 February 2023).

4. Centers for Diabetes Control and Prevention. Type 2 diabetes, https://www.cdc.gov/diabetes/basics/type2.html#:∼:text=Healthy%20eating%20is%20your%20recipe,them%20have%20type%202%20diabetes (2022, accessed 12 February 2023).

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