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Diabetes burnout among emerging adults with type 1 diabetes: a mixed methods investigation
Journal of Behavioral Medicine ( IF 2.8 ) Pub Date : 2021-02-10 , DOI: 10.1007/s10865-020-00198-3
Vicki S Helgeson 1
Affiliation  

Feeling overwhelmed, exhausted, and frustrated by the daily demands of diabetes management has been referred to as diabetes burnout. The goal of the study was to develop a measure of diabetes burnout and to link this measure to psychological health and diabetes outcomes. Emerging adults with type 1 diabetes (n = 88, average age 27) completed an online questionnaire and an HbA1c assessment; a subset was interviewed by phone to obtain a more in-depth understanding of burnout. Exploratory factor analysis revealed three burnout domains: exhaustion, detachment, and powerlessness. Burnout was related to higher psychological distress, higher diabetes distress, and poorer diabetes outcomes. Burnout independently predicted higher HbA1c, independent of diabetes distress. Qualitative interviews revealed that participants defined burnout in terms of exhaustion and powerlessness and resolved burnout by acceptance and utilization of social resources. Prevention and intervention efforts might target resilience as a way to mitigate burnout.



中文翻译:

新兴成人1型糖尿病患者的糖尿病倦怠:混合方法调查

对糖尿病管理的日常需求感到不知所措,筋疲力尽和沮丧的情况被称为糖尿病倦怠。该研究的目的是开发一种衡量糖尿病倦怠的方法,并将其与心理健康和糖尿病结局联系起来。新兴的1型糖尿病成年人(n = 88岁,平均年龄27岁)完成了在线问卷调查和HbA1c评估;通过电话采访了一个子集,以更深入地了解职业倦怠。探索性因素分析揭示了三个倦怠领域:疲惫,超脱和无能为力。倦怠与较高的心理困扰,较高的糖尿病困扰和较差的糖尿病结局有关。倦怠独立地预测较高的HbA1c,而与糖尿病困扰无关。定性访谈显示,参与者根据疲惫和无力来定义倦怠,并通过接受和利用社会资源来解决倦怠。预防和干预措施可能会以恢复能力为目标,以减轻倦怠。

更新日期:2021-02-10
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