No substantial psychological impact of the diagnosis of Type 2 diabetes following targeted population screening: The Hoorn Screening Study

M C Adriaanse, F.J. Snoek, J M Dekker, A.M.W. Spijkerman, G. Nijpels, J W R Twisk, H M van der Ploeg, Robert J Heine

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

AIMS: To examine the impact of the diagnosis of Type 2 diabetes on psychological well-being and perceived health status in subjects who participated in a targeted population-screening programme.

METHODS: This study was conducted within the framework of a screening project in the general (aged 50-75 years) Dutch population. The final study population consisted of 259 subjects with a high-risk score on the Symptom Risk Questionnaire; 116 of whom were subsequently detected with Type 2 diabetes and 143 who were non-diabetic. The impact was assessed approximately 2 weeks (shortly) and 6 and 12 months after the diagnosis, using the 12-item Well-Being Questionnaire (W-BQ12) and the Medical Outcomes Study Short Form 36 (SF-36), respectively. Analyses of co-variance (ancova) were used.

RESULTS: Approximately 2 weeks after the diagnosis, no significant mean differences were found on either the W-BQ12 or the SF-36, between the screening-detected Type 2 diabetes subjects and the non-diabetic subjects. Six months after the diagnosis, we found lower scores in the screening-detected Type 2 diabetes subjects compared with the non-diabetic subjects on the SF-36 dimensions Role Physical (mean difference (95% CI); -8.2 (-16.2; -0.1); P = 0.046) and Role Emotional (mean difference (95% CI); -7.9 (-15.3; -0.5); P = 0.038). One year after the test results, no significant mean differences were found between both groups on either instrument (W-BQ12; SF-36).

CONCLUSIONS: The diagnosis of Type 2 diabetes has no substantial adverse or positive effect on psychological well-being and perceived health status, shortly, and 6 and 12 months after the diagnosis.

Original languageEnglish
Pages (from-to)992-8
Number of pages7
JournalDiabetic Medicine
Volume21
Issue number9
DOIs
Publication statusPublished - Sept 2004

Keywords

  • Aged
  • Blood Glucose
  • Diabetes Mellitus, Type 2
  • Female
  • Health Status
  • Humans
  • Hypoglycemic Agents
  • Male
  • Mass Screening
  • Middle Aged
  • Netherlands
  • Risk Factors
  • Self Concept
  • Surveys and Questionnaires
  • Journal Article

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