Psychological insulin resistance in geriatric patients with diabetes mellitus

Publication type:
Journal article
Metadata:
Autoren
  • Anke Bahrmann
  • Amelie Abel
  • Andrej Zeyfang
  • Frank Petrak
  • Thomas Kubiak
  • Jana Hummel
  • Peter Oster
  • Philipp Bahrmann
Sammlungen
  • metadata
ISSN
0738-3991
Ausgabe der Veröffentlichung
3
Zeitschrift
Patient education and counseling
Schlüsselwörter
  • 150 Psychologie
  • 150 Psychology
Sprache
eng
Paginierung
Seiten: 417 - 422
Datum der Veröffentlichung
2014
Herausgeber
Elsevier Science
Herausgeber URL
http://dx.doi.org/10.1016/j.pec.2013.11.010
Datum der Datenerfassung
2020
Datum, an dem der Datensatz öffentlich gemacht wurde
2020
Zugang
Public
Titel
Psychological insulin resistance in geriatric patients with diabetes mellitus
Ausgabe der Zeitschrift
94

Data source: METADATA.UB

Other metadata sources:
Autoren
  • Anke Bahrmann
  • Amelie Abel
  • Andrej Zeyfang
  • Frank Petrak
  • Thomas Kubiak
  • Jana Hummel
  • Peter Oster
  • Philipp Bahrmann
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000332441200019&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.1016/j.pec.2013.11.010
Externe Identifier
  • Clarivate Analytics Document Solution ID: AC3SJ
  • PubMed Identifier: 24341962
ISSN
0738-3991
Ausgabe der Veröffentlichung
3
Zeitschrift
PATIENT EDUCATION AND COUNSELING
Schlüsselwörter
  • Psychological insulin resistance
  • Insulin
  • Diabetes
  • Fear of injection
  • Depression
Paginierung
417 - 422
Datum der Veröffentlichung
2014
Status
Published
Titel
Psychological insulin resistance in geriatric patients with diabetes mellitus
Sub types
  • Article
Ausgabe der Zeitschrift
94

Data source: Web of Science (Lite)

Autoren
  • Anke Bahrmann
  • Amelie Abel
  • Andrej Zeyfang
  • Frank Petrak
  • Thomas Kubiak
  • Jana Hummel
  • Peter Oster
  • Philipp Bahrmann
DOI
10.1016/j.pec.2013.11.010
ISSN
0738-3991
Ausgabe der Veröffentlichung
3
Zeitschrift
Patient Education and Counseling
Sprache
en
Paginierung
417 - 422
Datum der Veröffentlichung
2014
Status
Published
Herausgeber
Elsevier BV
Herausgeber URL
http://dx.doi.org/10.1016/j.pec.2013.11.010
Datum der Datenerfassung
2018
Titel
Psychological insulin resistance in geriatric patients with diabetes mellitus
Ausgabe der Zeitschrift
94

Data source: Crossref

Abstract
<h4>Objective</h4>To determine the extent to which geriatric patients with diabetes mellitus experience psychological insulin resistance (PIR).<h4>Methods</h4>A total of 67 unselected geriatric patients with diabetes (mean age 82.8±6.7 years, diabetes duration 12.2 [0.04-47.2] years, 70.1% female) were recruited in a geriatric care center of a university hospital. A comprehensive geriatric assessment (CGA) was performed including WHO-5, Hospital Anxiety and Depression Scale (HADS), Mini Mental State Examination (MMSE) and Barthel-Index. We assessed PIR using the Barriers of Insulin Treatment Questionnaire (BIT) and the Insulin Treatment Appraisal Scale in a face-to-face interview.<h4>Results</h4>Insulin-naïve patients (INP) showed higher PIR scores than patients already on insulin therapy (BIT-sum score: 4.3±1.4 vs. 3.2±1.0; p<0.001). INP reported in the BIT increased fear of injection and self-testing (2.4±2.4 vs. 1.3±0.8; p=0.016), expect disadvantages from insulin treatment (2.7±1.6 vs. 1.9±1.4; p=0.04), and fear of stigmatization by insulin injection (5.2±2.3 vs. 3.6±2.6; p=0.008). Fear of hypoglycemia, however, did not differ significantly (6.3±2.8 vs. 5.1±3.1; p=0.11). Depression was not shown to be a barrier to insulin therapy.<h4>Conclusion</h4>INP with diabetes have a significantly more negative attitude toward insulin therapy in comparison to patients already on insulin.<h4>Practice implications</h4>Systematic assessment of barriers of insulin therapy, individualized diabetes treatment plans and information of patients may help to overcome such negative attitudes, leading to quicker initiation of therapy, improved adherence to treatment and a better quality of life.
Addresses
  • Friedrich-Alexander-University Erlangen-Nürnberg, Department of Internal Medicine 2, Erlangen-Nürnberg, Germany; Robert Bosch Foundation, Stuttgart, Germany; Bethanien Hospital, Geriatric Centre of the University of Heidelberg, Germany. Electronic address: anke.bahrmann@uk-erlangen.de.
Autoren
  • Anke Bahrmann
  • Amelie Abel
  • Andrej Zeyfang
  • Frank Petrak
  • Thomas Kubiak
  • Jana Hummel
  • Peter Oster
  • Philipp Bahrmann
DOI
10.1016/j.pec.2013.11.010
eISSN
1873-5134
Externe Identifier
  • PubMed Identifier: 24341962
Open access
false
ISSN
0738-3991
Ausgabe der Veröffentlichung
3
Zeitschrift
Patient education and counseling
Schlüsselwörter
  • Humans
  • Diabetes Mellitus, Type 2
  • Insulin Resistance
  • Insulin
  • Hypoglycemic Agents
  • Injections, Subcutaneous
  • Geriatric Assessment
  • Health Knowledge, Attitudes, Practice
  • Depression
  • Fear
  • Depressive Disorder
  • Psychiatric Status Rating Scales
  • Quality of Life
  • Aged
  • Aged, 80 and over
  • Patient Acceptance of Health Care
  • Female
  • Male
  • Surveys and Questionnaires
Sprache
eng
Medium
Print-Electronic
Online publication date
2013
Paginierung
417 - 422
Datum der Veröffentlichung
2014
Status
Published
Datum der Datenerfassung
2013
Titel
Psychological insulin resistance in geriatric patients with diabetes mellitus.
Sub types
  • Research Support, Non-U.S. Gov't
  • Journal Article
Ausgabe der Zeitschrift
94

Data source: Europe PubMed Central

Abstract
OBJECTIVE: To determine the extent to which geriatric patients with diabetes mellitus experience psychological insulin resistance (PIR). METHODS: A total of 67 unselected geriatric patients with diabetes (mean age 82.8±6.7 years, diabetes duration 12.2 [0.04-47.2] years, 70.1% female) were recruited in a geriatric care center of a university hospital. A comprehensive geriatric assessment (CGA) was performed including WHO-5, Hospital Anxiety and Depression Scale (HADS), Mini Mental State Examination (MMSE) and Barthel-Index. We assessed PIR using the Barriers of Insulin Treatment Questionnaire (BIT) and the Insulin Treatment Appraisal Scale in a face-to-face interview. RESULTS: Insulin-naïve patients (INP) showed higher PIR scores than patients already on insulin therapy (BIT-sum score: 4.3±1.4 vs. 3.2±1.0; p<0.001). INP reported in the BIT increased fear of injection and self-testing (2.4±2.4 vs. 1.3±0.8; p=0.016), expect disadvantages from insulin treatment (2.7±1.6 vs. 1.9±1.4; p=0.04), and fear of stigmatization by insulin injection (5.2±2.3 vs. 3.6±2.6; p=0.008). Fear of hypoglycemia, however, did not differ significantly (6.3±2.8 vs. 5.1±3.1; p=0.11). Depression was not shown to be a barrier to insulin therapy. CONCLUSION: INP with diabetes have a significantly more negative attitude toward insulin therapy in comparison to patients already on insulin. PRACTICE IMPLICATIONS: Systematic assessment of barriers of insulin therapy, individualized diabetes treatment plans and information of patients may help to overcome such negative attitudes, leading to quicker initiation of therapy, improved adherence to treatment and a better quality of life.
Date of acceptance
2013
Autoren
  • Anke Bahrmann
  • Amelie Abel
  • Andrej Zeyfang
  • Frank Petrak
  • Thomas Kubiak
  • Jana Hummel
  • Peter Oster
  • Philipp Bahrmann
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/24341962
DOI
10.1016/j.pec.2013.11.010
eISSN
1873-5134
Ausgabe der Veröffentlichung
3
Zeitschrift
Patient Educ Couns
Schlüsselwörter
  • Depression
  • Diabetes
  • Fear of injection
  • Insulin
  • Psychological insulin resistance
  • Aged
  • Aged, 80 and over
  • Depression
  • Depressive Disorder
  • Diabetes Mellitus, Type 2
  • Fear
  • Female
  • Geriatric Assessment
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Hypoglycemic Agents
  • Injections, Subcutaneous
  • Insulin
  • Insulin Resistance
  • Male
  • Patient Acceptance of Health Care
  • Psychiatric Status Rating Scales
  • Quality of Life
  • Surveys and Questionnaires
Sprache
eng
Country
Ireland
Paginierung
417 - 422
PII
S0738-3991(13)00509-0
Datum der Veröffentlichung
2014
Status
Published
Datum, an dem der Datensatz öffentlich gemacht wurde
2015
Titel
Psychological insulin resistance in geriatric patients with diabetes mellitus.
Sub types
  • Journal Article
  • Research Support, Non-U.S. Gov't
Ausgabe der Zeitschrift
94

Data source: PubMed

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