Abstract
OBJECTIVES: To assess the subjective quality of life (QOL) of family caregivers of Sudanese type-1 and type-2 diabetic outpatients, using the WHO 26-item QOL instrument, compared with a general population sample; and to examine the factors associated with caregiver QOL. METHOD: Responses of caregivers of 105 outpatients with type-1 diabetes and 135 with type-2 diabetes were compared with 139 general population subjects. RESULTS: Caregivers were satisfied with the content of items related to general social supports. Type-1 caregivers had significantly lower QOL scores than type-2 caregivers and the general population. Parents and siblings had lowest scores compared with other family groups. Caregivers scored higher than patients. Patients' age and duration of illness, and caregivers' education, marital status and state of health were positively associated with caregiver QOL. Caregivers' QOL was predicted by their appraisal of patients' QOL. CONCLUSIONS: Caregivers who were sick, younger, single, less educated and caring for patients with more recent illness appeared relatively vulnerable. Clinicians should be interested in the dynamics of the family caregiving situation--as it impacts QOL--and in promoting caregiver awareness of diabetes in order to enhance the caregiving role, quality of care and QOL.
Full text
PDF









Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Awadalla A. W., Ohaeri J. U., Salih A. A., Tawfiq A. M. Subjective quality of life of community living Sudanese psychiatric patients: comparison with family caregivers' impressions and control group. Qual Life Res. 2005 Oct;14(8):1855–1867. doi: 10.1007/s11136-005-4328-z. [DOI] [PubMed] [Google Scholar]
- Awadalla Abdel W., Ohaeri Jude U., Salih Aziza A., Tawfiq Adel M. Subjective quality of life of family caregivers of community living Sudanese psychiatric patients. Soc Psychiatry Psychiatr Epidemiol. 2005 Sep 15;40(9):755–763. doi: 10.1007/s00127-005-0947-x. [DOI] [PubMed] [Google Scholar]
- Bland Robert, Darlington Yvonne. The nature and sources of hope: perspectives of family caregivers of people with serious mental illness. Perspect Psychiatr Care. 2002 Apr-Jun;38(2):61–68. doi: 10.1111/j.1744-6163.2002.tb00658.x. [DOI] [PubMed] [Google Scholar]
- Brod M. Quality of life issues in patients with diabetes and lower extremity ulcers: patients and care givers. Qual Life Res. 1998 May;7(4):365–372. doi: 10.1023/a:1024994232353. [DOI] [PubMed] [Google Scholar]
- Elbagir M. N., Eltom M. A., Elmahadi E. M., Kadam I. M., Berne C. A high prevalence of diabetes mellitus and impaired glucose tolerance in the Danagla community in northern Sudan. Diabet Med. 1998 Feb;15(2):164–169. doi: 10.1002/(SICI)1096-9136(199802)15:2<164::AID-DIA536>3.0.CO;2-A. [DOI] [PubMed] [Google Scholar]
- Elbagir M. N., Eltom M. A., Elmahadi E. M., Kadam I. M., Berne C. A population-based study of the prevalence of diabetes and impaired glucose tolerance in adults in northern Sudan. Diabetes Care. 1996 Oct;19(10):1126–1128. doi: 10.2337/diacare.19.10.1126. [DOI] [PubMed] [Google Scholar]
- Elbagir M. N., Etayeb N. O., Eltom M. A., Mahadi E. O., Wikblad K., Berne C. Health-related quality of life in insulin-treated diabetic patients in the Sudan. Diabetes Res Clin Pract. 1999 Oct;46(1):65–73. doi: 10.1016/s0168-8227(99)00075-3. [DOI] [PubMed] [Google Scholar]
- Elrayah Hind, Eltom Mohamed, Bedri Ashraf, Belal Abdelrahim, Rosling Hans, Ostenson Claes-Göran. Economic burden on families of childhood type 1 diabetes in urban Sudan. Diabetes Res Clin Pract. 2005 Nov;70(2):159–165. doi: 10.1016/j.diabres.2005.03.034. [DOI] [PubMed] [Google Scholar]
- Farag Noha H., Mills Paul J. What's next in behavioral hypertension research? Ann Behav Med. 2004 Feb;27(1):1–2. doi: 10.1207/s15324796abm2701_1. [DOI] [PubMed] [Google Scholar]
- Fisher L., Chesla C. A., Bartz R. J., Gilliss C., Skaff M. A., Sabogal F., Kanter R. A., Lutz C. P. The family and type 2 diabetes: a framework for intervention. Diabetes Educ. 1998 Sep-Oct;24(5):599–607. doi: 10.1177/014572179802400504. [DOI] [PubMed] [Google Scholar]
- Gaite L., Vázquez-Barquero J. L., Borra C., Ballesteros J., Schene A., Welcher B., Thornicroft G., Becker T., Ruggeri M., Herrán A. Quality of life in patients with schizophrenia in five European countries: the EPSILON study. Acta Psychiatr Scand. 2002 Apr;105(4):283–292. doi: 10.1034/j.1600-0447.2002.1169.x. [DOI] [PubMed] [Google Scholar]
- Grey M., Boland E. A., Yu C., Sullivan-Bolyai S., Tamborlane W. V. Personal and family factors associated with quality of life in adolescents with diabetes. Diabetes Care. 1998 Jun;21(6):909–914. doi: 10.2337/diacare.21.6.909. [DOI] [PubMed] [Google Scholar]
- Heru Alison M., Ryan Christine E., Vlastos Kim. Quality of life and family functioning in caregivers of relatives with mood disorders. Psychiatr Rehabil J. 2004 Summer;28(1):67–71. doi: 10.2975/28.2004.67.71. [DOI] [PubMed] [Google Scholar]
- Holmes Jeremy, Gear Elena, Bottomley Julia, Gillam Stephen, Murphy Moira, Williams Rhys. Do people with type 2 diabetes and their carers lose income? (T2ARDIS-4). Health Policy. 2003 Jun;64(3):291–296. doi: 10.1016/s0168-8510(02)00177-x. [DOI] [PubMed] [Google Scholar]
- Laffel Lori M. B., Connell Alexa, Vangsness Laura, Goebel-Fabbri Ann, Mansfield Abigail, Anderson Barbara J. General quality of life in youth with type 1 diabetes: relationship to patient management and diabetes-specific family conflict. Diabetes Care. 2003 Nov;26(11):3067–3073. doi: 10.2337/diacare.26.11.3067. [DOI] [PubMed] [Google Scholar]
- Li Tsai-Chung, Lee Yih-Dar, Lin Cheng-Chieh, Amidon Roger L. Quality of life of primary caregivers of elderly with cerebrovascular disease or diabetes hospitalized for acute care: assessment of well-being and functioning using the SF-36 health questionnaire. Qual Life Res. 2004 Aug;13(6):1081–1088. doi: 10.1023/B:QURE.0000031349.25124.d6. [DOI] [PubMed] [Google Scholar]
- McKelvey J., Waller D. A., North A. J., Marks J. F., Schreiner B., Travis L. B., Murphy J. N., 3rd Reliability and validity of the Diabetes Family Behavior Scale (DFBS). Diabetes Educ. 1993 Mar-Apr;19(2):125–132. doi: 10.1177/014572179301900206. [DOI] [PubMed] [Google Scholar]
- Nabuurs-Franssen M. H., Huijberts M. S. P., Nieuwenhuijzen Kruseman A. C., Willems J., Schaper N. C. Health-related quality of life of diabetic foot ulcer patients and their caregivers. Diabetologia. 2005 Jul 2;48(9):1906–1910. doi: 10.1007/s00125-005-1856-6. [DOI] [PubMed] [Google Scholar]
- Olusina Adewunmi K., Ohaeri Jude U. Subjective quality of life of recently discharged Nigerian psychiatric patients. Soc Psychiatry Psychiatr Epidemiol. 2003 Dec;38(12):707–714. doi: 10.1007/s00127-003-0691-7. [DOI] [PubMed] [Google Scholar]
- Penson David F., Latini David M., Lubeck Deborah P., Wallace Katrine L., Henning James M., Lue Tom F., Comprehensive Evaluation of Erectile Dysfunction (ExCEED) database Do impotent men with diabetes have more severe erectile dysfunction and worse quality of life than the general population of impotent patients? Results from the Exploratory Comprehensive Evaluation of Erectile Dysfunction (ExCEED) database. Diabetes Care. 2003 Apr;26(4):1093–1099. doi: 10.2337/diacare.26.4.1093. [DOI] [PubMed] [Google Scholar]
- Peyrot M., McMurry J. F., Jr, Kruger D. F. A biopsychosocial model of glycemic control in diabetes: stress, coping and regimen adherence. J Health Soc Behav. 1999 Jun;40(2):141–158. [PubMed] [Google Scholar]
- Pieper B. A., Kushion W., Gaida S. The relationship between a couple's marital adjustment and beliefs about diabetes mellitus. Diabetes Educ. 1990 Mar-Apr;16(2):108–112. doi: 10.1177/014572179001600206. [DOI] [PubMed] [Google Scholar]
- Poston Denise, Turnbull Ann, Park Jiyeon, Mannan Hasheem, Marquis Janet, Wang Mian. Family quality of life: a qualitative inquiry. Ment Retard. 2003 Oct;41(5):313–328. doi: 10.1352/0047-6765(2003)41<313:FQOLAQ>2.0.CO;2. [DOI] [PubMed] [Google Scholar]
- Raune D., Kuipers E., Bebbington P. E. Expressed emotion at first-episode psychosis: investigating a carer appraisal model. Br J Psychiatry. 2004 Apr;184:321–326. doi: 10.1192/bjp.184.4.321. [DOI] [PubMed] [Google Scholar]
- Sainfort F., Becker M., Diamond R. Judgments of quality of life of individuals with severe mental disorders: Patient self-report versus provider perspectives. Am J Psychiatry. 1996 Apr;153(4):497–502. doi: 10.1176/ajp.153.4.497. [DOI] [PubMed] [Google Scholar]
- Skevington S. M., Lotfy M., O'Connell K. A., WHOQOL Group The World Health Organization's WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004 Mar;13(2):299–310. doi: 10.1023/B:QURE.0000018486.91360.00. [DOI] [PubMed] [Google Scholar]
- Thompson S. J., Auslander W. F., White N. H. Comparison of single-mother and two-parent families on metabolic control of children with diabetes. Diabetes Care. 2001 Feb;24(2):234–238. doi: 10.2337/diacare.24.2.234. [DOI] [PubMed] [Google Scholar]
- Trief P. M., Grant W., Elbert K., Weinstock R. S. Family environment, glycemic control, and the psychosocial adaptation of adults with diabetes. Diabetes Care. 1998 Feb;21(2):241–245. doi: 10.2337/diacare.21.2.241. [DOI] [PubMed] [Google Scholar]
- Wicks M. N., Milstead E. J., Hathaway D. K., Cetingok M. Subjective burden and quality of life in family caregivers of patients with end stage renal disease. ANNA J. 1997 Oct;24(5):527-8, 531-8; discussion 539-40. [PubMed] [Google Scholar]
- Wing R. R., Marcus M. D., Epstein L. H., Jawad A. A "family-based" approach to the treatment of obese type II diabetic patients. J Consult Clin Psychol. 1991 Feb;59(1):156–162. doi: 10.1037//0022-006x.59.1.156. [DOI] [PubMed] [Google Scholar]
- Yamamoto-Mitani Noriko, Ishigaki Kazuko, Kuniyoshi Midori, Kawahara-Maekawa Noriko, Hayashi Kunihiko, Hasegawa Kiyomi, Sugishita Chieko. Subjective quality of life and positive appraisal of care among Japanese family caregivers of older adults. Qual Life Res. 2004 Feb;13(1):207–221. doi: 10.1023/B:QURE.0000015296.14717.e7. [DOI] [PubMed] [Google Scholar]
- Zetina-López Alfonso, Custodio-Vázquez Alejandra, Hinojosa Carlos, Juárez-Paiz Luis, Schmulson Max. Impacto de los síntomas gastrointestinales sobre la calidad de vida de los pacientes diabéticos tipo 2. Rev Invest Clin. 2003 Nov-Dec;55(6):594–599. [PubMed] [Google Scholar]
