Abstract
BACKGROUND: There is a paucity of studies on comparison of quality of life (QOL) of type-1 and type-2 diabetes patients, and the impact of family caregivers' impressions on the QOL of patients. OBJECTIVES: To assess the subjective QOL of Sudanese diabetics using the WHOQOL-Bref, compared with a general population sample; examine caregiver-patient concordance; and assess the variables that impact on QOL. METHOD: The responses of 105 outpatients with type-1 diabetes and 136 with type-2 diabetes were compared with their family caregivers' impressions and 139 general population subjects. RESULTS: Patients were predominantly dissatisfied with their life circumstances. Type-1 diabetics had significantly lowest QOL scores, while the control group had highest scores. Having additional medical problems; having diminished sexual desire; and being young, unemployed and single were associated with poor QOL, but illness duration was not. Type-2 diabetics had lesser concordance with caregivers. The only predictor of patients' QOL was the caregivers' impression of patients' QOL. CONCLUSIONS: Caregivers' impression of patients' QOL impacted on outcome. Caregiver education is, therefore, important. The factors associated with QOL indicate a group that needs focused attention. The good QOL for type-2 and nonsignificance of illness duration encourage therapeutic optimism.
Full text
PDF








Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Adams Carmen Rivera. Lessons learned from urban Latinas with type 2 diabetes mellitus. J Transcult Nurs. 2003 Jul;14(3):255–265. doi: 10.1177/1043659603014003012. [DOI] [PubMed] [Google Scholar]
- 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]
- De Berardis Giorgia, Franciosi Monica, Belfiglio Maurizio, Di Nardo Barbara, Greenfield Sheldon, Kaplan Sherrie H., Pellegrini Fabio, Sacco Michele, Tognoni Gianni, Valentini Miriam. Erectile dysfunction and quality of life in type 2 diabetic patients: a serious problem too often overlooked. Diabetes Care. 2002 Feb;25(2):284–291. doi: 10.2337/diacare.25.2.284. [DOI] [PubMed] [Google Scholar]
- Delamater A. M., Jacobson A. M., Anderson B., Cox D., Fisher L., Lustman P., Rubin R., Wysocki T., Psychosocial Therapies Working Group Psychosocial therapies in diabetes: report of the Psychosocial Therapies Working Group. Diabetes Care. 2001 Jul;24(7):1286–1292. doi: 10.2337/diacare.24.7.1286. [DOI] [PubMed] [Google Scholar]
- Goldney Robert D., Phillips Pat J., Fisher Laura J., Wilson David H. Diabetes, depression, and quality of life: a population study. Diabetes Care. 2004 May;27(5):1066–1070. doi: 10.2337/diacare.27.5.1066. [DOI] [PubMed] [Google Scholar]
- Green C. A., Fenn D. S., Moussaoui D., Kadri N., Hoffman W. F. Quality of life in treated and never-treated schizophrenic patients. Acta Psychiatr Scand. 2001 Feb;103(2):131–142. doi: 10.1034/j.1600-0447.2001.00088.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]
- Jacobson AM. Quality of Life in Patients With Diabetes Mellitus. Semin Clin Neuropsychiatry. 1997 Jan;2(1):82–93. doi: 10.1053/SCNP00200082. [DOI] [PubMed] [Google Scholar]
- Katschnig H. Schizophrenia and quality of life. Acta Psychiatr Scand Suppl. 2000;(407):33–37. doi: 10.1034/j.1600-0447.2000.00006.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]
- Landis J. R., Koch G. G. The measurement of observer agreement for categorical data. Biometrics. 1977 Mar;33(1):159–174. [PubMed] [Google Scholar]
- Lobana A., Mattoo S. K., Basu D., Gupta N. Quality of life in schizophrenia in India: comparison of three approaches. Acta Psychiatr Scand. 2001 Jul;104(1):51–55. doi: 10.1034/j.1600-0447.2001.104001051.x. [DOI] [PubMed] [Google Scholar]
- Mooy J. M., de Vries H., Grootenhuis P. A., Bouter L. M., Heine R. J. Major stressful life events in relation to prevalence of undetected type 2 diabetes: the Hoorn Study. Diabetes Care. 2000 Feb;23(2):197–201. doi: 10.2337/diacare.23.2.197. [DOI] [PubMed] [Google Scholar]
- Ohaeri J. U. Perception of the social support role of the extended family network by some Nigerians with schizophrenia and affective disorders. Soc Sci Med. 1998 Nov;47(10):1463–1472. doi: 10.1016/s0277-9536(98)00111-7. [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]
- Parkerson G. R., Jr, Connis R. T., Broadhead W. E., Patrick D. L., Taylor T. R., Tse C. K. Disease-specific versus generic measurement of health-related quality of life in insulin-dependent diabetic patients. Med Care. 1993 Jul;31(7):629–639. doi: 10.1097/00005650-199307000-00005. [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]
- 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]
- Rose Matthias, Fliege Herbert, Hildebrandt Martin, Schirop Thea, Klapp Burghard F. The network of psychological variables in patients with diabetes and their importance for quality of life and metabolic control. Diabetes Care. 2002 Jan;25(1):35–42. doi: 10.2337/diacare.25.1.35. [DOI] [PubMed] [Google Scholar]
- Rubin R. R., Peyrot M. Quality of life and diabetes. Diabetes Metab Res Rev. 1999 May-Jun;15(3):205–218. doi: 10.1002/(sici)1520-7560(199905/06)15:3<205::aid-dmrr29>3.0.co;2-o. [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]
- Surwit R. S., Feinglos M. N., Livingston E. G., Kuhn C. M., McCubbin J. A. Behavioral manipulation of the diabetic phenotype in ob/ob mice. Diabetes. 1984 Jul;33(7):616–618. doi: 10.2337/diab.33.7.616. [DOI] [PubMed] [Google Scholar]
- The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties. Soc Sci Med. 1998 Jun;46(12):1569–1585. doi: 10.1016/s0277-9536(98)00009-4. [DOI] [PubMed] [Google Scholar]
- Trief Paula M., Wade Michael J., Britton Kirsten Dee, Weinstock Ruth S. A prospective analysis of marital relationship factors and quality of life in diabetes. Diabetes Care. 2002 Jul;25(7):1154–1158. doi: 10.2337/diacare.25.7.1154. [DOI] [PubMed] [Google Scholar]
- Weinberger M., Kirkman M. S., Samsa G. P., Cowper P. A., Shortliffe E. A., Simel D. L., Feussner J. R. The relationship between glycemic control and health-related quality of life in patients with non-insulin-dependent diabetes mellitus. Med Care. 1994 Dec;32(12):1173–1181. doi: 10.1097/00005650-199412000-00002. [DOI] [PubMed] [Google Scholar]
- Westaway M. S., Rheeder P., Gumede T. The effect of type 2 diabetes mellitus on health-related quality of life (HRQOL). Curationis. 2001 Mar;24(1):74–78. doi: 10.4102/curationis.v24i1.805. [DOI] [PubMed] [Google Scholar]
- Westaway Margaret S., Seager John R., Rheeder Paul, Van Zyl Danie G. The effects of social support on health, well-being and management of diabetes mellitus: a black South African perspective. Ethn Health. 2005 Feb;10(1):73–89. doi: 10.1080/1355785052000323047. [DOI] [PubMed] [Google Scholar]
- Wu S. Y., Sainfort F., Tomar R. H., Tollios J. L., Fryback D. G., Klein R., Klein B. E. Development and application of a model to estimate the impact of type 1 diabetes on health-related quality of life. Diabetes Care. 1998 May;21(5):725–731. doi: 10.2337/diacare.21.5.725. [DOI] [PubMed] [Google Scholar]
- Wändell P., Brorsson B., Aberg H. Functioning and well-being of patients with type 2 diabetes or angina pectoris, compared with the general population. Diabetes Metab. 2000 Dec;26(6):465–471. [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]
