Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions
Active as of 2024-11-21 |
Generated Narrative: Citation 267498
version: 1; Last updated: 2024-08-05 19:54:23+0000
Profile: JournalArticleCitation
identifier: FEvIR Object Identifier/267498, https://pubmed.ncbi.nlm.nih.gov
/26859072, Uniform Resource Identifier (URI)/urn:oid:2.16.840.1.113883.4.642.40.44.15.28
version: 2.0.0-ballot
title: 26859072 Emotional Distress in the Partners of Type 1 Diabetes Adults: Worries About Hypoglycemia and Other Key Concerns.
status: Active
date: 2024-11-21 14:09:14+0000
publisher: HL7 International / Clinical Decision Support
contact: HL7 International / Clinical Decision Support: http://www.hl7.org/Special/committees/dss
description:
This Citation Resource is referenced in an example for the EBMonFHIR Implementation Guide.
Code | Value[x] |
Citation Classification Type fevir-platform-use: FEvIR Platform Use | Medline Base |
jurisdiction: World
copyright:
https://creativecommons.org/licenses/by-nc-sa/4.0/
approvalDate: 2017-11-01
lastReviewDate: 2017-11-29
author: Computable Publishing®: MEDLINE-to-FEvIR Converter:
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period: ?? --> 2016-02-10 06:00:00+0000
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citedArtifact
identifier:
https://pubmed.ncbi.nlm.nih.gov
/26859072,https://doi.org
/10.1089/dia.2015.0451Titles
Type Language Text Primary title English Emotional Distress in the Partners of Type 1 Diabetes Adults: Worries About Hypoglycemia and Other Key Concerns.
Abstracts
Text BACKGROUND: Although the widespread prevalence of diabetes-related distress (DD) in adults with type 1 diabetes (T1D) has been well established, there has been little inquiry into the experiences of their spouse/partners. Therefore the goal of this study was to investigate the prevalence and sources of DD in the spouses and partners of adults with T1D ("T1D partner") and to examine the associations of DD in this population with key demographic and contextual factors. <AbstractText Label="MATERIALS AND METHODS">Qualitative interviews with 11 T1D partners led to the development of 44 DD survey items, which were examined by exploratory factor analysis (EFA). Regression models examined associations of the resulting DD scales with four groups of variables: partner demographics and contextual variables, as well as person with diabetes (PWD) demographics, diabetes status, and behavioral factors. RESULTS: EFA with 317 T1D partners yielded a 22-item scale with four factors: Hypoglycemia Distress, Emotional Distress, Management Distress, and Role Distress. All scales were significantly correlated with the three criterion variables (depression, general life stress, and diabetes-related relationship satisfaction), suggesting satisfactory concurrent validity. High DD was most common for Hypoglycemic Distress (64.4% of the sample) and least common for Management Distress (28.4%). Greater DD was significantly and independently linked with being younger, female, greater involvement in the PWD's diabetes management, lower levels of relationship satisfaction, less trusting of the PWD's physician, poorer PWD glycemic control, and more frequent hypoglycemic episodes. T1D partners also reported low levels of diabetes-related support from all sources. CONCLUSIONS: Four sources of partner DD were identified. Results suggest that DD in T1D partners is common, especially distress associated with hypoglycemia. Predictors of T1D partner DD come from multiple sources: demographic, disease-related, and contextual arenas, all pointing to opportunities for acknowledging and addressing DD directly in this population.
publicationForm
publishedIn
type: Periodical
identifier: Electronic ISSN Type/1557-8593, ISOAbbreviation/Diabetes Technol Ther, ISSN Linking/1520-9156, Medline Title Abbreviation/Diabetes Technol Ther, NLM Unique ID/100889084
title: Diabetes technology & therapeutics
publisherLocation: United States
citedMedium: Internet
volume: 18
issue: 5
articleDate: 2016-05
publicationDateText: 2016-May
language: English
pageString: 292-7
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citedMedium: Internet without issue
articleDate: 2016-02-09
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complete: true
entry
contributor: Polonsky WH
forenameInitials: WH
affiliation:
- 1 University of California , San Diego, San Diego, California.
- 2 Behavioral Diabetes Institute , San Diego, California.
entry
contributor: Fisher L
forenameInitials: L
affiliation: 3 University of California , San Francisco, San Francisco, California.
entry
contributor: Hessler D
forenameInitials: D
affiliation: 3 University of California , San Francisco, San Francisco, California.
entry
contributor: Johnson N
forenameInitials: N
affiliation: 4 Bringing Science Home , Tampa, Florida.
Generated Narrative: Practitioner #contributor0
name: William H Polonsky
Generated Narrative: Practitioner #contributor1
name: Lawrence Fisher
Generated Narrative: Practitioner #contributor2
name: Danielle Hessler
Generated Narrative: Practitioner #contributor3
name: Nicole Johnson
Generated Narrative: ArtifactAssessment #meshHeading0
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classifier: Adult
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classifier: Diabetes Mellitus, Type 1
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classifier: Hypoglycemia
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