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No substantial psychological impact of the diagnosis of Type 2 diabetes following targeted population screening: The Hoorn Screening Study
Author(s) -
Adriaanse M. C.,
Snoek F. J.,
Dekker J. M.,
Spijkerman A. M. W.,
Nijpels G.,
Twisk J. W. R.,
Van Der Ploeg H. M.,
Heine R. J.
Publication year - 2004
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/j.1464-5491.2004.01276.x
Subject(s) - medicine , type 2 diabetes , diabetes mellitus , population , analysis of variance , endocrinology , environmental health
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.