Diabetes-related shame among people with type 2 diabetes: an internet-based cross-sectional study

IntroductionEmerging evidence suggests that diabetes stigma and negative emotions associated with it may impair the quality of life of people with diabetes. Among these psychological distresses, shame is considered the most distressing of all human emotional experiences and may be a condition to whi...

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Bibliographic Details
Published in:BMJ open diabetes research & care 2022-12, Vol.10 (6), p.e003001
Main Authors: Inagaki, Satoshi, Matsuda, Tomokazu, Muramae, Naokazu, Abe, Kozue, Kato, Kenji
Format: Article
Language:English
Subjects:
Cross-Sectional Studies
Data collection
Diabetes
Diabetes Mellitus, Type 2
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - psychology
Emotions
Female
Glycated Hemoglobin
Health-Related Quality of Life
Humans
Internet
Polls & surveys
Product development
Psychosocial Research
Qualitative research
Quality of Life
Questionnaires
Research design
Research methodology
Shame
Stigma
Stress, Psychological
Young Adult
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Summary:IntroductionEmerging evidence suggests that diabetes stigma and negative emotions associated with it may impair the quality of life of people with diabetes. Among these psychological distresses, shame is considered the most distressing of all human emotional experiences and may be a condition to which diabetes clinicians should pay attention. This epidemiological study focused on diabetes-related shame and aimed to determine the prevalence of diabetes-related shame, its factors, and its association with psychological indicators.Research design and methodsA cross-sectional online survey was conducted among people with type 2 diabetes preregistered with a research firm. The questionnaire included experience of diabetes-related shame and demographic data such as age, clinical characteristic measures such as hemoglobin A1c (HbA1c), and psychological indicators, including the WHO Five Well-Being Index (WHO-5) and Problem Areas In Diabetes-5 (PAID-5). Differences in each indicator between people with diabetes who experienced shame and those who did not were analyzed with the unpaired t-test. As supplemental analysis, binomial logistic regression analysis was used to identify factors associated with the prevalence of diabetes-related shame.ResultsOf the 510 participants, 32.9% experienced diabetes-related shame and 17.5% concealed their disease from colleagues or friends. Those who had experienced diabetes-related shame showed significantly lower WHO-5 and higher PAID-5 scores (p
ISSN:2052-4897
2052-4897
DOI:10.1136/bmjdrc-2022-003001