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Follow-Up Two Years After Diagnosis of Diabetes in Patients With Psychosocial Problems Receiving an Intervention by a Medical Social Worker
We followed up the psychosocial situation two years after diabetes diagnosis in patients (n = 82) aged 18-65 years, with psychosocial problems (PSP; n = 27) or not (NPSP; n = 55). We used a social questionnaire, the Hospital Anxiety and Depression scale (HAD), the Sense of Coherence scale (SOC), and...
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| Published in: | Social work in health care 2014-01, Vol.53 (6), p.584-600 |
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| Main Authors: | , , , |
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| cited_by | cdi_FETCH-LOGICAL-c474t-cf006aaed640e7e69a65169b475a597f4e0c73b3e91475937511595ed78cc8d33 |
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| cites | cdi_FETCH-LOGICAL-c474t-cf006aaed640e7e69a65169b475a597f4e0c73b3e91475937511595ed78cc8d33 |
| container_end_page | 600 |
| container_issue | 6 |
| container_start_page | 584 |
| container_title | Social work in health care |
| container_volume | 53 |
| creator | Gåfvels, Catharina Rane, Kristina Wajngot, Alexandre Wändell, Per Erik |
| description | We followed up the psychosocial situation two years after diabetes diagnosis in patients (n = 82) aged 18-65 years, with psychosocial problems (PSP; n = 27) or not (NPSP; n = 55). We used a social questionnaire, the Hospital Anxiety and Depression scale (HAD), the Sense of Coherence scale (SOC), and the General Coping Questionnaire (GCQ). The PSP group had a more difficult situation with more strained economy, lower social support, more anxiety and depression, and lower SOC on both occasions. Being in the PSP group predicted experiencing a strong negative influence of the disease at follow-up. Regarding coping strategies, "problem focusing" decreased in both PSP and NPSP over time. "Social trust" and "intrusion" decreased only in NPSP. Otherwise the coping pattern was unchanged, with PSP showing lower scores on "self-trust" and "minimization" and higher scores on "protest," "isolation," and "intrusion." The most influenced areas at follow-up in the PSP group were work, relationship to partner and economy, and in the NPSP leisure-time activities, sexual life and work. Our findings underline the need to identify patients with psychosocial problems early. |
| doi_str_mv | 10.1080/00981389.2014.909916 |
| format | article |
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We used a social questionnaire, the Hospital Anxiety and Depression scale (HAD), the Sense of Coherence scale (SOC), and the General Coping Questionnaire (GCQ). The PSP group had a more difficult situation with more strained economy, lower social support, more anxiety and depression, and lower SOC on both occasions. Being in the PSP group predicted experiencing a strong negative influence of the disease at follow-up. Regarding coping strategies, "problem focusing" decreased in both PSP and NPSP over time. "Social trust" and "intrusion" decreased only in NPSP. Otherwise the coping pattern was unchanged, with PSP showing lower scores on "self-trust" and "minimization" and higher scores on "protest," "isolation," and "intrusion." The most influenced areas at follow-up in the PSP group were work, relationship to partner and economy, and in the NPSP leisure-time activities, sexual life and work. Our findings underline the need to identify patients with psychosocial problems early.</description><identifier>ISSN: 0098-1389</identifier><identifier>ISSN: 1541-034X</identifier><identifier>EISSN: 1541-034X</identifier><identifier>DOI: 10.1080/00981389.2014.909916</identifier><identifier>PMID: 25050662</identifier><identifier>CODEN: SWHCDO</identifier><language>eng</language><publisher>United States: Routledge</publisher><subject>adaptation ; Adaptation, Psychological ; Adult ; Aged ; Anxiety ; Anxiety - complications ; Coping ; depression ; Depression (Psychology) ; Depression - complications ; Diabetes ; diabetes mellitus ; Diabetes Mellitus - diagnosis ; Diabetes Mellitus - psychology ; Diabetes Mellitus - therapy ; Female ; Follow-Up Studies ; Hospitals ; Humans ; Intervention ; Leisure ; Male ; Medicin och hälsovetenskap ; Mental Disorders - complications ; Mental Disorders - therapy ; Middle Aged ; Patients ; Psychiatric Status Rating Scales ; psychosocial factors ; self-care management ; Sense of Coherence ; Social Support ; Social Work - methods ; Social workers ; Surveys and Questionnaires ; Trust ; Young Adult</subject><ispartof>Social work in health care, 2014-01, Vol.53 (6), p.584-600</ispartof><rights>Copyright Taylor & Francis Group, LLC</rights><rights>Copyright Taylor & Francis Group 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-cf006aaed640e7e69a65169b475a597f4e0c73b3e91475937511595ed78cc8d33</citedby><cites>FETCH-LOGICAL-c474t-cf006aaed640e7e69a65169b475a597f4e0c73b3e91475937511595ed78cc8d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,27957,27958,31034,33809,33810</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25050662$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:129554538$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Gåfvels, Catharina</creatorcontrib><creatorcontrib>Rane, Kristina</creatorcontrib><creatorcontrib>Wajngot, Alexandre</creatorcontrib><creatorcontrib>Wändell, Per Erik</creatorcontrib><title>Follow-Up Two Years After Diagnosis of Diabetes in Patients With Psychosocial Problems Receiving an Intervention by a Medical Social Worker</title><title>Social work in health care</title><addtitle>Soc Work Health Care</addtitle><description>We followed up the psychosocial situation two years after diabetes diagnosis in patients (n = 82) aged 18-65 years, with psychosocial problems (PSP; n = 27) or not (NPSP; n = 55). We used a social questionnaire, the Hospital Anxiety and Depression scale (HAD), the Sense of Coherence scale (SOC), and the General Coping Questionnaire (GCQ). The PSP group had a more difficult situation with more strained economy, lower social support, more anxiety and depression, and lower SOC on both occasions. Being in the PSP group predicted experiencing a strong negative influence of the disease at follow-up. Regarding coping strategies, "problem focusing" decreased in both PSP and NPSP over time. "Social trust" and "intrusion" decreased only in NPSP. Otherwise the coping pattern was unchanged, with PSP showing lower scores on "self-trust" and "minimization" and higher scores on "protest," "isolation," and "intrusion." The most influenced areas at follow-up in the PSP group were work, relationship to partner and economy, and in the NPSP leisure-time activities, sexual life and work. Our findings underline the need to identify patients with psychosocial problems early.</description><subject>adaptation</subject><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety - complications</subject><subject>Coping</subject><subject>depression</subject><subject>Depression (Psychology)</subject><subject>Depression - complications</subject><subject>Diabetes</subject><subject>diabetes mellitus</subject><subject>Diabetes Mellitus - diagnosis</subject><subject>Diabetes Mellitus - psychology</subject><subject>Diabetes Mellitus - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intervention</subject><subject>Leisure</subject><subject>Male</subject><subject>Medicin och hälsovetenskap</subject><subject>Mental Disorders - complications</subject><subject>Mental Disorders - therapy</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Psychiatric Status Rating Scales</subject><subject>psychosocial factors</subject><subject>self-care management</subject><subject>Sense of Coherence</subject><subject>Social Support</subject><subject>Social Work - methods</subject><subject>Social workers</subject><subject>Surveys and Questionnaires</subject><subject>Trust</subject><subject>Young Adult</subject><issn>0098-1389</issn><issn>1541-034X</issn><issn>1541-034X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkstu1DAUhiMEokPhDRCyxIZNhuPxJfEKVYVCpSJG0KqwshznpHWbsad2pqN5Bl4aR5l2wQIWlu2j7zu-6C-K1xTmFGp4D6Bqymo1XwDlcwVKUfmkmFHBaQmM_3xazEakHJmD4kVKNwDAKiGfFwcLAQKkXMyK3yeh78O2vFiT820gv9DERI66ASP56MyVD8klErpx0-CAiThPlmZw6IdELt1wTZZpZ69DCtaZnixjaHpcJfIdLbp756-I8eTU5373WXHBk2ZHDPmKrbOZ_zFplyHeYnxZPOtMn_DVfj4sLk4-nR9_Kc--fT49PjorLa_4UNoOQBqDreSAFUplpKBSNbwSRqiq4wi2Yg1DRXNJ5SdTKpTAtqqtrVvGDgs19U1bXG8avY5uZeJOB-PyOrR6X79149AJNV0oIbhgdXbfTW4G7zaYBr1yyWLfG49hkzSVEoDWFWf_RwWvqVoIRjP69i_0Jmyiz5-QKUFVRWuoMsUnysaQUsTu8eYU9JgJ_ZAJPWZCT5nI2pt9802zwvZReghBBj5MgPNdiCuzDbFv9WB2fYhdNN66pNk_j_gDSgTFtQ</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Gåfvels, Catharina</creator><creator>Rane, Kristina</creator><creator>Wajngot, Alexandre</creator><creator>Wändell, Per Erik</creator><general>Routledge</general><general>Taylor & Francis LLC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>20140101</creationdate><title>Follow-Up Two Years After Diagnosis of Diabetes in Patients With Psychosocial Problems Receiving an Intervention by a Medical Social Worker</title><author>Gåfvels, Catharina ; Rane, Kristina ; Wajngot, Alexandre ; Wändell, Per Erik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-cf006aaed640e7e69a65169b475a597f4e0c73b3e91475937511595ed78cc8d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>adaptation</topic><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Anxiety - complications</topic><topic>Coping</topic><topic>depression</topic><topic>Depression (Psychology)</topic><topic>Depression - complications</topic><topic>Diabetes</topic><topic>diabetes mellitus</topic><topic>Diabetes Mellitus - diagnosis</topic><topic>Diabetes Mellitus - psychology</topic><topic>Diabetes Mellitus - therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intervention</topic><topic>Leisure</topic><topic>Male</topic><topic>Medicin och hälsovetenskap</topic><topic>Mental Disorders - complications</topic><topic>Mental Disorders - therapy</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Psychiatric Status Rating Scales</topic><topic>psychosocial factors</topic><topic>self-care management</topic><topic>Sense of Coherence</topic><topic>Social Support</topic><topic>Social Work - methods</topic><topic>Social workers</topic><topic>Surveys and Questionnaires</topic><topic>Trust</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gåfvels, Catharina</creatorcontrib><creatorcontrib>Rane, Kristina</creatorcontrib><creatorcontrib>Wajngot, Alexandre</creatorcontrib><creatorcontrib>Wändell, Per Erik</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Social work in health care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gåfvels, Catharina</au><au>Rane, Kristina</au><au>Wajngot, Alexandre</au><au>Wändell, Per Erik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Follow-Up Two Years After Diagnosis of Diabetes in Patients With Psychosocial Problems Receiving an Intervention by a Medical Social Worker</atitle><jtitle>Social work in health care</jtitle><addtitle>Soc Work Health Care</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>53</volume><issue>6</issue><spage>584</spage><epage>600</epage><pages>584-600</pages><issn>0098-1389</issn><issn>1541-034X</issn><eissn>1541-034X</eissn><coden>SWHCDO</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>We followed up the psychosocial situation two years after diabetes diagnosis in patients (n = 82) aged 18-65 years, with psychosocial problems (PSP; n = 27) or not (NPSP; n = 55). We used a social questionnaire, the Hospital Anxiety and Depression scale (HAD), the Sense of Coherence scale (SOC), and the General Coping Questionnaire (GCQ). The PSP group had a more difficult situation with more strained economy, lower social support, more anxiety and depression, and lower SOC on both occasions. Being in the PSP group predicted experiencing a strong negative influence of the disease at follow-up. Regarding coping strategies, "problem focusing" decreased in both PSP and NPSP over time. "Social trust" and "intrusion" decreased only in NPSP. Otherwise the coping pattern was unchanged, with PSP showing lower scores on "self-trust" and "minimization" and higher scores on "protest," "isolation," and "intrusion." The most influenced areas at follow-up in the PSP group were work, relationship to partner and economy, and in the NPSP leisure-time activities, sexual life and work. Our findings underline the need to identify patients with psychosocial problems early.</abstract><cop>United States</cop><pub>Routledge</pub><pmid>25050662</pmid><doi>10.1080/00981389.2014.909916</doi><tpages>17</tpages></addata></record> |
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| ispartof | Social work in health care, 2014-01, Vol.53 (6), p.584-600 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Sociological Abstracts; Taylor and Francis Social Sciences and Humanities Collection |
| subjects | adaptation Adaptation, Psychological Adult Aged Anxiety Anxiety - complications Coping depression Depression (Psychology) Depression - complications Diabetes diabetes mellitus Diabetes Mellitus - diagnosis Diabetes Mellitus - psychology Diabetes Mellitus - therapy Female Follow-Up Studies Hospitals Humans Intervention Leisure Male Medicin och hälsovetenskap Mental Disorders - complications Mental Disorders - therapy Middle Aged Patients Psychiatric Status Rating Scales psychosocial factors self-care management Sense of Coherence Social Support Social Work - methods Social workers Surveys and Questionnaires Trust Young Adult |
| title | Follow-Up Two Years After Diagnosis of Diabetes in Patients With Psychosocial Problems Receiving an Intervention by a Medical Social Worker |
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