Abstract
This study aimed to verify the association between stress, anxiety, depression, and resilience in people with diabetes mellitus (DM) treated in primary health care in a municipality in southern Brazil. This was a cross-sectional study with people with DM treated in primary health care in a municipality in Southern Brazil. Data collection included sociodemographic and clinical questionnaires, and measures of stress, anxiety, depression, and resilience. Descriptive analyses and bivariate correlations were performed. A total of 362 people participated, 64% female, with a mean age of 62.4 years (SD 11.5). Hypertension was reported by the majority (68%). The mean duration of diabetes was 11 years (SD 10.2) and 21% reported the presence of complications related to the disease. Moderate inverse correlations were observed between resilience and stress (r = -0.531); resilience and depression (r = -0.570) and resilience and anxiety (r = -0.436). The findings of this study indicate the importance of exploring resilience as part of health care and the need to consider the inclusion of the psychosocial factors studied here: stress, anxiety, and depression, by health professionals, and more specifically as part of nursing care.
References
International Diabetes Federation (IDF). IDF Diabetes Atlas [Internet]. 2021 [cited 2022 Oct 18]. Available from: https://www.diabetesatlas.org
Reckziegel JCL, Silva DMGV, Crestani MM, Betiatto AC, Rocha RER, Schwalm MT. Influência de fatores de proteção e de risco na resiliência e na adesão ao tratamento do diabetes mellitus em mulheres. Ries. 2018;7(1):25-39. http://dx.doi.org/10.33362/ries.v7i1.1602
Boell JEW, Silva DMGV, Guanilo MEE, Hegadoren K, Meirelles BHS, Suplici SR. Resilience and self-care in people with diabetes mellitus. Texto contexto- enferm. 2020;29:e20180105. https://doi.org/10.1590/1980-265x-tce-2018-0105
Rutter M. Resilience as a dynamic concept. Development and Psychopathology. 2012;24(2):335-344. http://dx.doi.org/10.1017/S0954579412000028
Aghili R, Polonsky WH, Valojerdi AE, Malek M, Keshtkar AA, Esteghamati, A, et al. Type 2 diabetes: model of factors associated with glycemic control. Can J of Diabetes. 2016;40:424-30. https://doi.org/10.1016/j.jcjd.2016.02.014
Mendenhall E, Norris SA, Shidhaye R, Prabhakaran D. Depression and type 2 diabetes in low- and middle-income countries: a systematic review. Diabetes Res Clin Pract. 2014;103(2):276-85. https://doi.org/10.1016/j.diabres.2014.01.001
Nassar, et al. SEstatNet - Sistema Especialista para o Ensino de Estatística na Web. Universidade Federal de Santa Catarina [Internet]. 2020 [cited 2020 Oct 07]. Available from: http://www.sestatnet.ufsc.br
Connor KM, Davidson JRT. Development of a new resilience scale: the Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety [Internet]. 2003 [cited 2020 Oct 07];18:76-82. Available from: http://onlinelibrary.wiley.com/doi/10.1002/da.10113/epdf
Solano JP, et al. Adaptação cultural e estudo de validade da escala de resiliência de Connor-Davidson para o Brasil. Direitos reservados – Copyright ©, 2011.
Cohen S, Karmarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior [Internet]. 1983 [cited 2020 Oct 07];24(24): 385-96. Available from: https://www.midss.org/content/perceived-stress-scale-pss
Luft CDB, Sanches, SO, MGZ, Andrade A. Versão brasileira da Escala de Estresse Percebido: tradução e validação para idosos. Rev. Saúde Pública. 2007;41(4): 606-15. https://dx.doi.org/10.1590/S0034-89102007000400015
Botega NJ, Bio MR, Zomignani MA, Garcia Jr C, Pereira WAB. Transtornos do humor em enfermaria de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão. Rev. Saúde Pública. 1995;29(5): 359-63. https://doi.org/10.1590/S0034-89101995000500004
IBM. Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, Nova Yourk: IBM Corp; 2011.
Ministério da Saúde (BR). Conselho Nacional de Saúde. Resolução n. 466, de 12 de dezembro de 2012. Aprova diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Brasília, Diário Oficial da União, 12 dez. 2012 [Internet]. [cited 2020 Out 01]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html
Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa nacional de saúde 2019: percepção do estado de saúde, estilos de vida, doenças crônicas e saúde bucal: Brasil e grandes regiões IBGE, Coordenação de Trabalho e Rendimento. Rio de Janeiro: IBGE, 2020. 113p.
Wu F, Zhao S, Yu B, Chen YM, Wang W, Song ZG, Hu Y, Tao ZW, Tian JH, Pei YY, Yuan ML, Zhang YL, Dai FH, Liu Y, Wang QM, Zheng JJ, Xu L, Holmes EC, Zhang YZ. A new coronavirus associated with human respiratory disease in China. Nature. 2020 Mar;579(7798):265-269. doi: 10.1038/s41586-020-2008-3. Erratum in: Nature. 2020 Apr;580(7803):E7. Available from: https://pubmed.ncbi.nlm.nih.gov/32015508/
Newton-John TR, Mason C, Hunter M. The role of resilience in adjustment and coping with chronic pain. Rehabil Psychol. 2014;59(3):360-5. https://doi.org/10.1037/a0037023
Tian J, Hong J. Assessment of the relationship between resilience and quality of life in patients with digestive cancer. WJG. 2014;20(48): 18439-44. http://dx.doi.org/10.3748/wjg.v20.i48.18439
Nawaz A, Malik JA, Batool A. Relationship between resilience and quality of life in diabetics. J Coll Physicians Surg Pak [Internet]. 2014 [cited 2020 Oct 07];24(9):670-5. Available from: http://www.jcpsp.pk/archive/2014/Sep2014/15.pdf
Shrivastava A, Desousa A. Resilience: a psychobiological construct for psychiatric disorders. Indian Journal of Psychiatry. 2016;58(1):38-43. http://dx.doi.org/10.4103/0019-5545.174365
Böell JEW, Silva DMGV, Hegadoren KM. Sociodemographic factors and health conditions associated with the resilience of people with chronic diseases: a cross-sectional study. Rev. Latino-Am. Enfermagem. 2016;24:e2786. https://doi.org/10.1590/1518-8345.1205.2786
Cal SF, Sá LR, Glustak ME, Santiago MB. Resilience in chronic diseases: a systematic review. Cogent Psychology. 2015;2:e1024928. https://doi.org/10.1080/23311908.2015.1024928
Carvalho IG, Bertolli EdS, Paiva L, Rossi LA, Dantas RAS, Pompeo DA. Anxiety, depression, resilience and self-esteem in individuals with cardiovascular diseases. Rev. Latino-Am. Enfermagem. 2016;24:e2836. https://doi.org/10.1590/1518-8345.1405.2836
Matzka M, Mayer H, Köck-Hódi S, Moses-Passini C, Dubey C, Jahn P, et al. Relationship between Resilience, Psychological Distress and Physical Activity in Cancer Patients: A Cross-Sectional Observation Study. PLoS ONE. 2016;11(4):e0154496. https://doi.org/10.1371/journal.pone.0154496
Ristevska-Dimitrоvska G, Stefanovski P, Smichkoska S, Raleva M, Dejanova B. Depression and Resilience in Breast Cancer Patients. OA Maced J Med Sci. 2015;3(4):661-5. http://dx.doi.org/10.3889/oamjms.2015.119
Carneiro ECSP, Silva RMCRA, Pereira ER, Martins PG, Anjos C, Silva RRF, Frederico CGT, Pereira RA, Gutierrez PSG, Vallois EC. Câncer de mama e enfrentamento da COVID-19 simultâneos: relato de caso sobre espiritualidade. Glob Acad Nurs. 2023;4(1):e339. https://dx.doi.org/10.5935/2675-5602.20200339
Lessmann JC, Silva DMGV, Nassar SM. Estresse em mulheres com Diabetes mellitus tipo 2. Rev. bras. enferm. 2011;64(3):451-6. http://dx.doi.org/10.1590/S0034-71672011000300007
Holden KB, Bradford LD, Hall SP, Belton AS. Prevalence and correlates of depressive symptoms and resiliency among African American women in a community-based primary health care center. J Health Care Poor Underserved. 2013;24(4 Suppl):79-93. https://doi.org/10.1353/hpu.2014.0012
Wagnild GM, Collins JA. Assessing resilience. J Psychosoc Nurs Ment Health Serv. 2009;47(12):28-33. http://dx.doi.org/10.3928/02793695-20091103-01
Min JA, Lee NB, Lee CU, Lee C, Chae JH. Low trait anxiety, high resilience, and their possible interaction as predictors for treatment response in patients with depression. J Affect Disord. 2012;137:(1-3):61-9. https://doi.org/10.1016/j.jad.2011.12.026
Spies G, Seedat S. Depression and resilience in women with HIV and early life stress: does trauma play a mediating role? A cross-sectional study. BMJ Open. 2014;4:e004200. http://dx.doi.org/10.1136/bmjopen-2013-004200
Rutten BP, Hammels C, Geschwind N, Menne-Lothmann C, Pishva E, Schruers K, Wichers M. Resilience in mental health: Linking psychological and neurobiological perspectives. Acta Psychiatr Scand. 2013;128(1):3-20. http://dx.doi.org/10.1111/acps.12095
Siddiqui S. Depression in type 2 diabetes mellitus - a brief review. Diabetes Metab Syndr. 2014;8(1):62-5. http://dx.doi.org/10.1016/j.dsx.2013.06.010
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