Please use this identifier to cite or link to this item: http://hdl.handle.net/10609/146906
Title: Increased patient empowerment is associated with improvement in anxiety and depression symptoms in type 2 diabetes mellitus: findings from the INDICA study
Author: Duarte-Díaz, Andrea  
Gonzalez-Pacheco, Himar  
Rivero-Santana, Amado  
Ramallo-Fariña, Yolanda  
Perestelo-Pérez, Lilisbeth
Álvarez Sánchez, Yolanda  
Peñate, Wenceslao
Carrion, Carme  
Serrano-Aguilar, Pedro  
Others: Universidad de La Laguna (ULL)
Canary Islands Health Service (SCS)
Universitat Oberta de Catalunya (UOC)
Keywords: empowerment
patient-centered care
type 2 diabetes mellitus
anxiety
depression
Issue Date: 15-Apr-2022
Publisher: International Journal of Environmental Research and Public Health
Published in: 19;8
Project identifier: info:eu-repo/grantAgreement/ADE10/00032
info:eu-repo/grantAgreement/PI16/00769
Also see: https://doi.org/10.3390/ijerph19084818
Abstract: Introduction. In cross-sectional analyses, higher levels of patient empowerment have been related to lower symptoms of anxiety and depression. The aims of this study are: (1) to assess if patient empowerment predicts anxiety and depression symptoms after 12 and 24 months among patients with type 2 diabetes mellitus, and (2) to analyze whether a change in patient empowerment is associated with a change in anxiety and depression level. Methods. This is a secondary analysis of the INDICA study, a 24 month-long, multi-arm randomized controlled trial. Patient empowerment (DES-SF), depression (BDI-II), and state-anxiety (STAI-S) were assessed at the baseline (pre-intervention) and after 12 and 24 months. Multilevel mixed linear models with a random intercept were performed to correct for our clustered data. Results. The multilevel regression models showed that the baseline empowerment did not significantly predict anxiety and depression after 12 and 24 months. However, a higher increase in patient empowerment was significantly associated with reductions of anxiety (p < 0.001) and depression levels (p < 0.001). This association was not significantly different between the two follow-ups. Conclusion. This study contributes to the knowledge on how to reduce affective symptoms in patients with uncomplicated T2DM through comprehensive patient-centered interventions, and it highlights patient empowerment as a significant contributor.
Language: English
URI: http://hdl.handle.net/10609/146906
ISSN: 1660-4601MIAR
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