Journal of Happiness Studies

, Volume 17, Issue 3, pp 1205–1217

Subjective Wellbeing Among Adults with Diabetes: Results from Diabetes MILES—Australia

  • Elizabeth Holmes-Truscott
  • Jessica L. Browne
  • Frans Pouwer
  • Jane Speight
  • Robert A. Cummins
Research Paper

Abstract

This study examines the subjective wellbeing of Australian adults with diabetes who completed the Diabetes MILES—Australia survey, investigating by diabetes type and treatment, and by comparing with the subjective wellbeing of the general Australian adult population. In addition, the extent to which depression and socio-demographic factors account for subjective wellbeing is investigated. People with type 1 or type 2 diabetes have significantly lower subjective wellbeing compared to the general population, even after controlling for covariates (demographic and socio-economic status, diabetes duration, body mass index, number of diabetes-related complications, and depression). Furthermore, adults with type 2 diabetes using insulin to manage their condition report the lowest levels of subjective wellbeing, and are also most likely to report dissatisfaction with their current health. These findings suggest that living with diabetes, and in particular, living with type 2 diabetes and using insulin, strongly challenges the maintenance of subjective wellbeing.

Keywords

Type 1 diabetes Type 2 diabetes Personal wellbeing index Subjective wellbeing Depression 

References

  1. Ali, S., Stone, M. A., Peters, J. L., et al. (2006). The prevalence of co-morbid depression in adults with Type 2 diabetes: A systematic review and meta-analysis. Diabetic Medicine, 23, 1165–1173.CrossRefGoogle Scholar
  2. Anderson, R. J., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001). The prevalence of comorbid depression in adults with diabetes a meta-analysis. Diabetes Care, 24(6), 1069–1078.CrossRefGoogle Scholar
  3. Australian Bureau of Statistics. (2011). Diabetes in Australia: A snapshot, 2007–2008. (Cat. no. 4820.0.55.001.) Canberra, Australia: ABS. Retrieved July 23, 2014, from http://www.abs.gov.au/ausstats/abs@.nsf/mf/4820.0.55.001.
  4. Australian Bureau of Statistics. (2011). Socio-economic indexes for areas 2011. Canberra, Australia: ABS. Retrieved July 23, 2014, http://www.abs.gov.au/websitedbs/censushome.nsf/home/seifa.
  5. Bittar, R. (2009). Subjective wellbeing maintenance: Investigating depression as suppressed homeostatically protected mood. PhD Thesis, Deakin University, Australia.Google Scholar
  6. Bradley, C., Todd, C., Gorton, T., Symonds, E., Martin, A., & Plowright, R. (1999). The development of an individualized questionnaire measure of perceived impact of diabetes on quality of life: the ADDQoL. Quality of Life Research, 8(1–2), 79–91.CrossRefGoogle Scholar
  7. Bradshaw, B. G., Richardson, G. E., Kumpfer, K., Carlson, J., Stanchfield, J., Overall, J., et al. (2007). Determining the efficacy of a resiliency training approach in adults with type 2 diabetes. The Diabetes Educator, 33(4), 650–659.CrossRefGoogle Scholar
  8. Coffey, J. T., Brandle, M., Zhou, H., Marriott, D., Burke, R., Tabaei, B. P., et al. (2002). Valuing health-related quality of life in diabetes. Diabetes Care, 25(12), 2238–2243.CrossRefGoogle Scholar
  9. Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155.CrossRefGoogle Scholar
  10. Cummins, R. A. (2010). Subjective wellbeing, homeostatically protected mood and depression: A synthesis. Journal of Happiness Studies, 11(1), 1–17.CrossRefGoogle Scholar
  11. Cummins, R. A., Li, N., Wooden, M., et al. (2014). A demonstration of set-points for subjective wellbeing. Journal of Happiness Studies, 15(1), 183–206.CrossRefGoogle Scholar
  12. Cummins, R. A., Woerner, J., Hartley-Clark, L., Perera, C., Collard, J., Horfiniak, K., & Gibson-Prosser, A. (2011). Australian unity wellbeing index survey 26.0 Part A : The report. In The wellbeing of Australians—chronic health. Melbourne: Australian Centre on Quality of Life, School of Psychology, Deakin University.Google Scholar
  13. Cummins, R. A., Woerner, J., Hartley-Clark, L., Perera, C., Gibson-Prosser, A., Collard, J., & Horfiniak, K. (2011). Australian unity wellbeing index survey 25.0. Part A: The report. In The Wellbeing of AustraliansRelationships and the internet. Melbourne: Australian Centre on Quality of Life, School of Psychology, Deakin University.Google Scholar
  14. Cummins, R. A., Woerner, J., Weingberg, M., Collard, J., Hartley-Clark, L., & Horfiniak, K. (2013). Australian unity wellbeing index survey 29.0 Part A : The report. In The wellbing of AustraliaTwo extra hours, mothers and mothers in law. Melbourne: Australian Centre on Quality of Life, School of Psychology, Deakin University.Google Scholar
  15. Cummins, R. A., & Wooden, M. (2014). Personal resilience in times of crisis: The implications of SWB homeostasis and set-points. Journal of Happiness Studies, 15, 223–235.CrossRefGoogle Scholar
  16. DAFNE Study Group. (2002). Training in flexible, intensive insulin management to enable dietary freedom in people with type 1 diabetes: dose adjustment for normal eating (DAFNE) randomised controlled trial. BMJ: British Medical Journal, 325(7367), 746.CrossRefGoogle Scholar
  17. Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.Google Scholar
  18. Elliott, T. R., Shewchuk, R. M., Miller, D. M., & Richards, J. S. (2001). Profiles in problem solving: Psychological well-being and distress among persons with diabetes mellitus. Journal of Clinical Psychology in Medical Settings, 8(4), 283–291.CrossRefGoogle Scholar
  19. Engel, L., & Cummins, R. (2011). Impact of dose adjustment for normal eating in Australia (OzDAFNE) on subjective wellbeing, coping resources and negative affects in adults with type 1 diabetes: A prospective comparison study. Diabetes Research and Clinical Practice, 91(3), 271–279.CrossRefGoogle Scholar
  20. Gargiulo, R. A., & Stokes, M. A. (2009). Subjective well-being as an indicator for clinical depression. Social Indicators Research, 92(3), 517–527.CrossRefGoogle Scholar
  21. Goldney, R. D., Phillips, P. J., Fisher, L. J., & Wilson, D. H. (2004). Diabetes, depression, and quality of life a population study. Diabetes Care, 27(5), 1066–1070.CrossRefGoogle Scholar
  22. Grigsby, A. B., Anderson, R. J., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2002). Prevalence of anxiety in adults with diabetes: a systematic review. Journal of Psychosomatic Research, 53(6), 1053–1060.CrossRefGoogle Scholar
  23. Holmes-Truscott, E., Skinner, T. C., Pouwer, F., & Speight, J. (2015). Negative appraisals of insulin therapy are common among adults with Type 2 diabetes using insulin: Results from Diabetes MILES–Australia cross-sectional survey. Diabetic Medicine,. doi:10.1111/dme.12729.Google Scholar
  24. Holt, R. I., de Groot, M., & Golden, S. H. (2014). Diabetes and depression. Current Diabetes Reports, 14(16), 1–9.Google Scholar
  25. International Wellbeing Group. (2006). Personal wellbeing index. Melbourne: Australian Centre on Quality of Life, Deakin University.Google Scholar
  26. Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The Phq-9. Journal of General Internal Medicine, 16(9), 606–613.CrossRefGoogle Scholar
  27. McIntyre, H. D., Knight, B. A., Harvey, D. M., Noud, M. N., Hagger, V. L., & Gilshenan, K. S. (2010). Dose adjustment for normal eating (DAFNE)—an audit of outcomes in Australia. Medical Journal of Australia, 192(11), 637–640.Google Scholar
  28. Noh, J. H., Park, J. K., Lee, H. J., Kwon, S. K., Lee, S. H., Park, J. H., et al. (2005). Depressive symptoms of type 2 diabetics treated with insulin compared to diabetics taking oral anti-diabetic drugs: A Korean study. Diabetes Research and Clinical Practice, 69(3), 243–248.CrossRefGoogle Scholar
  29. Nouwen, A., Nefs, G., Caramlau, I., Connock, M., Winkley, K., Lloyd, C. E., et al. (2011). Prevalence of depression in individuals with impaired glucose metabolism or undiagnosed diabetes a systematic review and meta-analysis of the European Depression in Diabetes (EDID) research consortium. Diabetes Care, 34(3), 752–762.CrossRefGoogle Scholar
  30. Nouwen, A., Winkley, K., Twisk, J., Lloyd, C. E., Peyrot, M., Ismail, K., et al. (2010). Type 2 diabetes mellitus as a risk factor for the onset of depression: A systematic review and meta-analysis. Diabetologia, 53(12), 2480–2486.CrossRefGoogle Scholar
  31. Page, K. N., Davidson, P., Edward, K. L., Allen, J., Cummins, R. A., Thompson, D. R., & Worrall-Carter, L. (2010). Recovering from an acute cardiac event—the relationship between depression and life satisfaction. Journal of Clinical Nursing, 19(5–6), 736–743.CrossRefGoogle Scholar
  32. Polonsky, W. H., Anderson, B. J., Lohrer, P. A., Welch, G., Jacobson, A. M., Aponte, J. E., & Schwartz, C. E. (1995). Assessment of diabetes-related distress. Diabetes Care, 18(6), 754–760.CrossRefGoogle Scholar
  33. Pouwer, F., Beekman, A. T. F., Nijpels, G., Dekker, J. M., Snoek, F. J., Kostense, P. J., et al. (2003). Rates and risks for co-morbid depression in patients with Type 2 diabetes mellitus: Results from a community-based study. Diabetologia, 46(7), 892–898.CrossRefGoogle Scholar
  34. Pouwer, F., & Hermanns, N. (2009). Insulin therapy and quality of life. A review. Diabetes/metabolism research and reviews, 25(S1), S4–S10.CrossRefGoogle Scholar
  35. Redekop, W. K., Koopmanschap, M. A., Stolk, R. P., Rutten, G. E., Wolffenbuttel, B. H., & Niessen, L. W. (2002). Health-related quality of life and treatment satisfaction in Dutch patients with type 2 diabetes. Diabetes Care, 25(3), 458–463.CrossRefGoogle Scholar
  36. Rubin, R. R., & Peyrot, M. (1999). Quality of life and diabetes. Diabetes/metabolism research and reviews, 15(3), 205–218.CrossRefGoogle Scholar
  37. Rubin, R. R., Peyrot, M., & Siminerio, L. M. (2006). Health care and patient-reported outcomes results of the cross-national diabetes attitudes, wishes and needs (DAWN) study. Diabetes Care, 29(6), 1249–1255.CrossRefGoogle Scholar
  38. Speight, J., Browne, J. L., Holmes-Truscott, E., Hendrieckx, C., & Pouwer, F. (2011). Diabetes MILES—Australia 2011 survey report. Canberra: Diabetes Australia.Google Scholar
  39. Speight, J., Browne, J. L., Holmes-Truscott, E., Hendrieckx, C., & Pouwer, F. (2012). Diabetes MILES—Australia (management and impact for long-term empowerment and success): Methods and sample characteristics of a national survey of the psychological aspects of living with type 1 or type 2 diabetes in Australian adults. BMC Public Health, 12(1), 120.CrossRefGoogle Scholar
  40. Speight, J., Reaney, M. D., & Barnard, K. D. (2009). Not all roads lead to Rome—a review of quality of life measurement in adults with diabetes. Diabetic Medicine, 26(4), 315–327.CrossRefGoogle Scholar
  41. van Dam, H. A., van der Horst, F. G., Knoops, L., Ryckman, R. M., Crebolder, H. F., & van den Borne, B. H. (2005). Social support in diabetes: A systematic review of controlled intervention studies. Patient Education and Counseling, 59(1), 1–12.CrossRefGoogle Scholar
  42. WHOQoL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(03), 551–558.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2015

Authors and Affiliations

  • Elizabeth Holmes-Truscott
    • 1
    • 2
  • Jessica L. Browne
    • 1
    • 2
  • Frans Pouwer
    • 3
  • Jane Speight
    • 1
    • 2
    • 4
  • Robert A. Cummins
    • 2
  1. 1.The Australian Centre for Behavioural Research in DiabetesDiabetes Australia – VicMelbourneAustralia
  2. 2.School of PsychologyDeakin UniversityBurwoodAustralia
  3. 3.Department of Medical and Clinical Psychology, Centre of Research on Psychology in Somatic Diseases (CoRPS)Tilburg UniversityTilburgThe Netherlands
  4. 4.AHP Research LtdHornchurchUK

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