Psychosocial Aspects of Diabetes Flashcards

Which validated tool is specifically designed to assess diabetes-related emotional distress?

Answer: PAID (Problem Areas in Diabetes) scale

The PAID scale is specifically designed to measure emotional distress related to diabetes management and its burdens, making it the most appropriate tool for diabetes-specific distress.

How does diabetes distress differ from clinical depression?

Answer: Diabetes distress is specifically related to living with diabetes while depression is a psychiatric disorder with broader symptoms

Diabetes distress is emotional burden specifically tied to the demands of diabetes management, distinct from clinical depression which is a psychiatric condition with broader symptom criteria.

According to ADA standards, psychosocial health in people with diabetes should be assessed:

Answer: At diagnosis, at periodic intervals, and when disease or treatment changes occur

The ADA recommends assessing psychosocial health at diagnosis, at regular intervals, and whenever clinical or life changes occur that may impact self-management.

A patient with type 2 diabetes scores 22 on the PHQ-9. This score indicates:

Answer: Severe depression

PHQ-9 scores of 20–27 indicate severe depression, warranting prompt clinical attention and likely referral to a mental health professional.

Which of the following is a recognized psychosocial barrier to effective diabetes self-management?

Answer: Fear of hypoglycemia

Fear of hypoglycemia is a significant psychosocial barrier that leads many patients to intentionally maintain higher blood glucose levels to avoid low blood sugar episodes.

"Diabulimia" is best defined as:

Answer: Deliberate insulin omission or restriction to lose weight in individuals with type 1 diabetes

Diabulimia is an eating disorder specific to type 1 diabetes in which individuals restrict insulin to purge calories through glucosuria, leading to dangerous chronic hyperglycemia.

Research consistently shows that comorbid depression in people with diabetes is associated with:

Answer: Poorer self-management behaviors and worse health outcomes

Comorbid depression in diabetes is associated with reduced self-management adherence, worse glycemic control, increased risk of complications, and higher healthcare costs.