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An Examination of Comorbid Pain Conditions in Type 2 Diabetes

Averyt, Jennifer C.
http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1344018859

Abstract Details

2012, Doctor of Philosophy (PhD), Ohio University, Clinical Psychology (Arts and Sciences).
Both neuropathic and non-neuropathic pain conditions (e.g., arthritis and lower back pain) are common in adults with type 2 diabetes (T2DM) and are associated with higher levels of depression, lower quality of life (QOL), and less efficacious self-care. The current study sought to (a) examine the prevalence, chronicity, severity, and interference of comorbid pain conditions in a clinical sample of adults with T2DM, (b) explore the psychosocial correlates of pain conditions in adults with T2DM, and (c) examine the relationship between pain severity and self-care behaviors in adults with T2DM and determine whether or not self-efficacy mediates this relationship. Ninety-four adults with T2DM attending endocrinology clinics completed interviews and questionnaires about their experience of pain, psychiatric symptoms, quality of life, and self-care activities. Over 72% of patients endorsed symptoms of chronic pain. Of these patients, 60.3% reported non-neuropathic pain only, 5.9% reported having only neuropathic pain, and 33.8% endorsed having both neuropathic and non-neuropathic pain. Patients with both neuropathic and non-neuropathic pain had significantly lower QOL, higher levels of depression and anxiety, and lower levels of self-care activity than patients with no pain or non-neuropathic only pain. Pain-related self-efficacy was found to mediate the relationship between pain severity and diabetes self-care activities. Findings suggest that assessment of pain, particularly non-neuropathic pain, is important to consider in endocrinology settings. Treatment and recommendations to increase pain management self-efficacy may facilitate self-care practices in patients with T2DM and comorbid chronic pain conditions.
Bernadette Heckman, Ph.D. (Committee Chair)
Christine Gidycz, Ph.D. (Committee Member)
Julie Suhr, Ph.D. (Committee Member)
Stephen Patterson, Ph.D. (Committee Member)
Jay Shubrook, D.O. (Committee Member)
115 p.
Clinical Psychology
Diabetes; Chronic Pain; Comorbid Conditions; Psychiatric Comorbidity; Self-efficacy

Recommended Citations

Citations

  • Averyt, J. C. (2012). An Examination of Comorbid Pain Conditions in Type 2 Diabetes [Doctoral dissertation, Ohio University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1344018859

    APA Style (7th edition)

  • Averyt, Jennifer. An Examination of Comorbid Pain Conditions in Type 2 Diabetes. 2012. Ohio University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1344018859.

    MLA Style (8th edition)

  • Averyt, Jennifer. "An Examination of Comorbid Pain Conditions in Type 2 Diabetes." Doctoral dissertation, Ohio University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1344018859

    Chicago Manual of Style (17th edition)

ohiou1344018859
491
© 2012, all rights reserved.
This open access ETD is published by Ohio University and OhioLINK.