Academic journal article Indian Journal of Community Psychology

Psycho-Physiological Status of Young and Middle Aged Diabetic Patients

Academic journal article Indian Journal of Community Psychology

Psycho-Physiological Status of Young and Middle Aged Diabetic Patients

Article excerpt


Social scenario in India shows a dismal picture of sexual minorities (Positive psychological health is considered as very significant factor to protect patients health from affective and emotional disorders particularly in diabetic patients. It is a fact that across the globe Indians are genetically and environmentally predisposed to develop metabolic syndrome (MS), diabetes and cardiovascular disease (CVD) at younger age and lower indices of body fat (Monica et al., 2014).

By the time of diagnosis itself their psychological well-being is affected. Significant relationships were found between general or diabetes-specific social support and depressive symptomatology (Little field, 1990) or psycho-social adjustment to diabetes, including emotional well-being(White et al., 1992). The importance of emotional stress in the disease process has become increasingly clear in recent years. Studies show that negative health outcomes are linked to Anger, anxiety, worry, depression and emotional reactivity (Allan & Scheidt, 1996; Cooper 1996; Hafen et al., 1992; McGuire 1986; Watkins, 1997). Extensive lifestyle changes takes place in individuals in diabetes. The frequently suffer substantial emotional stress and negative effect, including recurrent feelings of helplessness, hopelessness, anxiety and depression (Bradley & Gamsu 1994; Lustman & Gavard, 1995). Psychosocial adjustment to the disease includes adjustment to healthcare, vocational environment, home--family relationships, sexual relationships, extended family relationships, social environment, and psychosocial pressure (Adaylar, 1995). Lifestyle factors and family history play synergistic roles in increasing the risk of diabetes in the urban population (Mohan et al., 2003). Indian patients also showed a significantly higher perception of burden of social and personal distress associated with diabetes (Peyrot et al., 2005). At the same time, optimal diabetes management is associated with considerable physical, social, and psychological well-being. As the diabetes patient is at the core of executing the care process in diabetes, the outcomes of the care process and its effect on long-term prognosis depend on the social, cultural, familial and professional context that informs the patients' psychosocial condition (Petrak et al., 2005).

As India moves from a high prevalence of acute to chronic disease, type 2 diabetes mellitus (T2DM) is becoming a major health concern. Diabetes has been known in India since ancient times and finds mention in the well-referenced samhita texts, Charaka Samhita and Susruta Samhita. Together with Atharva Veda, they are among the oldest texts to describe and classify diabetes. Both Charaka Samhita and Susruta Samhita recognize unbalanced nutrition and lack of sufficient physical activity as probable causes of diabetes, and recommend dietary control and regular exercise for managing diabetes (Weaver & Narayan, 2008). In India 31.7 million people suffering with diabetes, which is indigestible. Decreased well--being is found in majority of the DM patients (Anderson et al., 2002; Gask et al., 2011; Rane et al., 2011; Stuckey et al., 2014). Furthermore, the DM patients generally use negative coping strategies and worry about the negative consequences of DM (Rane et al., 2011). Untreated psychosocial disorders in DM, may lead to more physical symptoms (Bener, 2012) cardiovascular complications (Laake et al., 2014) and depression (Ghiadoni et al., 2000; Skinner et al., 2010). Many aspects of life particularly human relationship and also on physical health (Nicolucci, 2013). The research outcome on intervention for diabetes was supported by many researches on diabetics (Clark & Haupson, 2001; Khatri et al., 2007). The above scenario clearly indicates there are dearth of studies in this area led to present investigation.

Objectives of the Study:

1. To study whether there are any significant differences between male and female in their Psycho-Physical Health State among Diabetic Patients. …

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