TY - JOUR
T1 - Unraveling the concepts of distress, burnout, and depression in type 1 diabetes
T2 - A scoping review
AU - Kiriella, Dona A.
AU - Islam, Sumaiya
AU - Oridota, Olutobi
AU - Sohler, Nancy
AU - Dessenne, Coralie
AU - de Beaufort, Carine
AU - Fagherazzi, Guy
AU - Aguayo, Gloria A.
N1 - Funding Information:
This project was supported by the MSDAvenir Foundation (Project World Diabetes Distress Study).
Funding Information:
Funding: MSDAvenir foundation.
Publisher Copyright:
© 2021 The Author(s)
PY - 2021/10
Y1 - 2021/10
N2 - Background: Psychological complications are frequent in type 1 diabetes (T1D) but they might be difficult to distinguish one from the other in clinical practice. Our objective was to study the distinguishing characteristics, overlaps and their use in the literature between three concepts of T1D: depression, diabetes distress (DD) and diabetes burnout (DB). Methods: A scoping review (PRISMA guidelines) performed in three databases (PubMed/MEDLINE, PsycInfo, Web of Science) with the keywords: T1D, depression, diabetes and burnout, from January 1990 to June 2021. We selected original studies with participants with T1D, which reported depression, DD, or DB. We extracted information about the concepts, their sub-concepts and screening tools. Findings: Of the 4763 studies identified, 201 studies were included in the study. Seventy-three percent, 57% and 45% of sub-concepts do not overlap in depression, DD, and DB, respectively. We observed overlap between depression (27%)/DD (27%) and between DD (20%)/DB (50%). Interpretation: A number of sub-concepts distinguish depression and DD. Overlaps between concepts suggest that a more precise definition is still lacking. DB is still a relatively new concept and more research is needed to better understand how it can present itself differently, in order to personalize care in comparison to those having DD. Funding: This project was supported by the MSDAvenir Foundation (Project World Diabetes Distress Study).
AB - Background: Psychological complications are frequent in type 1 diabetes (T1D) but they might be difficult to distinguish one from the other in clinical practice. Our objective was to study the distinguishing characteristics, overlaps and their use in the literature between three concepts of T1D: depression, diabetes distress (DD) and diabetes burnout (DB). Methods: A scoping review (PRISMA guidelines) performed in three databases (PubMed/MEDLINE, PsycInfo, Web of Science) with the keywords: T1D, depression, diabetes and burnout, from January 1990 to June 2021. We selected original studies with participants with T1D, which reported depression, DD, or DB. We extracted information about the concepts, their sub-concepts and screening tools. Findings: Of the 4763 studies identified, 201 studies were included in the study. Seventy-three percent, 57% and 45% of sub-concepts do not overlap in depression, DD, and DB, respectively. We observed overlap between depression (27%)/DD (27%) and between DD (20%)/DB (50%). Interpretation: A number of sub-concepts distinguish depression and DD. Overlaps between concepts suggest that a more precise definition is still lacking. DB is still a relatively new concept and more research is needed to better understand how it can present itself differently, in order to personalize care in comparison to those having DD. Funding: This project was supported by the MSDAvenir Foundation (Project World Diabetes Distress Study).
KW - Depression
KW - Diabetes burnout
KW - Diabetes distress
KW - Diagnostic questionnaires
KW - Exhaustion
KW - Fear of hypoglicaemia
KW - Insulin pump
KW - Psychological burden
KW - Selfmanagement
KW - Type 1 diabetes
UR - http://www.scopus.com/inward/record.url?scp=85123106060&partnerID=8YFLogxK
UR - https://www.ncbi.nlm.nih.gov/pubmed/34485879
U2 - 10.1016/j.eclinm.2021.101118
DO - 10.1016/j.eclinm.2021.101118
M3 - Article
C2 - 34485879
SN - 2589-5370
VL - 40
SP - 101118
JO - EClinicalMedicine
JF - EClinicalMedicine
M1 - 101118
ER -