Mette Due-Christensen, United Kingdom
King's College London Adult NursingModerator of 1 Session
Presenter of 1 Presentation
Psychological issues at diagnosis of type 1 diabetes
Abstract
Background and Aims
Around 50 % of people who develop type 1 diabetes do so as adults. A diagnosis of type 1 diabetes involves significant physical and psycho-social adaptation and currently little is known about the impact of the diagnosis in adulthood. Therefore, this study aimed to explore patients’ experiences of the diagnosis to get a better understanding of the adaptive process involved in transitioning to a life with type 1 diabetes.
Methods
Qualitative longitudinal data were collected from 30 adults diagnosed within the past three years recruited from hospitals in Denmark and the UK. A narrative approach was used for analysis to elicit the meaning of what this change in life holds for the individual.
Results
Study participants identified that the diabetes diagnosis had an immediate disrupting impact on physical, psychological, and social aspects of their life. They reported feelings of anxiety about relationships and employment prospects which seemed to drive emotional reactions and a sense of frustration. They also developed fearful thoughts and anxiety regarding hypoglycaemia and diabetes complications, potentially impacting self-management negatively. While participants were taught technical skills and gained knowledge about their treatment, they lacked support in coming to terms with their diagnosis.
Conclusions
Adults newly diagnosed with type 1 diabetes experience significant physical and psychosocial disruption. This disruption can lead to unhelpful emotional and behavioural responses which may increase the risk of future diabetes complications and reduced psychological well-being. Adults need more psychosocial support following diagnosis as they transition into a life with type 1 diabetes.