Clinical Usefulness of “Problem Areas In Diabetes Survey (PAID)”

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  • 糖尿病臨床におけるProblem Areas In Diabetes Survey (PAID)の有用性について
  • トウニョウビョウ リンショウ ニ オケル Problem Areas In Diabetes Survey PAID ノ ユウヨウセイ ニ ツイテ

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Abstract

653 diabetic patients that visited 3 specialized diabetes clinics in Tokyo were administered the “Problem Areas In Diabetes Survey (PAID)” scale, a scale of emotional distress related to diabetes. The relation ships between the PAID score and 1) the clinical characteristics, 2) job-related stress as evaluated by JCQ (Job Content Questionnaire), 3) accuracy of prediction of the PAID score by health providers, and 4) presence of minor depression as measured by SRQ-D (Self-Rating Questionnaire for depression) were investigated.<br>Higher PAID scores were related to a younger age, female sex, higher HbA1c, history of drug therapy (insulin>sulfonylurea), presence of complications, history of hospitalization and hypoglycemia. ‘Demands’ of the job as calculated by JCQ was weakly related to the PAID score.<br>The PAID score was underestimated by health providers in 15% of the patients. 13% of the patients with a PAID scores of over 50 were detected to have minor depression by SRQ-D.<br>PAID is considered to be useful to screen diabetic patients for emotional distress.

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