TY - JOUR
T1 - New insights into diabetes burnout and its distinction from diabetes distress and depressive symptoms
T2 - A qualitative study
AU - Abdoli, Samereh
AU - Hessler, Danielle
AU - Smither, Betsy
AU - Miller-Bains, Katherine
AU - Burr, Erin M.
AU - Stuckey, Heather L.
N1 - Funding Information:
All authors contributed in study design. S.A. recruited the participants, and B.S. conducted the interviews. S.A., B.S., and H.S contributed in data analysis. S.A. and B.S. drafted the manuscript and K.M.B., E.M.B., D.H., and H.S. contributed to the discussion and reviewed/edited the manuscript. All of the authors take the responsibility for the contents of the manuscript. The authors do not have any conflict of interests. The authors thank the study participants. The study was funded by Oak Ridge Associated Universities and University of Tennessee , College of Nursing.
Publisher Copyright:
© 2020 Elsevier B.V.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/11
Y1 - 2020/11
N2 - Aims: This study aimed to corroborate the main hypotetized dimensions of diabetes burnout, and its distinction from diabetes distress and depressive symptoms among adults with type 1 diabetes (T1D). Methods: A qualitative descriptive study was employed to collect data from 31 eligible participants using semi-structured individual phone interviews. Participants were recruited through purposive sampling among a larger sample of adults with T1D in a previous study. Data was analyzed using qualitative content analysis including immersion, reduction, and interpretation. Results: Exhaustion and detachment were frequent manifestations of diabetes burnout that often accompanied by instances during which participants experienced a loss of control over diabetes. Whereas individuals’ support systems could either help or hinder diabetes burnout. Participants saw burnout as separate but closely related to distress and depressive symptoms, with some suggesting correlations among burnout, distress, and depressive symptoms, while others expressed that distress caused their burnout and depressive symptoms. Conclusions: Diabetes burnout reflects a significant yet unexplored concept which might explain the complexities of suboptimal self-management and poor diabetes outcomes. Emerging evidence suggesting diabetes burnout as a distinct concept calls for more studies to mitigate diabetes burnout as an obstacle to optimal diabetes care.
AB - Aims: This study aimed to corroborate the main hypotetized dimensions of diabetes burnout, and its distinction from diabetes distress and depressive symptoms among adults with type 1 diabetes (T1D). Methods: A qualitative descriptive study was employed to collect data from 31 eligible participants using semi-structured individual phone interviews. Participants were recruited through purposive sampling among a larger sample of adults with T1D in a previous study. Data was analyzed using qualitative content analysis including immersion, reduction, and interpretation. Results: Exhaustion and detachment were frequent manifestations of diabetes burnout that often accompanied by instances during which participants experienced a loss of control over diabetes. Whereas individuals’ support systems could either help or hinder diabetes burnout. Participants saw burnout as separate but closely related to distress and depressive symptoms, with some suggesting correlations among burnout, distress, and depressive symptoms, while others expressed that distress caused their burnout and depressive symptoms. Conclusions: Diabetes burnout reflects a significant yet unexplored concept which might explain the complexities of suboptimal self-management and poor diabetes outcomes. Emerging evidence suggesting diabetes burnout as a distinct concept calls for more studies to mitigate diabetes burnout as an obstacle to optimal diabetes care.
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U2 - 10.1016/j.diabres.2020.108446
DO - 10.1016/j.diabres.2020.108446
M3 - Article
C2 - 32946853
AN - SCOPUS:85091679492
SN - 0168-8227
VL - 169
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
M1 - 108446
ER -
