Cover Image

Psychological insulin resistance in geriatric patients with diabetes mellitus

Objective - To determine the extent to which geriatric patients with diabetes mellitus experience psychological insulin resistance (PIR). - Methods - A total of 67 unselected geriatric patients with diabetes (mean age 82.8±6.7 years, diabetes duration 12.2 [0.04-47.2] years, 70.1% female) were recru...

Full description

Saved in:
Bibliographic Details
Main Authors: Bahrmann, Anke (Author) , Abel, Amelie (Author) , Zeyfang, Andrej (Author) , Petrak, Frank (Author) , Kubiak, Thomas (Author) , Hummel, Jana (Author) , Oster, Peter (Author) , Bahrmann, Philipp (Author)
Format: Article (Journal)
Language:English
Published: 2014
In: Patient education and counseling
Year: 2013, Volume: 94, Issue: 3, Pages: 417-422
ISSN:1873-5134
DOI:10.1016/j.pec.2013.11.010
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.pec.2013.11.010
Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0738399113005090
Get full text
Author Notes:Anke Bahrmann, Amelie Abel, Andrej Zeyfang, Frank Petrak, Thomas Kubiak, Jana Hummel, Peter Oster, Philipp Bahrmann

MARC

LEADER 00000caa a2200000 c 4500
001 1733456902
003 DE-627
005 20220818202720.0
007 cr uuu---uuuuu
008 200921r20142013xx |||||o 00| ||eng c
024 7 |a 10.1016/j.pec.2013.11.010  |2 doi 
035 |a (DE-627)1733456902 
035 |a (DE-599)KXP1733456902 
035 |a (OCoLC)1341360900 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Bahrmann, Anke  |d 1976-  |e VerfasserIn  |0 (DE-588)129771449  |0 (DE-627)707316979  |0 (DE-576)297828177  |4 aut 
245 1 0 |a Psychological insulin resistance in geriatric patients with diabetes mellitus  |c Anke Bahrmann, Amelie Abel, Andrej Zeyfang, Frank Petrak, Thomas Kubiak, Jana Hummel, Peter Oster, Philipp Bahrmann 
264 1 |c 2014 
300 |a 6 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Online 1 December 2013 
500 |a Gesehen am 21.09.2020 
520 |a Objective - To determine the extent to which geriatric patients with diabetes mellitus experience psychological insulin resistance (PIR). - Methods - A total of 67 unselected geriatric patients with diabetes (mean age 82.8±6.7 years, diabetes duration 12.2 [0.04-47.2] years, 70.1% female) were recruited in a geriatric care center of a university hospital. A comprehensive geriatric assessment (CGA) was performed including WHO-5, Hospital Anxiety and Depression Scale (HADS), Mini Mental State Examination (MMSE) and Barthel-Index. We assessed PIR using the Barriers of Insulin Treatment Questionnaire (BIT) and the Insulin Treatment Appraisal Scale in a face-to-face interview. - Results - Insulin-naïve patients (INP) showed higher PIR scores than patients already on insulin therapy (BIT-sum score: 4.3±1.4 vs. 3.2±1.0; p<0.001). INP reported in the BIT increased fear of injection and self-testing (2.4±2.4 vs. 1.3±0.8; p=0.016), expect disadvantages from insulin treatment (2.7±1.6 vs. 1.9±1.4; p=0.04), and fear of stigmatization by insulin injection (5.2±2.3 vs. 3.6±2.6; p=0.008). Fear of hypoglycemia, however, did not differ significantly (6.3±2.8 vs. 5.1±3.1; p=0.11). Depression was not shown to be a barrier to insulin therapy. - Conclusion - INP with diabetes have a significantly more negative attitude toward insulin therapy in comparison to patients already on insulin. - Practice implications - Systematic assessment of barriers of insulin therapy, individualized diabetes treatment plans and information of patients may help to overcome such negative attitudes, leading to quicker initiation of therapy, improved adherence to treatment and a better quality of life. 
534 |c 2013 
650 4 |a Depression 
650 4 |a Diabetes 
650 4 |a Fear of injection 
650 4 |a Insulin 
650 4 |a Psychological insulin resistance 
700 1 |a Abel, Amelie  |d 1985-  |e VerfasserIn  |0 (DE-588)1046090682  |0 (DE-627)775708631  |0 (DE-576)399379975  |4 aut 
700 1 |a Zeyfang, Andrej  |d 1962-  |e VerfasserIn  |0 (DE-588)114187630  |0 (DE-627)526967129  |0 (DE-576)172728509  |4 aut 
700 1 |a Petrak, Frank  |d 1963-  |e VerfasserIn  |0 (DE-588)122662830  |0 (DE-627)082076413  |0 (DE-576)183830679  |4 aut 
700 1 |a Kubiak, Thomas  |d 1972-  |e VerfasserIn  |0 (DE-588)124778941  |0 (DE-627)366048694  |0 (DE-576)294497846  |4 aut 
700 1 |a Hummel, Jana  |e VerfasserIn  |0 (DE-588)13288819X  |0 (DE-627)527891916  |0 (DE-576)299482413  |4 aut 
700 1 |a Oster, Peter  |d 1946-  |e VerfasserIn  |0 (DE-588)174011555  |0 (DE-627)698909747  |0 (DE-576)134847903  |4 aut 
700 1 |a Bahrmann, Philipp  |d 1968-  |e VerfasserIn  |0 (DE-588)115753745  |0 (DE-627)077448766  |0 (DE-576)290057396  |4 aut 
773 0 8 |i Enthalten in  |t Patient education and counseling  |d Amsterdam [u.a.] : Elsevier Science, 1983  |g 94(2014), 3, Seite 417-422  |h Online-Ressource  |w (DE-627)320596044  |w (DE-600)2019572-2  |w (DE-576)264423984  |x 1873-5134  |7 nnas  |a Psychological insulin resistance in geriatric patients with diabetes mellitus 
773 1 8 |g volume:94  |g year:2014  |g number:3  |g pages:417-422  |g extent:6  |a Psychological insulin resistance in geriatric patients with diabetes mellitus 
856 4 0 |u https://doi.org/10.1016/j.pec.2013.11.010  |x Verlag  |x Resolving-System  |z lizenzpflichtig  |3 Volltext 
856 4 0 |u http://www.sciencedirect.com/science/article/pii/S0738399113005090  |x Verlag  |z lizenzpflichtig  |3 Volltext 
951 |a AR 
992 |a 20200921 
993 |a Article 
994 |a 2014 
998 |g 174011555  |a Oster, Peter  |m 174011555:Oster, Peter  |p 7 
998 |g 13288819X  |a Hummel, Jana  |m 13288819X:Hummel, Jana  |p 6 
998 |g 1046090682  |a Abel, Amelie  |m 1046090682:Abel, Amelie  |p 2 
998 |g 129771449  |a Bahrmann, Anke  |m 129771449:Bahrmann, Anke  |p 1  |x j 
999 |a KXP-PPN1733456902  |e 3759809642 
BIB |a Y 
SER |a journal 
JSO |a {"name":{"displayForm":["Anke Bahrmann, Amelie Abel, Andrej Zeyfang, Frank Petrak, Thomas Kubiak, Jana Hummel, Peter Oster, Philipp Bahrmann"]},"physDesc":[{"extent":"6 S."}],"relHost":[{"disp":"Psychological insulin resistance in geriatric patients with diabetes mellitusPatient education and counseling","language":["eng"],"id":{"zdb":["2019572-2"],"issn":["1873-5134"],"eki":["320596044"]},"pubHistory":["5.1983 -"],"note":["Gesehen am 31.05.23"],"type":{"bibl":"periodical","media":"Online-Ressource"},"origin":[{"dateIssuedDisp":"1983-","dateIssuedKey":"1983","publisher":"Elsevier Science","publisherPlace":"Amsterdam [u.a.]"}],"physDesc":[{"extent":"Online-Ressource"}],"part":{"issue":"3","pages":"417-422","volume":"94","year":"2014","text":"94(2014), 3, Seite 417-422","extent":"6"},"title":[{"title":"Patient education and counseling","title_sort":"Patient education and counseling"}],"recId":"320596044"}],"origin":[{"dateIssuedKey":"2014","dateIssuedDisp":"2014"}],"note":["Online 1 December 2013","Gesehen am 21.09.2020"],"type":{"media":"Online-Ressource","bibl":"article-journal"},"title":[{"title_sort":"Psychological insulin resistance in geriatric patients with diabetes mellitus","title":"Psychological insulin resistance in geriatric patients with diabetes mellitus"}],"language":["eng"],"id":{"doi":["10.1016/j.pec.2013.11.010"],"eki":["1733456902"]},"recId":"1733456902","person":[{"role":"aut","family":"Bahrmann","display":"Bahrmann, Anke","roleDisplay":"VerfasserIn","given":"Anke"},{"roleDisplay":"VerfasserIn","given":"Amelie","display":"Abel, Amelie","family":"Abel","role":"aut"},{"roleDisplay":"VerfasserIn","given":"Andrej","display":"Zeyfang, Andrej","family":"Zeyfang","role":"aut"},{"given":"Frank","roleDisplay":"VerfasserIn","display":"Petrak, Frank","family":"Petrak","role":"aut"},{"display":"Kubiak, Thomas","roleDisplay":"VerfasserIn","given":"Thomas","role":"aut","family":"Kubiak"},{"family":"Hummel","role":"aut","given":"Jana","roleDisplay":"VerfasserIn","display":"Hummel, Jana"},{"role":"aut","family":"Oster","display":"Oster, Peter","given":"Peter","roleDisplay":"VerfasserIn"},{"family":"Bahrmann","role":"aut","roleDisplay":"VerfasserIn","given":"Philipp","display":"Bahrmann, Philipp"}]} 
SRT |a BAHRMANNANPSYCHOLOGI2014 

Similar Items