The influence of personality on trajectories of distress, health and functioning in mild-to-moderately depressed adults with type 2 diabetes

Samineh Sanatkar, Peter Baldwin, Janine Clarke, Susan Fletcher, Jane Gunn, Kay Wilhelm, Lesley Campbell, Nick Zwar, Mark Harris, Helen Lapsley, Dusan Hadzi-Pavlovic, Helen Christensen, Judith Proudfoot

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Identification of mental health risk is important for optimising diabetes care in type 2 diabetes mellitus (T2DM). Personality is linked to diabetes health and may assist detection of individuals with T2DM most at risk of chronic mental health difficulties. This study examined the moderator effect of personality factors on changes in psychological distress and functioning in adults with T2DM and mild-to-moderate depressive symptoms across a 12-month period. Data were obtained from participants in a randomised controlled trial of adults with T2DM. Participants completed measures of depression (Patient Health Questionnaire-9), anxiety (General Anxiety Disorder-7), general functioning (Work and Social Adjustment Scale), diabetes distress (Diabetes Distress Scale), and diabetes self-management (Self-Management Profile for Type 2 Diabetes) at baseline, 3-, 6- and 12-months. Glycaemic control (HbA1c) was measured at baseline, 6- and 12-months. Two hundred trial completers agreed to complete a personality inventory (Big Five Inventory). Low neuroticism was linked with reduced depression, anxiety, functional impairment and diabetes distress over the year. High extraversion was associated with decreased anxiety and functional impairment. High conscientiousness was linked to increased healthy eating. No personality trait moderated HbA1c levels. Personality screening may help identify mental health risk and guide medical carer approach in T2DM patients.

Original languageEnglish
Pages (from-to)1-13
Number of pages13
JournalPsychology, Health and Medicine
DOIs
Publication statusE-pub ahead of print - 20 Sep 2019
Externally publishedYes

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Type 2 Diabetes Mellitus
Personality
Health
Mental Health
Anxiety
Depression
Self Care
Social Adjustment
Personality Inventory
Anxiety Disorders
Caregivers
Randomized Controlled Trials
Psychology
Equipment and Supplies

Cite this

Sanatkar, Samineh ; Baldwin, Peter ; Clarke, Janine ; Fletcher, Susan ; Gunn, Jane ; Wilhelm, Kay ; Campbell, Lesley ; Zwar, Nick ; Harris, Mark ; Lapsley, Helen ; Hadzi-Pavlovic, Dusan ; Christensen, Helen ; Proudfoot, Judith. / The influence of personality on trajectories of distress, health and functioning in mild-to-moderately depressed adults with type 2 diabetes. In: Psychology, Health and Medicine. 2019 ; pp. 1-13.
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abstract = "Identification of mental health risk is important for optimising diabetes care in type 2 diabetes mellitus (T2DM). Personality is linked to diabetes health and may assist detection of individuals with T2DM most at risk of chronic mental health difficulties. This study examined the moderator effect of personality factors on changes in psychological distress and functioning in adults with T2DM and mild-to-moderate depressive symptoms across a 12-month period. Data were obtained from participants in a randomised controlled trial of adults with T2DM. Participants completed measures of depression (Patient Health Questionnaire-9), anxiety (General Anxiety Disorder-7), general functioning (Work and Social Adjustment Scale), diabetes distress (Diabetes Distress Scale), and diabetes self-management (Self-Management Profile for Type 2 Diabetes) at baseline, 3-, 6- and 12-months. Glycaemic control (HbA1c) was measured at baseline, 6- and 12-months. Two hundred trial completers agreed to complete a personality inventory (Big Five Inventory). Low neuroticism was linked with reduced depression, anxiety, functional impairment and diabetes distress over the year. High extraversion was associated with decreased anxiety and functional impairment. High conscientiousness was linked to increased healthy eating. No personality trait moderated HbA1c levels. Personality screening may help identify mental health risk and guide medical carer approach in T2DM patients.",
author = "Samineh Sanatkar and Peter Baldwin and Janine Clarke and Susan Fletcher and Jane Gunn and Kay Wilhelm and Lesley Campbell and Nick Zwar and Mark Harris and Helen Lapsley and Dusan Hadzi-Pavlovic and Helen Christensen and Judith Proudfoot",
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Sanatkar, S, Baldwin, P, Clarke, J, Fletcher, S, Gunn, J, Wilhelm, K, Campbell, L, Zwar, N, Harris, M, Lapsley, H, Hadzi-Pavlovic, D, Christensen, H & Proudfoot, J 2019, 'The influence of personality on trajectories of distress, health and functioning in mild-to-moderately depressed adults with type 2 diabetes', Psychology, Health and Medicine, pp. 1-13. https://doi.org/10.1080/13548506.2019.1668567

The influence of personality on trajectories of distress, health and functioning in mild-to-moderately depressed adults with type 2 diabetes. / Sanatkar, Samineh; Baldwin, Peter; Clarke, Janine; Fletcher, Susan; Gunn, Jane; Wilhelm, Kay; Campbell, Lesley; Zwar, Nick; Harris, Mark; Lapsley, Helen; Hadzi-Pavlovic, Dusan; Christensen, Helen; Proudfoot, Judith.

In: Psychology, Health and Medicine, 20.09.2019, p. 1-13.

Research output: Contribution to journalArticleResearchpeer-review

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