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Higher levels of bodily pain in people with long‐term type 1 diabetes: Associations with quality of life, depressive symptoms, fatigue and glycaemic control – The Dialong study

Diabetic Medicine Jun 10, 2020

Molvær AK, Iversen MM, Igland J, et al. - In this cross‐sectional study, researchers sought to compare reported level of bodily pain, overall and health‐related quality of life (QoL), depression and fatigue in people with long‐term type 1 diabetes vs a comparison group without diabetes, as well as to explore the correlations of total bodily pain with QoL, depression, fatigue and glycaemic control in the diabetes group. The sample consisted of 104 (76% of eligible) individuals with type 1 diabetes of ≥ 45 years’ duration attending the Norwegian Diabetes Centre and 75 diabetes-free individuals who completed questionnaires measuring bodily pain (RAND‐36 bodily pain domain), shoulder pain (Shoulder Pain and Disability Index), hand pain (Australian/Canadian Osteoarthritis Hand Index), overall QoL (World Health Organization Quality of Life – BREF), health‐related QoL (RAND‐36), diabetes‐specific QoL (Audit of Diabetes‐Dependent Quality of Life; only diabetes group), depression (Patient Health Questionnaire) and fatigue (Fatigue questionnaire). Individuals with long‐term type 1 diabetes report high levels of total bodily pain, lower QoL, and poorer physical health, as well as higher levels of depressive symptoms and fatigue compared with a comparison group of similar age, gender and socio‐economic status. Bodily pain was related to lower QoL, higher levels of depressive symptoms and fatigue, and worse glycaemic control.

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