title: Health-related quality of life, disease severity, and anticipated trajectory of diabetes.
abstract: Adults hospitalized with diabetes are likely to have multiple comorbid conditions contributing to suboptimal health-related quality of life. The purpose of this study was to survey urban, very low-income, hospitalized adults with diabetes about disease severity, anticipated disease trajectory, and self-rated health-related quality of life.
  
  
  
  Data were collected using the Brief Illness Perception Questionnaire, the 36-item Short Form Health Survey (SF-36), the comparative risk perception questionnaire, and glycosylated hemoglobin. Severity was defined by glycosylated hemoglobin level and current microvascular complications from diabetes.
  
  
  
  Those with more severe disease who also anticipated the development of additional diabetes-related complications were likely to have suboptimal physical and mental functioning. The perception of diabetes as a health threat concurrent with having non-diabetes-related comorbid chronic conditions contributed uniquely to explaining scores in health-related quality of life.
  
  
  
  Hospitalized adults with diabetes represent a population affected by chronic disease demands that contribute to suboptimal physical and mental functioning. Suboptimal quality of life may contribute to severity of diabetes and to a perception of having a threatening disease trajectory. Hospitalization provides an opportunity for clinicians to intervene in mental and physical functioning by assessing for threatening illness perceptions and employing interventions to promote acceptance of functional limitations.
authors.affiliation: The University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey (Dr Scollan-Koliopoulos, Dr
  Bleich, Mr Rapp, Mr Wong, Dr Raghuwanshi)
authors.forename: Melissa
authors.initials: M
authors.lastname: Scollan-Koliopoulos
authors.affiliation: The University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey (Dr Scollan-Koliopoulos, Dr
  Bleich, Mr Rapp, Mr Wong, Dr Raghuwanshi)
authors.forename: David
authors.initials: D
authors.lastname: Bleich
authors.affiliation: The University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey (Dr Scollan-Koliopoulos, Dr
  Bleich, Mr Rapp, Mr Wong, Dr Raghuwanshi)|Robert Wood Johnson Medical School, New Brunswick, New Jersey (Mr Rapp, Mr Wong)
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Rapp
authors.affiliation: The University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey (Dr Scollan-Koliopoulos, Dr
  Bleich, Mr Rapp, Mr Wong, Dr Raghuwanshi)|Robert Wood Johnson Medical School, New Brunswick, New Jersey (Mr Rapp, Mr Wong)
authors.forename: Patrick
authors.initials: P
authors.lastname: Wong
authors.affiliation: The University Hospital Department of Patient Care (Ms Hofmann)
authors.forename: Cynthia J
authors.initials: CJ
authors.lastname: Hofmann
authors.affiliation: The University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey (Dr Scollan-Koliopoulos, Dr
  Bleich, Mr Rapp, Mr Wong, Dr Raghuwanshi)
authors.forename: Maya
authors.initials: M
authors.lastname: Raghuwanshi
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000378:metabolism*; D002908:Chronic Disease; D003924:Diabetes Mellitus, Type 2 / Q000097:blood* / Q000453:epidemiology / Q000503:physiopathology; D004522:Educational Status; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism*; D006304:Health Status; D006760:Hospitalization; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D011788:Quality of Life; D012923:Social Class; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human