title: Exploring the association of psychological status with self-rated diabetes control: results from the Montreal evaluation of diabetes treatment study.
abstract: OBJECTIVE
  There is an increasing interest in single-item self-rated indicators of perceived health and control status in people with chronic illnesses such as diabetes. However, self-rated measures can be associated with indicators of psychological status. The aim of this paper is to explore the association of anxiety, depression, and diabetes distress with self-rated diabetes control.
  
  
  METHODS
  Telephone interviews were conducted with 1,787 people with type 2 diabetes taking oral hypoglycemic medication. Diabetes control, health behaviors, and outcomes, anxiety, depression, and diabetes distress were assessed by standardized questionnaires. Self-reported diabetes control was modeled using logistic regression.
  
  
  RESULTS
  The best fit logistic regression model for self-rated poor diabetes control was a model that incorporated diabetes distress. When adjusted for age, sex, and all other health behaviors and outcomes, poor diabetes control was most associated with diabetes distress, physical inactivity, being overweight, and poor eating habits.
  
  
  CONCLUSIONS
  Results from this study indicate that poor self-rated diabetes control shares the strongest associations with diabetes-specific distress along with perceptions of diabetes-specific healthcare behaviors and outcomes.
authors.affiliation: Department of Psychiatry, McGill University, Montréal, Quebec, Canada. kimberly.smith@douglas.mcgill.ca
authors.forename: Kimberley J
authors.initials: KJ
authors.lastname: Smith
authors.forename: Geneviève
authors.initials: G
authors.lastname: Gariépy
authors.forename: Maxime
authors.initials: M
authors.lastname: Pedneault
authors.forename: Melanie
authors.initials: M
authors.lastname: Beland
authors.forename: Matthew
authors.initials: M
authors.lastname: Clyde
authors.forename: Norbert
authors.initials: N
authors.lastname: Schmitz
mesh_terms: D000368:Aged; D001007:Anxiety / Q000523:psychology*; D003863:Depression / Q000523:psychology*; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D057566:Self Report; D013315:Stress, Psychological / Q000523:psychology*; D016896:Treatment Outcome
chemical_list: D007004:Hypoglycemic Agents