title: Diagnosis of Type 2 Diabetes: The Experience of Jordanian Patients with Co-existing Depression.
abstract: In Jordan, Type 2 diabetes mellitus (T2DM) is becoming a significant health problem, and a high concomitant rate of depression among this population complicates the situation. This qualitative study explored and described the emotional reactions of Jordanian patients with co-existing depression, on diagnosis of T2DM. Data were collected using semi-structured qualitative interviews from 15 patients with T2DM and depression in 2013. Interviews were audiotaped, translated and then analysed using thematic analysis. A major theme-'Initial reactions to the diagnosis'-emerged with four accompanying sub-themes (Devastation, Mixed Emotions, Denial and Acceptance). Although the majority of participants expressed negative emotional reactions on first diagnosis, a strong religious conviction allowed for acceptance of the diagnosis. Overall, the study findings support that in Arabic countries, spirituality and faith played a key role in promoting acceptance of concomitant comorbidities, and will often be useful in enhancing positive coping strategies among patients with T2DM and depression.
authors.affiliation: School of Nursing and Midwifery, University of Western Sydney , Penrith, NSW , Australia.
authors.forename: Rasmieh
authors.initials: R
authors.lastname: Al-Amer
authors.forename: Lucie
authors.initials: L
authors.lastname: Ramjan
authors.forename: Paul
authors.initials: P
authors.lastname: Glew
authors.forename: Yenna
authors.initials: Y
authors.lastname: Salamonson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003717:Denial, Psychological; D003866:Depressive Disorder / Q000150:complications*; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D007597:Jordan; D008297:Male; D008875:Middle Aged; D012648:Self Care; D012649:Self Concept; D012944:Social Support; D029181:Spirituality