The Burden of Poor Mental Well-being Among Patients With Type 2 Diabetes Mellitus: Examining Health Care Resource Use and Work Productivity Loss.
The aim of this study was to evaluate the association of mental well-being with outcomes among patients with type 2 diabetes mellitus (T2DM).



Seven thousand eight hundred fifty-two adults with T2DM were identified from a national, Internet-based study. Mental well-being [SF-36v2 mental component summary (MCS)] was categorized as good (MCS ≥ 50), poor (40 ≤ MCS < 50), and very poor (MCS < 40). Outcomes included past 6 months of health care resource use and lost productivity (Work Productivity and Activity Impairment questionnaire).



Respondents with very poor/poor versus good mental well-being were more likely to visit the emergency room (27%/18% vs 11%, P < 0.001) or be hospitalized (19%/14% vs 9%, P < 0.001). Among labor force participants, those with very poor/poor versus good mental well-being experienced greater overall work impairment (43.7/26.0 vs 10.7, P < 0.001).



Greater resource use and work productivity impairment associated with poorer mental well-being among patients with T2DM has cost implications.
Janssen Scientific Affairs, LLC, Raritan, New Jersey (Dr Bolge); Kantar Health, Foster City, California (Dr Flores); Anthem, Inc., New York, New York (Ms Phan); and Janssen Scientific Affairs, LLC, Raritan, New Jersey (Ms Phan).
Susan C
SC
Bolge
Natalia M
NM
Flores
Jennifer H
JH
Phan
D000368:Aged; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000706:statistics & numerical data; D003924:Diabetes Mellitus, Type 2 / Q000503:physiopathology* / Q000523:psychology; D004526:Efficiency; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D011788:Quality of Life