Authors: Peter Thomas Murphy, Aaron Liew, Brian E. McGuire, John Bogue, Monika Pilch, Sean Dinneen, Aonghus O’Loughlin, Anne Doherty, & Sínead Conneely
First published 1 July 2021
This article should be referenced as: Murphy PT, Liew A, McGuire BE, Bogue J, Pilch M, Dinneen S, O’Loughlin A, Doherty A, Conneely S: Do personality and mood difficulties predict foot self-care in diabetes?, Journal of Wound Management, 2021
Background: The literature indicates the impact of psychological factors on the development and course of diabetes remains unclear.
Aim: To explore personality, depression, diabetes-related distress and illness beliefs in adults attending routine diabetes clinics and investigate whether the extent of these difficulties can predict foot self-care.
Methods: Participants were consecutive patients with diabetes attending diabetes outpatient and podiatry clinics in hospitals who completed self-administered questionnaires to access personality traits and evaluate them for personality disorders, depression, diabetes-related distress, beliefs about illness and foot self-care.
Results: Approximately 1 in 5 participants screened positive for Type D personality, personality disorders and diabetic-related distress; 8% screened positive for major depression. A standard multiple regression model determined whether foot self-care was predicted by these variables. The results were non-significant, F (13, 106) = 1.63, p = .09. Having macrovascular complications was significantly positively related to foot self-care (r(118) = .20, p = .027). Participants with a current and/or past history of DFU had higher BMI, longer duration of diabetes, were more likely to be on insulin therapy and to have concomitant microvascular complications.
Conclusion: Personality and mood disorders are prevalent in people attending diabetes clinics, but the variables measured here do not predict foot self-care.
Implications for clinical practice: Adults attending specialist podiatry/diabetes clinics need clinical pathways to mental health support.