DOI: https://doi.org/10.14710/nmjn.v14i1.61605

Distress and Coping Strategy among Indonesian Men with Type-2 Diabetes Mellitus

*Fajar Ari Nugroho orcid scopus  -  Department Nutrition, Faculty of Health Sciences, Universitas Brawijaya, Indonesia
Rico Budhiarta Chandra  -  Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya, Indonesia
Nike Laila  -  Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya, Indonesia
Sera Rukia  -  Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya, Indonesia
Inggita Kusumastuty orcid scopus  -  Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya, Indonesia
Anggun Rindang Cempaka orcid scopus  -  Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya, Indonesia
Lola Ayu Istifiani orcid scopus  -  Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya, Indonesia
Atifa Nafia Hasantie Latif  -  Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya, Indonesia
Open Access Copyright (c) 2024 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Type-2 diabetes mellitus (T2DM) can have a notable impact on the psychological and physical well-being of individuals, which in turn affects the management of the condition. Men and women experiencing stress and adopting distinct coping strategies. However, research focusing specifically on T2DM in men is still limited.

Purpose: The present study intends to investigate the distress and coping strategies adopted by male T2DM outpatients in Malang, East Java, Indonesia.

Methods: This study employed a qualitative research design and conducted in-depth interviews to 24 male T2DM outpatients. The interview guidelines were formulated using the Indonesian version of the Diabetes Distress Scale (DDS17) questionnaire, which comprised four domains: physician distress, emotional burden, regimen distress, and interpersonal distress. A thematic analysis was performed to analyze the results gathered during the research and compile them into a final report.

Results: The study revealed that individuals diagnosed with T2DM experienced a range of emotional and practical difficulties, including feelings of fear, anxiety, and a lack of understanding. Disease burden, a lack of understanding of both diabetes and healthcare services, difficulties managing their diet, routine medication, financial concerns, and fatigue also contributed to the distress. To cope with distress, the informants identified eight distinct coping strategies. Of these, the most effective strategy was receiving support from family members, followed by acceptance, self management, positive attitude, understanding of their illness, joining the diabetes community, spirituality, and getting more information about T2DM.

Conclusion: The findings of this study indicated that men experience eight distinct types of stress and utilise comparable coping strategies associated with T2DM. Emotional distress represents the predominant pressure, while family support constitutes the primary coping strategy. These results are important for nurses and other healthcare professionals in supporting patients.
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Keywords: Coping; Stress; Men; Diabetes Mellitus
Funding: BPPM, Faculty of Health Sciences, Universitas Brawijaya under contract No.3492/UN10.F17.06/TU.00/2023

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  1. Adasi, G. S., Amponsah, K. D., Mohammed, S. M., Yeboah, R., & Mintah, P. C. (2020). Gender differences in stressors and coping strategies among teacher education students at University of Ghana. Journal of Education and Learning, 9(2), 123-133. https://doi.org/10.5539/jel.v9n2p123
  2. Almousa, A. Y., Hakami, O. A., Qutob, R. A., Alghamdi, A. H., & Alaryni, A. A. (2023). Knowledge, attitude, and practice toward diabetes mellitus and their association with socioeconomic status among patients with type 2 diabetes mellitus in Saudi Arabia. Cureus, 15(5), e39641. https://doi.org/10.7759/cureus.39641
  3. Arifin, B., Probandari, A., Purba, A. K. R., & Perwitasari, D. A. (2020). 'Diabetes is a gift from god' a qualitative study coping with diabetes distress by Indonesian outpatients. Quality of Life Research 29(1), 109-125. https://doi.org/10.1007/s11136-019-02299-2
  4. Azmiardi, A., Murti, B., Febrinasari, R. P., & Tamtomo, D. G. (2022). Low social support and risk for depression in people with type 2 diabetes mellitus: A systematic review and meta-analysis. Journal of Preventive Medicine & Public Health, 55(1), 37-48. https://doi.org/10.3961/jpmph.21.490
  5. Bak, E., Marcisz, C., Nowak-Kapusta, Z., Dobrzyn-Matusiak, D., Marcisz, E., & Krzeminska, S. (2018). Psychometric properties of the Audit of Diabetes-Dependent Quality of Life (ADDQoL) in a population-based sample of Polish adults with type 1 and 2 diabetes. Health Qual Life Outcomes, 16(53), 1-9. https://doi.org/10.1186/s12955-018-0878-y
  6. Bilsker, D., Fogarty, A. S., & Wakefield, M. A. (2018). Critical issues in men's mental health. The Canadian Journal of Psychiatry, 63(9), 590-596. https://doi.org/10.1177/0706743718766052
  7. Campbell, S., Greenwood, M., Prior, S., Shearer, T., & Walkem, K. (2020). Purposive sampling: complex or simple? Research case examples. Journal of Research in Nursing, 25(8), 652-661. https://doi.org/10.1177/1744987120927206
  8. Dewi, S., Anugrah, I. H., Permana, I., Budhiana, J., & Melinda, F. (2021). Relationship of the coping mechanism with the quality of life in type 2 diabetes mellitus patients. Jurnal Kesehatan Indra Husada, 9(1), 1-9. https://doi.org/doi.org/10.36973/jkih.v9i1.276
  9. Eshete, A., Mohammed, S., Deresse, T., Kifleyohans, T., & Assefa, Y. (2023). Association of stress management behavior and diabetic self-care practice among diabetes type II patients in North Shoa Zone: a cross-sectional study. BioMed Central Health Services Research, 23(767), 1-7. https://doi.org/10.1186/s12913-023-09752-6
  10. Fukuda, N., Gandhi, K., Lim, E., & Leake, A. (2019). Validation of the diabetes distress scale in an Asian Pacific Islander population. Hawai'i Journal of Medicine & Public Health, 78(1), 3-7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333958/pdf/hjmph7801_0003.pdf
  11. Garcia-Lara, R. A., Gomez-Urquiza, J. L., Membrive-Jimenez, M. J., Velando-Soriano, A., Granados-Bolivar, M. E., Romero-Bejar, J. L., & Suleiman-Martos, N. (2022). Anxiety, distress and stress among patients with diabetes during COVID-19 pandemic: A Systematic review and meta-analysis. Journal of Personalized Medicine, 12(1412), 1-20. https://doi.org/10.3390/jpm12091412
  12. Gugun, A. M., Romadhon, Y. A., Nidaulfalah, G., & Aprilia, S. (2021). The correlation between Islamic spirituality and distress in type-2 diabetes mellitus patients. Mutiara Medika: Jurnal Kedokteran dan Kesehatan, 21(2), 102-109. https://doi.org/10.18196/mmjkk.v21i2.10848
  13. Hapunda, G. (2022). Coping strategies and their association with diabetes specific distress, depression and diabetes self-care among people living with diabetes in Zambia. BioMed Cetral Endocrinology Disorder, 22(215), 1-11. https://doi.org/10.1186/s12902-022-01131-2
  14. Hidayat, B. F., Sukartini, T., & Kusumaningrum, T. (2020). A Systematic review of fatigue in type 2 diabetes. Jurnal Ners, 15(2020), 513-517. https://doi.org/10.20473/jn.v15i2(si).20520
  15. Holton, S., Rasmussen, B., Turner, J., Steele, C., Ariarajah, D., & Hamblin, S. (2022). Nurse, midwife and patient perspectives and experiences of diabetes management in an acute inpatient setting: A mixed-methods study. BioMed Central Nursing, 21(249), 1-11. https://doi.org/10.1186/s12912-022-01022-w
  16. Irving, G., Neves, A. L., Dambha-Miller, H., Oishi, A., Tagashira, H., Verho, A., & Holden, J. (2017). International variations in primary care physician consultation time: A systematic review of 67 countries. British Medical Journal Open, 7(e017902), 1-15. https://doi.org/10.1136/bmjopen-2017-017902
  17. Khandelwal, D., Dutta, D., Chittawar, S., & Kalra, S. (2017). Sleep disorders in type 2 diabetes. Indian Journal of Endocrinol and Metabolism, 21(5), 758-761. https://doi.org/10.4103/ijem.IJEM_156_17
  18. Kountul, Y. P. D., Kolibu, F. K., & Korompis, G. E. C. (2018). The relationship between gender and peer influence with stress levels of students at the faculty of public health, Sam Ratulangi University, Manado. Kesmas: Jurnal Kesehatan Masyarakat Universitas Sam Ratulangi, 7(5), 1-7. https://ejournal.unsrat.ac.id/index.php/kesmas/article/view/22558
  19. Kuniss, N., Kramer, G., Muller, U. A., Wolf, G., & Kloos, C. (2021). Diabetes related distress is high in inpatients with diabetes. BioMed Central Diabetology & Metabolic Syndrome, 13(40), 1-8. https://doi.org/10.1186/s13098-021-00659-y
  20. Kurniyawan, E. H., Nadziroh, U., Widayati, N., & Wantiyah, W. (2022). Correlation between self efficacy and coping mechanism in patients with type 2 diabetes mellitus. Nursing and Health Sciences Journal, 2(2), 174-178. https://doi.org/10.53713/nhs.v2i2.121
  21. Kurtanty, D., Bachtiar, A., Candi, C., Pramesti, A., & Rahmasari, A. F. (2023). Information-motivation-behavioral skill in diabetes self-management using structural equation modeling analysis. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 18(1), 16-23. https://doi.org/10.21109/kesmas.v18i1.6255
  22. Kusumawati, I. (2015). Adherence to a diet in view of gender and education level in type 2 diabetes mellitus patients [Bachelor Thesis, Universitas Muhammadiyah Surakarta]. Eprint UMS. https://eprints.ums.ac.id/37443/11/02.%20Naskah%20Publikasi.pdf
  23. Li, H., Wang, L., Huang, J., Li, B., & Qiu, T. (2022). The relationship between the knowledge of diabetes mellitus and the mental, psychological and emotional status of T2DM patients based on a structural equation model. Sciencetific Reports, 12(1), 1-9. https://doi.org/10.1038/s41598-022-25211-4
  24. Mathew, R., Gucciardi, E., de Melo, M., & Barata, P. (2012). Self-management experiences among men and women with type 2 diabetes mellitus: a qualitative analysis. BioMed Central Family Practice, 13(122), 1-12. http://www.biomedcentral.com/1471-2296/13/122
  25. Mikhael, E. M., Hassali, M. A., Hussain, S. A., & Shawky, N. (2019). Self-management knowledge and practice of type 2 diabetes mellitus patients in Baghdad, Iraq: A qualitative study. Diabetes, Metabolic Syndrom and Obesity, 2019(12), 1-17. https://doi.org/10.2147/DMSO.S183776
  26. Najjar, M. A., Demeh, W. M., & Yacoub, M. I. (2020). Knowledge and coping strategies among patients diagnosed with type 2 diabetes mellitus. Global Journal of Health Science, 12(2), 69-77. https://doi.org/10.5539/gjhs.v12n2p69
  27. Nobel, B., Susanti, S., Pranata, S., & Cherry, M. (2023). The acceptance and commitment therapy (ACT) reduce stress in patients with type 2 diabetes mellitus. Scripta Medica, 54(4), 329-341. https://doi.org/10.5937/scriptamed54-45794
  28. Pamungkas, R. A., Chamroonsawasdi, K., & Vatanasomboon, P. (2017). A systematic review: Family support integrated with diabetes self-management among uncontrolled type II diabetes mellitus patients. Behavioral Sciences, 7(3), 1-17. https://doi.org/10.3390/bs7030062
  29. Patel, M. R., Anthony Tolentino, D., Smith, A., & Heisler, M. (2023). Economic burden, financial stress, and cost-related coping among people with uncontrolled diabetes in the U.S. Preventive Medicine Reports, 34(102246), 1-10. https://doi.org/10.1016/j.pmedr.2023.102246
  30. Raharjo, A., Retnowulandari, W., & Sudrajat, T. (2018). A review of the “head of the family” concept from the family law, gender perspective. Web of Conferences, 54(02008), 1-9. https://doi.org/10.1051/shsconf/20185402008
  31. Ramkisson, S., Pillay, B. J., & Sibanda, W. (2017). Social support and coping in adults with type 2 diabetes. African Journal of Primary Health Care & Family Medicine, 9(1), 1-8. https://doi.org/10.4102/phcfm
  32. Rezaei, M., Valiee, S., Tahan, M., Ebtekar, F., & Ghanei Gheshlagh, R. (2019). Barriers of medication adherence in patients with type-2 diabetes: A pilot qualitative study. Diabetes Metabolic Syndrome and Obesity, 12(2), 589-599. https://doi.org/10.2147/DMSO.S197159
  33. Riskesdas. (2018). East Java province report. Ejournal Kementrian Kesehatan, 2018(1), 1-481. http://ejournal2.bkpk.kemkes.go.id/index.php/lpb/article/view/3752
  34. Roohafza, H., Kabir, A., Sadeghi, M., Shokouh, P., Ahmadzad-Asl, M., & Khadem-Maboudi, A. A. (2016). Stress as a risk factor for noncompliance with treatment regimens in patients with diabetes and hypertension. ARYA Atherosclerosis, 12(4), 1-6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266132/pdf/ARYA-12-166.pdf
  35. Rustini, S. A., Nurhayati, C., & Sari, N. A. (2020). Relationship of stress levels and diet with blood sugar levels in patients of type 2 diabetes mellitus. STRADA Jurnal Ilmiah Kesehatan, 9(1), 241-247. https://doi.org/10.30994/sjik.v9i1.253
  36. Setyoadi, S., Efendi, F., Haryanto, J., Rosyidawati, F., Kristianingrum, N. D., Srihayati, Y., & Ismail, D. D. S. L. (2023). Family coping strategies and quality of life of patients with type-2 diabetes mellitus in primary health care in Indonesia. Nurse Media Journal of Nursing, 13(3), 274-285. https://doi.org/10.14710/nmjn.v13i3.56700
  37. Sharma, K., Akre, S., Chakole, S., & Wanjari, M. B. (2022). Stress-induced diabetes: A review. Cureus, 14(9), 1-6. https://doi.org/10.7759/cureus.29142
  38. Sharma, K., Dhungana, G., Adhikari, S., Bista Pandey, A., & Sharma, M. (2021). Depression and anxiety among patients with type II diabetes mellitus in Chitwan Medical College Teaching Hospital, Nepal. Nursing Research Practice, 2021(8846915), 1-8. https://doi.org/10.1155/2021/8846915
  39. Siddique, M. K. B., Islam, S. M. S., Banik, P. C., & Rawal, L. B. (2017). Diabetes knowledge and utilization of healthcare services among patients with type 2 diabetes mellitus in Dhaka, Bangladesh. BioMed Central Health Services Research, 17(586), 1-9. https://doi.org/10.1186/s12913-017-2542-3
  40. Singh, R., Teel, C., Sabus, C., McGinnis, P., & Kluding, P. (2016). Fatigue in type 2 diabetes: Impact on quality of life and predictors. PLoS One, 11(11), 1-13. https://doi.org/10.1371/journal.pone.0165652
  41. Situngkir, D. (2018). Bahaya psikososial dan stres kerja [psychosocial hazards and work stress]. Universitas Esa Unggul. https://bahan-ajar.esaunggul.ac.id/kmk474/wp-content/uploads/sites/1051/2019/11/PPT-UEU-Bahaya-Psikososial-Stress-Kerja-Pertemuan-2.pdf
  42. Surani, S., Brito, V., Surani, A., & Ghamande, S. (2015). Effect of diabetes mellitus on sleep quality. World Journal of Diabetes, 6(6), 868-873. https://doi.org/10.4239/wjd.v6.i6.868
  43. Surjoseto, R., & Sofyanty, D. (2022). Coping mechanisms in type 2 diabetes mellitus patients at the internal medicine polyclinic at Cipto Mamgunkusumo hospital. Jurnal Kesehatan dan Kedokteran, 1(3), 24-28. https://journal.admi.or.id/index.php/JUKEKE/article/view/292
  44. Van Smoorenburg, A. N., Hertroijs, D. F. L., Dekkers, T., Elissen, A. M. J., & Melles, M. (2019). Patients' perspective on self-management: Type 2 diabetes in daily life. BioMed Central Health Services Research, 19(605), 1-8. https://doi.org/10.1186/s12913-019-4384-7
  45. Vidyulatha, J., Pramodkumar, T., Pradeepa, R., Deepa, M., & Poongothai, S. (2022). Prevalence and impact of stress among individuals with type 2 diabetes attending a tertiary diabetes center in South India. Journal of Diabetology, 13(1), 1-7. https://doi.org/10.4103/jod.jod_12_22
  46. WHO. (2020). Diagnosis and management of type-2 diabetes (HEARTS-D). WHO. https://www.who.int/publications/i/item/who-ucn-ncd-20.1
  47. Wilson, M. J., Seidler, Z. E., Oliffe, J. L., Toogood, N., & Kealy, D. (2022). "Appreciate the little things": A qualitative survey of men's coping strategies and mental health impacts during the COVID-19 pandemic. American Journal of Mens Health, 16(1), 1-17. https://doi.org/10.1177/15579883221099794
  48. Wirihana, L., Welch, A., Williamson, M., Christensen, M., Bakon, S., & Craft, J. (2018). Using Colaizzi’s method of data analysis to explore the experiences of nurse academics teaching on satellite campuses. Nurse Reseacher, 25(4), 30-34. https://doi.org/10.7748/nr.2018.e1516
  49. Younis, B. B., Arshad, R., Yousuf, H., Salman, F., Masood, J., & Khurshid, S. (2017). Impact of type 2 diabetes mellitus on quality of life in people with diabetespresenting to a specialist diabetes clinic. Turkish Journal of Medical Scicences, 47(1), 123-126. https://doi.org/10.3906/sag-1508-3
  50. Yu, J. S., Xu, T., James, R. A., Lu, W., & Hoffman, J. E. (2020). Relationship between diabetes, stress, and self-management to inform chronic disease product development: Retrospective cross-sectional study. Journal of Medical Internet Research Diabetes, 5(4), 1-9. https://doi.org/10.2196/20888
  51. Ziabari, S. S. M., & Treur, J. (2018). Computational analysis of gender differences in coping with extreme stressful emotions. Procedia Computer Science, 145(2018), 376–385. https://doi.org/10.1016/j.procs.2018.11.088

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