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Assessing depressive symptoms and diabetes distress in Type 1 diabetic adults: a comparison of continuous subcutaneous insulin infusion and multiple daily injections users

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journal contribution
posted on 20.04.2022, 10:29 by Ella Dowling, David MaidmentDavid Maidment

This cross-sectional observational study assesses differences in depressive symptoms and diabetes-distress between adults with type 1 diabetes using continuous subcutaneous insulin infusion (CSII) or multiple daily injections (MDI) insulin delivery methods. Two-hundred and seventy-one adults with type 1 diabetes were recruited who used CSII (n=104) or MDI (n=167). Results show that, compared to CSII users, scores on the Severity Measure for Depression – Adult questionnaire and Management and Physician subscales on the Type 1 Diabetes Distress Scale were significantly lower in users of MDI. Thus, MDI users may require greater targeted support to improve these aspects of psychological wellbeing.



  • Sport, Exercise and Health Sciences

Published in

Journal of Health Psychology


SAGE Publications


AM (Accepted Manuscript)

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Acceptance date









Dr David Maidment. Deposit date: 14 April 2022