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Chronic Illness
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``Worried all the time'': distress and the circumstances of everyday life among immigrant Australians with type 2 Diabetes

Lenore Manderson

School of Psychology, Psychiatry and Psychological Medicine, Monash University, Clayton, Australia, lenore.manderson{at}med.monash.edu.au

Renata Kokanovic

Primary Care Research Unit, Department of General Practice, School of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton, Australia

People with diabetes commonly experience emotional distress and are often diagnosed with depression. To explore lay accounts of the conditions and social aspects of their co-occurrence, we draw on qualitative research conducted in metropolitan Melbourne, Australia. Data derive from in-depth interviews with men and women from Greek, Chinese, Indian and Pacific Island communities, all of which have a higher than average incidence of type 2 diabetes mellitus. Participants generally saw stress as a precursor to diabetes, influencing their ability to control symptoms. Yet they also emphasized that life adversities, trauma, disruption, and multiple losses caused distress and depression. Participants regarded diabetes as an illness that interrupted their ability to carry out everyday living tasks. This contributed to their social isolation and unsettled self-identity, resulting in feelings of personal inadequacy, loss and further distress. These themes were common across immigrant groups.

Key Words: Australia • Depression • Diabetes • Identity • Immigrants • Stress

References

  • Kokanovic R., Manderson L. Care and control: immigrant women living with Type 2 diabetes in Australia. Chronic Ill 2006; 2: 291-301.
  • Kokanovic R., Manderson L. Exploring doctor-patient communication in immigrant Australians with type 2 diabetes. J Gen Intern Med 2007; 22: 459-63.[CrossRef][Medline] [Order article via Infotrieve]
  • Schulte-Herbruggen O., Bahri S., Ropke S. Depressive symptoms and diabetes. JAMA 2008; 300: 2115.[Free Full Text]
  • Kemp DE, Calabrese JR, Ismail-Beigi F. Depressive symptoms and diabetes-reply. JAMA 2008; 300: 2115.[Free Full Text]
  • Golden SH, Carnethon MR Depressive symptoms and diabetes-reply. JAMA 2008; 300: 2116.[Free Full Text]
  • Cabassa LJ, Hansen MC, Palinkas LA, Ell K. Azucar y nervios: explanatory models and treatment experiences of Hispanics with diabetes and depression. Soc Sci Med 2008; 66: 2413-24.[CrossRef][Medline] [Order article via Infotrieve]
  • Ferreira MKL, Lang GC Indigenous peoples and diabetes: community empowerment and wellness, Durham, NC: Carolina Academic Press, 2006.
  • Hossain P., Kawar B., El Nahas M. Obesity and diabetes in the developing world-a growing challenge. N Eng J Med 2007; 356: 213-15.[Free Full Text]
  • McMurray C., Smith R. Diseases of globalization: socioeconomic transitions and health, London and Stirling, VA: Earthscan Publications, 2001.
  • Smith-Morris C. Diabetes among the pima: stories of survival, Tucson AZ: University of Arizona Press, 2006.
  • Thow AM, Waters A-M. Diabetes in culturally and linguistically diverse Australians: Identification of communities at high risk; AIHW cat. no. CVD 30, Canberra, AU: Australian Institute of Health and Welfare, 2005.
  • Maddigan SL, Feny DH, Majumdar SR, Farris KB, Johnson JA Understanding the determinants of health for people with type 2 diabetes. Am J Public Health 2006; 96: 1649-55.[Abstract/Free Full Text]
  • Anderson RJ, Freedland KE, Clouse RE, Lustman PJ The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes Care 2001; 24: 1069-78.[Abstract/Free Full Text]
  • Egede LE, Zheng DY Independent factors associated with major depressive disorder in a national sample of individuals with diabetes. Diabetes Care 2003; 26: 104-11.[Abstract/Free Full Text]
  • Kawakami N., Takatsuka N., Shimizu H., Ishibashi H. Depressive symptoms and occurence of Type 2 diabetes among Japanese men. Diabetes Care 1999; 22: 1071-6.[Abstract/Free Full Text]
  • Fisher L., Chesla CA, Skaff MM, Mullan JT, Kanter RA Depression and anxiety among partners of European-American and Latino patients with type 2 diabetes. Diabetes Care 2002; 25: 1564-70.[Abstract/Free Full Text]
  • de Groot M., Anderson R., Freedland KE, Clouse RE, Lustman PJ Association of depression and diabetes complications: a meta-analysis. Psychosomat Med 2001; 63: 619-30.[Abstract/Free Full Text]
  • Eaton WE, Armenian H., Gallo J., Pratt L., Ford DE Depression and risk for onset of Type II diabetes. Diabetes Care 1996; 19: 1097-102.[Abstract]
  • Musselman DL, Betan E., Larsen H., Phillips LS Relationship of depression to diabetes types 1 and 2: Epidemiology, biology, and treatment. Biol Psychiatry 2003; 54: 317-29.[CrossRef][Medline] [Order article via Infotrieve]
  • Aikens JE, Perkins DW, Piette JD, Lipton B. Association between depression and concurrent Type 2 diabetes outcomes varies by diabetes regimen. Diabet Med 2008; 25: 1324-9.[Medline] [Order article via Infotrieve]
  • Icks A., Kruse J., Dragano N., et al. Are symptoms of depression more common in diabetes? Results from the Heinz Nixdorf Recall study. Diabet Med 2008; 25: 1330-6.[Medline] [Order article via Infotrieve]
  • Broom D., Whittaker A. Controlling diabetes, controlling diabetics: moral language in the management of diabetes type 2. Soc Sci Med 2004; 58: 2371-82.[CrossRef][Medline] [Order article via Infotrieve]
  • Daniulaityte R. Making sense of diabetes: culture models, gender and individual adjustment to Type 2 diabetes in a Mexican community. Soci Sci Med 2004; 59: 1899-912.[CrossRef]
  • Hunt LM, Arar NH, Larme AC Contrasting patient and practitioner perspectives in type 2 diabetes management. West J Nurs Res 1998; 20: 656-82.[Abstract/Free Full Text]
  • Hunt LM, Valenzuela MA, Pugh JA Porque me toco a mi? Mexican American diabetes patients' causal stories and their relationship to treatment behaviours. Soc Sci Med 1998; 46: 959-69.[CrossRef][Medline] [Order article via Infotrieve]
  • Naemiratch B., Manderson L. Lay explanations of type 2 diabetes in Bangkok, Thailand. Anthropol Med 2007; 14: 83-94.[CrossRef]
  • Reimann JOF, Talavera GA, Salmon M., Nunez JA, Velasquez RJ Cultural competence among physicians treating Mexican Americans who have diabetes: a structural model. Soc Sci Med 2004; 59: 2195-205.[CrossRef][Medline] [Order article via Infotrieve]
  • Hunt LM, Arar NH, Larme AC Patients focus on integrating diabetes into their lives, while practitioners focus on glucose control. West J Nurs Res 1999; 171: 165.
  • Naemiratch B., Manderson L. Control and adherence: living with diabetes in Bangkok, Thailand. Soc Sci Med 2006; 63: 1147-57.[CrossRef][Medline] [Order article via Infotrieve]
  • Thompson SJ, Gifford SM Trying to keep a balance: the meaning of health and diabetes in an urban aboriginal community. Soc Sci Med 2000; 51: 1457-72.[CrossRef][Medline] [Order article via Infotrieve]
  • Ferzacca S. `Actually I Don't Feel that Bad': managing diabetes and the clinical encounter. Med Anthropol Quart 2000; 14: 28-50.[CrossRef]
  • Shaw I. How lay are lay beliefs? Health 2002; 6: 278-99.
  • Kirmayer LJ Cultural variations in the response to psychiatric disorders and emotional distress. Soc Sci Med 1989; 29: 327-39.[CrossRef][Medline] [Order article via Infotrieve]
  • Kleinman A. Depression, somatization and the new cross-cultural psychiatry. Soc Sci Med 1977; 11: 3-10.[CrossRef][Medline] [Order article via Infotrieve]
  • Kleinman A. Illness narratives: suffering, healing, and the human condition, New York: Basic Books, Inc, 1988.
  • Landrine H., Klonoff EA Cultural diversity in causal attributions for illness: the role of the supernatural. J Behav Med 1994; 17: 181-93.[CrossRef][Medline] [Order article via Infotrieve]
  • Lakes K., Lopez SR, Garro LC Cultural competence and psychotherapy: applying anthropologically informed conceptions of culture. Psychotherapy 2006; 43: 380-96.
  • Takeuchi DT, Chun CA, Gong F., Shen H. Cultural expressions of distress. Health 2002; 6: 221-35.[Abstract/Free Full Text]
  • Duckett SJ Drug policy down under: Australia's Pharmaceutical Benefits Scheme. Health Care Financ Rev 2004; 25: 55-67.[Medline] [Order article via Infotrieve]
  • Cook B. Privatising health: the demise of MEDICARE? Aust J Soc Issues 2006; 41: 195-208.
  • Charmaz K. Grounded theory: objectivist and constructivist methods. In: Denzin N, Lincoln Y, eds. Handbook of qualitative research, London: Sage, 2000: 509-35.
  • Charmaz K. Constructing grounded theory: a practical guide through qualitative analysis, London, UK: Sage, 2006.
  • Markovic M. Analyzing qualitative data: health care experiences of women with gynecological cancer. Field Methods 2006; 18: 413-29.[Abstract/Free Full Text]
  • Strauss A., Corbin J. Basics of qualitative research, Thousand Oaks, CA: Sage, 1988.
  • Charmaz K. Good days, bad days: the self in chronic illness and time, New Brunswick, NJ: Rutgers University Press, 1991.
  • Dyck I. Women, body, illness: space and identity in the everyday lives of women with chronic illness, Lanham, MD: Rowman & Littlefield, 2002.
  • Karp DA Living with depression: illness and identity turning points. Qualitat Health Res 1994; 4: 6-30.[CrossRef]
  • Garcia JGD, Salcedo Rocha AL, Lopez I., Bear RD, Dressler W., Weller SC `Diabetes is my companion': lifestyle, self-management among good and poor control Mexican diabetic patients. Soc Sci Med 2007; 64: 2223-35.[CrossRef][Medline] [Order article via Infotrieve]
  • Scarry E. The body in pain: The making and unmaking of the world, Oxford, UK: Oxford University Press, 1985.
  • Chaturvedi SK, Bhugra D. The concept of neurosis in a cross-cultural perspective. Curr Opin Psychiatry 2007; 20: 47-51.[Medline] [Order article via Infotrieve]
  • Hoge EA, Tamrakar SM, Christian KM, et al. Cross-cultural differences in somatic presentation in patients with generalized anxiety disorder. J Nerv Ment Dis 2006; 194: 962-6.[CrossRef][Medline] [Order article via Infotrieve]
  • Tzeng WC, Lipson JG Fan: an idiom of distress among suicidal patients in Taiwan. Fam Comm Health 2007; 30: 74-83.
  • Kleinman A. Rethinking psychiatry: from cultural category to personal experience, New York, NY: Free Press, 1988.
  • Rozemberg B., Manderson L. `Nerves' and tranquilizer use in rural Brazil. Int J Health Ser 1998; 28: 165-81.
  • Andajani-Sutjahjo S., Manderson L., Astbury J. Complex emotions, complex problems: understanding the experiences of perinatal depression among new mothers in urban Indonesia. Cult Med Psychiatry 2007; 31: 101-22.[CrossRef][Medline] [Order article via Infotrieve]

Chronic Illness, Vol. 5, No. 1, 21-32 (2009)
DOI: 10.1177/1742395309102243
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