Diabetes Metab J.  2011 Aug;35(4):397-403. 10.4093/dmj.2011.35.4.397.

Comparison of Attitudes Regarding Quality of Life between Insulin-Treated Subjects with Diabetes Mellitus and Healthy Populations

  • 1Faculty of Paramedical Sciences, Qazvin University of Medical Sciences and Health Services, Qazvin, Iran. swt_f@yahoo.com


Diabetes mellitus is a chronic disease and one of the main causes of mortality in developing countries. The main objective of treating all chronic diseases, of course, is to improve well-being and attain a satisfactory quality of life (QOL). The major goal of this study is comparison of attitude toward QOL in insulin-dependent subjects with diabetes mellitus and healthy subjects.
In this study, insulin-dependent subjects with diabetes mellitus and healthy subjects were gathered via convenience sampling. The subjects were asked to complete the Hanestad & Albrektsen Attitude to Quality of Life Questionnaire. The questionnaire evaluates five quality of life dimensions-physical, social, mental-emotional, behavioral-activity, and economic-using a scoring system similar to the Likert scale. The Wilcoxon test was used to compare scores between the two groups.
The mean total score on attitude toward QOL in the healthy control group was 53.8, and it in the insulin-dependent subjects with diabetes mellitus group was 35.9. The mean total score of attitude toward QOL in the physical dimension, mental-emotional and feelings of well-being dimension, and behavioral-activity dimension were significantly higher in the healthy population than they were in diabetes mellitus groups. Such a difference was not seen in the social and economic dimensions.
Since the attitudes of insulin-dependent subjects with diabetes mellitus toward QOL are used as an index of individual and societal health levels, it appears that this group may benefit from education and professional counseling to improve their QOLs.


Attitude; Diabetes mellitus; Quality of life

MeSH Terms

Chronic Disease
Developing Countries
Diabetes Mellitus
Health Status
Quality of Life
Surveys and Questionnaires


1. World Health Organization: Epidemiology of diabetes. cited 2009 Sep 30. Available from: http://www.who.int/diabetes/en/.
2. Ekoe JM, Rewers M, Williams R, Zimmet P. Chapter 17, The epidemiology of diabetes in pacific island populations. The epidemiology of diabetes mellitus. 2008. 2nd ed. Oxford: John Wiley & Sons;225–240.
3. World Health Organization: Health situation and trend. cited 2009 Sep 30. Available from: http://www.wpro.who.int/countries/2008/sma/health_situation.htm.
4. Department of Health, Treatment, and Medical Education. Reports of diabetes and epidemiological. 1995. Tehran: Ministry of Health and Medical Education;3–4.
5. Davis TM, Clifford RM, Davis WA. Fremantle Diabetes Study. Effect of insulin therapy on quality of life in type 2 diabetes mellitus: The Fremantle Diabetes Study. Diabetes Res Clin Pract. 2001. 52:63–71.
6. Lopes AA, Bragg-Gresham JL, Satayathum S, McCullough K, Pifer T, Goodkin DA, Mapes DL, Young EW, Wolfe RA, Held PJ, Port FK. Worldwide Dialysis Outcomes and Practice Patterns Study Committee. Health-related quality of life and associated outcomes among hemodialysis patients of different ethnicities in the United States: the Dialysis Outcomes and Practice Patterns Study (DOPPS). Am J Kidney Dis. 2003. 41:605–615.
7. Ghanbari A, Yekta P, Atrkar Roushan Z. Determine of the pattern of effective factors on quality of life in diabetic patients. J Guilan Univ Med Sci. 2001. 10:82–89.
8. Yang SC, Kuo PW, Wang JD, Lin MI, Su S. Quality of life and its determinants of hemodialysis patients in Taiwan measured with WHOQOL-BREF (TW). Am J Kidney Dis. 2005. 46:635–641.
9. Perlman RL, Finkelstein FO, Liu L, Roys E, Kiser M, Eisele G, Burrows-Hudson S, Messana JM, Levin N, Rajagopalan S, Port FK, Wolfe RA, Saran R. Quality of life in chronic kidney disease (CKD): a cross-sectional analysis in the Renal Research Institute-CKD study. Am J Kidney Dis. 2005. 45:658–666.
10. Hanestad BR, Albrektsen G. Quality of life, perceived difficulties in adherence to a diabetes regimen, and blood glucose control. Diabet Med. 1991. 8:759–764.
11. Kurz X, Scuvee-Moreau J, Vernooij-Dassen M, Dresse A. Cognitive impairment, dementia and quality of life in patients and caregivers. Acta Neurol Belg. 2003. 103:24–34.
12. Hanestad BR, Albrektsen G. Self-reported impact of insulin dependent diabetes mellitus (IDDM) in daily life and quality of life experience. Scand J Caring Sci. 1992. 6:229–240.
13. Dehghanzadeh SH. Comparison of quality of life in congestive heart failure patients and normal individuals. Paper presented at: 14th Congress of Iranian Heart Association in collaboration with British Cardiac Society. 2004 Nov 23-6; Tehran, Iran.
14. Dehkordi A, Heydarnejad MS, Fatehi D. Quality of life in cancer patients undergoing chemotherapy. Oman Med J. 2009. 24:204–207.
15. Redekop WK, Koopmanschap MA, Stolk RP, Rutten GE, Wolffenbuttel BH, Niessen LW. Health-related quality of life and treatment satisfaction in Dutch patients with type 2 diabetes. Diabetes Care. 2002. 25:458–463.
16. Davis WK, Hess GE, Harrison RV, Hiss RG. Psychosocial adjustment to and control of diabetes mellitus: differences by disease type and treatment. Health Psychol. 1987. 6:1–14.
17. Hanestad BR, Albrektsen G. The stability of quality of life experience in people with type 1 diabetes over a period of a year. J Adv Nurs. 1992. 17:777–784.
18. Rubin RR, Peyrot M. Quality of life and diabetes. Diabetes Metab Res Rev. 1999. 15:205–218.
19. Wexler DJ, Grant RW, Wittenberg E, Bosch JL, Cagliero E, Delahanty L, Blais MA, Meigs JB. Correlates of health-related quality of life in type 2 diabetes. Diabetologia. 2006. 49:1489–1497.
20. Lindqvist R, Sjoden PO. Coping strategies and quality of life among patients on continuous ambulatory peritoneal dialysis (CAPD). J Adv Nurs. 1998. 27:312–319.
21. Hart HE, Redekop WK, Assink JH, Meyboom-de Jong B, Bilo HJ. Health-related quality of life in patients with newly diagnosed type 1 diabetes. Diabetes Care. 2003. 26:1319–1320.
22. Hayry M. Measuring the quality of life: why, how and what? Theor Med. 1991. 12:97–116.
23. Deyo RA. The quality of life, research, and care. Ann Intern Med. 1991. 114:695–697.
24. Axelsson L, Andersson I, Hakansson A, Ejlertsson G. Work ethics and general work attitudes in adolescents are related to quality of life, sense of coherence and subjective health-a Swedish questionnaire study. BMC Public Health. 2005. 5:103.
25. Martinez YV, Prado-Aguilar CA, Rascon-Pacheco RA, Valdivia-Martinez JJ. Quality of life associated with treatment adherence in patients with type 2 diabetes: a cross-sectional study. BMC Health Serv Res. 2008. 8:164.
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