Life stress was another Source of Heteroge-
neity where clinically important differences
between respondents were observed. Respon-
dents who felt their lives were quite a bit
stressful or extremely stressful reported
HRQL deficits nearly 3 times the clinically
important difference compared with those
who felt their lives were not at all stressful.
Stress is recognized as a determinant of
health for the general population, but high
levels of stress may be particularly problem-
atic for individuals with diabetes because