Diabetes distress and depression among patients with type 2 diabetes: A cross-sectional study

Abstract

Purpose: The purpose of this study is to identify the rates of diabetes distress and depression in patients with Type 2 diabetes and to explore the relationship between glycemic control, depression, and diabetes distress. Patients and Methods: One hundred and fifteen adults with Type 2 diabetes were recruited for this cross-sectional study from the Dubai Diabetes Center in Dubai, United Arab Emirates. The Arabic version of the Diabetes Distress Scale was used to assess diabetes distress, and the Arabic version of the Beck Depression Inventory-II scale was used to assess depression symptoms. Results: Our study population consisted of 63 males (54.8%) and 52 females (45.2%). We found that, out of this study population, 54.3% had uncontrolled diabetes with glycosylated hemoglobin (HbA1c) >7% (53 mmol/mol), 54.8% exhibited diabetes distress, and 29.6% showed depression. Using a combined oral and insulin treatment was found to be significant independent predictors of poor glycemic control as defined by an HbA1c >7% (53 mmol/mol). Conclusion: This study has identified psychosocial issues as a significant health problem among adult patients with type 2 diabetes and offers data confirming the relevance of diabetes distress and depression among them. This finding can help clinicians have a better understanding of the extent to which psychosocial issues influence diabetes management so as to develop effective and appropriate treatment approaches.

Psychosocial and clinical factors associated with depression among diabetic patients in Amhara region comprehensive specialized hospitals, Ethiopia, 2022; a multicenter prevalence study

“…The result was higher than in studies conducted in different parts of Ethiopia Bahir Dar, 13 Gondar, 16 Dessie, 11 Addis Ababa, 22 Mekelle, 43 Adama, 15 Hawassa, 9 and Mizan Tepi. 44 It was also higher than other studies conducted in Dubai, 21 Vietnam, 45 Sudan, 18 Botswana, 46 Spain, 20 and Saudi Arabia. 19 , 47 The higher prevalence of depression among diabetic patients in the Amhara region might be due to the poor quality of care of the patients, low socioeconomic capacity, and lower knowledge of patients about depression in the study area.…”

“…11,12 Factors that are associated with depression among diabetic patients are age, sex, duration of DM, social support, physical exercise adherence, medication adherence, type of diabetes treatment, level of fasting blood sugar, diabetic complications, comorbidity, and type of DM as per the works of literature reviewed. [13][14][15][16][17][18][19][20][21][22] Even though there are various studies conducted on the prevalence of depression and the associated factors among diabetic patients globally and regionally, the magnitude of the problem is underestimated among DM patients due to underdiagnosis, especially in developing nations like Ethiopia. 23 Since depression is more prevalent among DM patients than the general population, the suicide rate also tends to be higher among people with DM.…”

“…Factors that are associated with depression among diabetic patients are age, sex, duration of DM, social support, physical exercise adherence, medication adherence, type of diabetes treatment, level of fasting blood sugar, diabetic complications, comorbidity, and type of DM as per the works of literature reviewed. 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 …”

Adaptation and Psychometric Evidence of the ARABIC Version of the Diabetes Self-Management Questionnaire (A-DSMQ)

“…It generates serious consequences all over the world. It has a huge impact on the human physiology as well as cognitive, psychological and social functioning [2][3][4][5]. Diabetes has a vast societal and economic cost in terms of increased medical expenses, lost productivity and premature death, and intangible costs such as lower quality of life in many populations [6][7][8][9].…”