Quality of life, stress, anxiety and depression and associated factors among people with type 2 diabetes mellitus in Western region Saudi Arabia

Abualhamael, Shahad Abduljalil; Baig, Mukhtiar; Alghamdi, Waleed; Gazzaz, Zohair Jamil; Al-Hayani, Majid; Bazi, Abdulrahman

doi:10.3389/fpsyt.2023.1282249

Cited by 4 publications

(1 citation statement)

References 44 publications

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“…T2DM has a major impact on QOL in various domains, such as social, physical, and psychological wellbeing ( 31 , 32 ). In Iran, some studies have been conducted in the field of HL and QOL among patients with T2DM ( 33 , 34 ).…”

Section: Introductionmentioning

confidence: 99%

Depression literacy, mental health literacy, and their relationship with psychological status and quality of life in patients with type 2 diabetes mellitus

Jafari,

Moshki,

Naddafi

et al. 2024

Front. Public Health

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BackgroundThis study was conducted to measure depression literacy (D-Lit) and mental health literacy (MHL) and to investigate their relationship with psychological status and quality of life among Iranian patients with type 2 diabetes mellitus (T2DM).MethodsThis cross-sectional study was conducted in 2021 among 400 patients with T2DM in Iran. Samples were selected using proportional stratified sampling. Data collection tools comprised a demographic questionnaire, measures of MHL and D-Lit, the diabetes quality of life (DQOL) scale, and the DASS-21. After confirming the normality of the data using the Kolmogorov-Smirnov test, parametric statistical tests (such as one-way ANOVA, independent samples t-test, and Chi-Square) were used to investigate the relationship between the variables using SPSS v22 software. The results of continuous quantitative data are reported in the form of means and standard deviations, and qualitative data are reported in the form of absolute and relative frequencies.ResultsIn this study, 10.25% of the participants (n = 41) had severe depression, while 36.75% (n = 147) experienced severe anxiety. The mean (standard deviation) of MHL was 80.92 (9.16) from 130 points. Of the participants, only 1.7% (n = 7) did not answer any questions correctly on the D-lit scale, and only 5.8% (n = 23) were able to answer 15 questions or more correctly on the D-lit. MHL had a significant negative correlation with depression (r = −0.236), anxiety (r = −0.243), and stress (r = −0.155) (P < 0.001). There was a positive and significant correlation between MHL and D-Lit (r = 0.186) (P < 0.001). D-Lit had a significant negative correlation with depression (r = −0.192), anxiety (r = −0.238), and stress (r = −0.156) (P < 0.001). There was a positive and significant correlation between the ability to recognize disorders (r = 0.163), knowledge of self-treatment (r = 0.154), and DQOL (P < 0.001). Depression (r = −0.251), anxiety (r = −0.257), and stress (r = −0.203) had a significant negative correlation with DQOL (P < 0.001).ConclusionMHL and D-Lit levels were found to be inadequate in patients with T2DM. These low levels of MHL and D-Lit among patients with T2DM were associated with higher levels of anxiety, depression, and stress, as well as a lower quality of life. Therefore, designing and implementing preventive programs to improve the mental health of patients with T2DM can help prevent mental disorders and ultimately improve their quality of life.

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Section: Introductionmentioning

confidence: 99%

Depression literacy, mental health literacy, and their relationship with psychological status and quality of life in patients with type 2 diabetes mellitus

Jafari,

Moshki,

Naddafi

et al. 2024

Front. Public Health

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Stress management behavior and its associated factors among diabetes patients: A cross-sectional study in the northern Shoa Zone, Ethiopia

Eshete,

Kebebew,

Asegidew

et al. 2024

Preprint

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Background Despite evidence supporting the positive impact of effective stress management on diabetes care, self-stress management remains a challenge for diabetic patients worldwide, including in Ethiopia, where research on self-stress management is lacking. This study examines stress management behaviors and their factors among individuals with diabetes. Method A facility-based cross-sectional study was conducted in public hospitals of North Shoa Zone from September 1–29, 2023. The study included 422 diabetic patients randomly selected from four public hospitals. Data entry was performed via Epi Data V.3.1, followed by analysis via SPSS version 22. Continuous variables are presented as the means and standard deviations, whereas categorical variables are expressed as percentages. Descriptive statistics were employed to summarize the study variables. To identify factors associated with stress management practices, binary logistic regression models were utilized. A p value of ≤ 0.05 and an odds ratio (OR) with a 95% confidence interval (CI) were considered indicative of statistically significant associations. Results Stress management practices were observed in 50.7% of the patients (95% CI: 46.5–55.6%). After adjusting for confounders, factors associated with greater engagement in stress management included formal education (AOR:1.77, 95% CI:1.29–2.77), good diabetic self-care knowledge (AOR:1.90, 95% CI:1.22–2.99), good health promotion services (AOR:2.02, 95% CI: 1.30–3.14), urban residence (AOR: 2.06, 95% CI: 1.29–3.28), and the absence of comorbidities (AOR:2.09, 95% CI:1.33–3.28). Conclusion The findings of this study reveal a significant gap in stress management practices, emphasizing the urgent need for healthcare providers in diabetes care to prioritize the implementation of strategies that strengthen patient education, expand self-care knowledge, and deliver holistic health promotion services.

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The Prevalence and Determinants of Anxiety and Depressive Symptoms in Patients with Type II Diabetes Mellitus in Mogadishu, Somalia: A Cross-Sectional Study

Mohamed,

Mohamud,

Hilowle

et al. 2024

DMSO

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Purpose This study aims to determine the prevalence of depression, anxiety, and stress among TIIDM patients in Mogadishu, Somalia, and identify predicting factors, as there is limited research on these disorders in Somalia. Methods A hospital-based cross-sectional study was conducted on adult patients with TIIDM from November 2023 to January 2024 at Erdogan Hospital, in the capital city of Somalia. A total of 360 participants were recruited using the systematic sampling technique. Data was collected using questionnaires on sociodemographic, clinical and behavioral characteristics. The depression, anxiety, and stress scale (DASS-21) questionnaire was used to assess symptoms of depression, anxiety, and stress. Bivariate and multivariate logistic regression analyses were performed to identify variables predicted by the outcome variables. Results Out of the 360 participants included in this study, 44.7%, 55.0%, and 30.3% had depression, anxiety, and stress symptoms, respectively. A lack of regular exercise (AOR = 1.79; 95% CI: 1.14–2.79) and an illness duration of 4–7 years (AOR = 1.94; 95% CI: 1.16–3.23) were statistically associated with depression. Being female (AOR = 2.07; 95% CI: 1.31–3.28), having ≥9 children (AOR = 1.94; 95% CI: 1.07–3.53), and a lack of regular exercise (AOR = 1.57; 95% CI: 1.01–2.45) were statistically associated with anxiety. A lack of regular exercise (AOR = 2.07; 95% CI: 1.31–3.28), having DM complications (AOR = 2.14; 95% CI: 1.01–4.54), an illness duration of 4–7 years (AOR = 2.22; 95% CI: 1.25–3.94), and DM management non-compliance (AOR = 2.74; 95% CI: 1.20–6.26) were statistically associated with stress. Conclusions This study found that TIIDM patients had moderately high rates of depression, anxiety, and stress symptoms, with a lack of physical activity associated with increased odds of depression, anxiety, and stress symptoms. Healthcare workers should screen for psychological symptoms, provide interventions, monitor sedentary patients, and encourage adherence to treatment and physical exercise to reduce mental health burden.

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Quality of life, stress, anxiety and depression and associated factors among people with type 2 diabetes mellitus in Western region Saudi Arabia

Cited by 4 publications

References 44 publications

Depression literacy, mental health literacy, and their relationship with psychological status and quality of life in patients with type 2 diabetes mellitus

Depression literacy, mental health literacy, and their relationship with psychological status and quality of life in patients with type 2 diabetes mellitus

Stress management behavior and its associated factors among diabetes patients: A cross-sectional study in the northern Shoa Zone, Ethiopia

The Prevalence and Determinants of Anxiety and Depressive Symptoms in Patients with Type II Diabetes Mellitus in Mogadishu, Somalia: A Cross-Sectional Study

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