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CC BY-NC-ND 4.0 · Journal of Diabetes and Endocrine Practice 2021; 04(04): 182-189
DOI: 10.4103/jdep.jdep_32_21
Original Article

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

Ahmad Saad
Dubai Diabetes Center, Dubai Health Authority, Dubai, United Arab Emirates
,
Zeina Younes
Dubai Diabetes Center, Dubai Health Authority, Dubai, United Arab Emirates
,
Alaa Abuali
Dubai Diabetes Center, Dubai Health Authority, Dubai, United Arab Emirates
,
Muhammad Farooqi
Dubai Diabetes Center, Dubai Health Authority, Dubai, United Arab Emirates
,
Ahmed Hassoun
Dubai Diabetes Center, Dubai Health Authority, Dubai, United Arab Emirates
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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.

Keywords

Depression - diabetes - diabetes distress - United Arab Emirates

Financial support and sponsorship

Nil.




Publication History

Received: 18 July 2021

Accepted: 27 September 2021

Article published online:
14 July 2022

© 2021. Gulf Association of Endocrinology and Diabetes (GAED). All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Constitution of the World Health Organization. In: Handbook of Basic Documents. Vol. 5. Geneva: Palais des Nations; 1952. p. 3-20.
  • 2 I. D. Federation, IDF Diabetes Atlas 9th 2019, International Diabetes Federation, Brussels, Belgium, 8 edition, 2020.
  • 3 Hamoudi R, Saheb Sharif-Askari N, Saheb Sharif-Askari F, Abusnana S, Aljaibeji H, Taneera J, et al. Prediabetes and diabetes prevalence and risk factors comparison between ethnic groups in the United Arab Emirates. Sci Rep 2019;9:17437.
  • 4 Barnard KD, Skinner TC, Peveler R. The prevalence of co-morbid depression in adults with type 1 diabetes: Systematic literature review. Diabet Med 2006;23:445-8.
  • 5 Ali S, Stone MA, Peters JL, Davies MJ, Khunti K. The prevalence of co-morbid depression in adults with type 2 diabetes: A systematic review and meta-analysis. Diabet Med 2006;23:1165-73.
  • 6 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.
  • 7 Lustman PJ, Griffith LS, Clouse RE. Depression in adults with diabetes. Results of 5-yr follow-up study. Diabetes Care 1988;11:605-12.
  • 8 Egede LE, Zheng D. Independent factors associated with major depressive disorder in a national sample of individuals with diabetes. Diabetes Care 2003;26:104-11.
  • 9 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.
  • 10 De Groot M, Anderson R, Freedland KE, Clouse RE, Lustman PJ. Association of depression and diabetes complications: A meta-analysis. Psychosom Med 2001;63:619-30.
  • 11 Lin EH, Katon W, Von Korff M, Rutter C, Simon GE, Oliver M, et al. Relationship of depression and diabetes self-care, medication adherence, and preventive care. Diabetes Care 2004;27:2154-60.
  • 12 Lustman PJ, Anderson RJ, Freedland KE, de Groot M, Carney RM, Clouse RE. Depression and poor glycemic control: A meta-analytic review of the literature. Diabetes Care 2000;23:934-42.
  • 13 Schram MT, Baan CA, Pouwer F. Depression and quality of life in patients with diabetes: A systematic review from the European depression in diabetes (EDID) research consortium. Curr Diabetes Rev 2009;5:112-9.
  • 14 Fisher L, Gonzalez JS, Polonsky WH. The confusing tale of depression and distress in patients with diabetes: A call for greater clarity and precision. Diabet Med 2014;31:764-72.
  • 15 Fisher L, Mullan JT, Arean P, Glasgow RE, Hessler D, Masharani U. Diabetes distress but not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analyses. Diabetes Care 2009;33:23-8.
  • 16 Walker RJ, Gebregziabher M, Martin-Harris B, Egede LE. Independent effects of socioeconomic and psychological social determinants of health on self-care and outcomes in type 2 diabetes. Gen Hosp Psychiatry 2014;36:662-8.
  • 17 Walker RJ, Smalls BL, Campbell JA, Strom Williams JL, Egede LE. Impact of social determinants of health on outcomes for type 2 diabetes: A systematic review. Endocrine 2014;47:29-48.
  • 18 American Diabetes Association. 6. Glycemic targets. Diabetes Care 2017;40 Suppl 1:S48-56.
  • 19 Beck AT, Steer RA, Brown GK. Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation; 1996.
  • 20 Ghareeb AG. Manual of the Arabic BDI-II. Cairo, Egypt: Angle Press; 2000.
  • 21 Alansari BM. Beck Depression Inventory (BDI-II) Sourcebook of Personality Disorders Scales. Kuwait: The New Book Home Co., Kuwait University; 2005.
  • 22 Lustman PJ, Clouse RE, Griffith LS, Carney RM, Freedland KE. Screening for depression in diabetes using the beck depression inventory. Psychosom Med 1997;59:24-31.
  • 23 Polonsky WH, Fisher L, Earles J, Dudl RJ, Lees J, Mullan J, et al. Assessing psychosocial stress in diabetes. Diabetes Care 2005;28:626-31.
  • 24 Darawad MW, Hammad S, Samarkandi OA, Hamdan-Mansour AM, Khalil AA. Evaluating the psychometric properties of the Arabic version of diabetes distress scale among Arabic patients with diabetes mellitus. J Psychosoc Nurs Ment Health Serv 2017;55:43-51.
  • 25 Alajmani DS, Alkaabi AM, Alhosani MW, Folad AA, Abdouli FA, Carrick FR, et al. Prevalence of undiagnosed depression in patients with type 2 diabetes. Front Endocrinol (Lausanne) 2018;10:1-8.
  • 26 Tsujii S, Hayashino Y, Ishii H; Diabetes Distress and Care Registry at Tenri Study Group. Diabetes distress, but not depressive symptoms, is associated with glycaemic control among Japanese patients with type 2 diabetes: Diabetes distress and care registry at tenri (DDCRT 1). Diabet Med 2012;29:1451-5.
  • 27 Sidhu R, Tang TS. Diabetes distress and depression in south Asian Canadians with type 2 diabetes. Can J Diabetes 2016;41:69-72.
  • 28 Islam MR, Karim MR, Habib SH, Yesmin K. Diabetes distress among type 2 diabetic patients. Int J Med Biomed Res 2013;2:113-24.
  • 29 Hermanns N, Caputo S, Dzida G, Khunti K, Meneghini LF, Snoek F. Screening, evaluation and management of depression in people with diabetes in primary care. Prim Care Diabetes 2012;7:1-10.
  • 30 van Dooren FE, Nefs G, Schram MT, Verhey FR, Denollet J, Pouwer F. Depression and risk of mortality in people with diabetes mellitus: A systematic review and meta-analysis. PLoS One 2013;8:e57058.
  • 31 Fisher L, Mullan JT, Arean P, Glasgow RE, Hessler D, Masharani U. Diabetes distress but not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analyses. Diabetes Care 2010;33:23-8.
  • 32 Young-Hyman D, de Groot M, Hill-Briggs F, Gonzalez JS, Hood K, Peyrot M. Psychosocial care for people with diabetes: A position statement of the American diabetes association. Diabetes Care 2016;39:2126-40.
  • 33 Wardian J, Sun F. Factors associated with diabetes-related distress: Implications for diabetes self-management. Soc Work Health Care 2015;53:1-17.