Evidence map›Paper›PMID 27531739›Full record

ArticleBMJ open2016

Prevalence and determinants of depressive and anxiety symptoms in adults with type 2 diabetes in China: a cross-sectional study.

Nianquan Sun, Peian Lou, Yan Shang, Pan Zhang, Jian Wang, Guiqiu Chang, Chunlei Shi

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 5 pooled it
8.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 5 syntheses or guidelines pooled it, 138 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Nianquan SunDepartment of Endocrinology, Xuzhou Third People's Hospital, Xuzhou, China.
Peian LouDepartment of Non-communicable Disease Control, Xuzhou Center for Disease Control and Prevention, The School of Public Health, Xuzhou Medical University, Xuzhou, China.
Yan ShangDepartment of Endocrinology, Xuzhou Third People's Hospital, Xuzhou, China.
Pan ZhangDepartment of Non-communicable Disease Control, Xuzhou Center for Disease Control and Prevention, The School of Public Health, Xuzhou Medical University, Xuzhou, China.
Jian WangDepartment of Endocrinology, Xuzhou Third People's Hospital, Xuzhou, China.
Guiqiu ChangDepartment of Non-communicable Disease Control, Xuzhou Center for Disease Control and Prevention, The School of Public Health, Xuzhou Medical University, Xuzhou, China.
Chunlei ShiDepartment of Non-communicable Disease Control, Xuzhou Center for Disease Control and Prevention, The School of Public Health, Xuzhou Medical University, Xuzhou, China.
Xuzhou Medical College · CNXuzhou Cancer Hospital · CNJiangsu University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the prevalence and determinants of anxiety and depression and to assess their impact on glycaemic control in participants with type 2 diabetes mellitus.

designA cross-sectional study.

settingCommunity-based investigation in Xuzhou, China.

participants893 Chinese men and women aged 18-84 years who fulfilled the inclusion criteria.

methodsPeople with type 2 diabetes completed the Pittsburgh Sleep Quality Index and the Zung Self-Rating Anxiety and Depression Scales. Demographic and physiological characteristics were recorded. Multiple logistic regression was used to evaluate the combined effect of factors associated with anxiety and depression and to assess the effects of anxiety and depression on glycaemic control.

resultsThe prevalence of depressive symptoms and anxiety symptoms was 56.1% and 43.6%, respectively. Multivariate logistic regression analysis indicated that anxiety symptoms were associated with being woman, low income, chronic disease, depressive symptoms and poor sleep quality. Depressive symptoms were associated with being woman, older age, low education level, being single, diabetes complications, anxiety symptoms and poor sleep quality. Glycaemic control was not related to anxiety symptoms (OR=1.31, 95% CIs 0.94 to 1.67) or depressive symptoms (OR=1.23, 95% CI 0.85 to 1.63). A combination of depressive symptoms and anxiety symptoms was associated with poor glycaemic control (relative excess risk due to interaction: 4.93, 95% CI 2.09 to 7.87; attributable proportion due to interaction: 0.27, 95% CI 0.12 to 0.45).

conclusionsThere was a high prevalence of depressive and anxiety symptoms in this Chinese sample of participants, although depression and anxiety were not singly associated with glycaemic control. However, a combination of depressive and anxiety symptoms was negatively correlated with glycaemic control in participants with type 2 diabetes.

Indexed as

AgedAnxietyChinaChronic DiseaseCross-Sectional StudiesDepressionDiabetes Mellitus, Type 2Educational StatusFemaleGlycated HemoglobinHumansIncomeLogistic ModelsMaleMarital StatusMiddle AgedGlycated Hemoglobinhemoglobin A1c protein, humanDIABETES & ENDOCRINOLOGY

Identifiers

PMID27531739
PMCPMC5013513
OpenAlexW2511420167

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.