ArticleIndian journal of endocrinology and metabolism
Factors associated with high stress levels in adults with diabetes mellitus attending a tertiary diabetes care center, Chennai, Tamil Nadu, India.
Article in Indian journal of endocrinology and metabolism. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Developing a Complex Understanding of Physical Activity in Cardiometabolic Disease from Low-to-Middle-Income Countries-A Qualitative Systematic Review with Meta-Synthesis.International journal of environmental research and public health · 2021Pooled it
- Levels of stress and depression among patients with type 1 and type 2 diabetes mellitus in primary care in Kosovo: A cross-sectional study.Belitung nursing journal · 2026Article
- Article
- Impact of Virtual Clinics on Diabetes Distress and HbA1c Levels Among Patients with Diabetes Mellitus in Saudi Arabia.Medicina (Kaunas, Lithuania) · 2025Article
- Psychological distress and its impact on glycemic control in patients with diabetes, Northwest Ethiopia.Frontiers in medicine · 2025Article
- Daily living activities' performance by male diabetics with sexual dysfunction in South Africa.African journal of primary health care & family medicine · 2023Article
- Factors associated with stress-related symptoms among people with epilepsy in Ethiopia, a cross-sectional study.Frontiers in neurology · 2023Article
- Psychometric properties of the Tamil version of Perceived Stress Scale among diabetes mellitus patients in Puducherry, South India.Journal of family medicine and primary care · 2022Article
- Assessment of Patient, Physician, Caregiver, and Healthcare Provider-Related Factors Influencing "Glycemic Happiness" of Persons with Type 2 Diabetes Mellitus: An Observational Survey.Clinics and practice · 2021Article
- An Expert Opinion on "Glycemic Happiness": Delineating the Concept and Determinant Factors for Persons with Type 2 Diabetes Mellitus.Clinics and practice · 2021Review
- "Perceived stress" and its associated factors among diabetic patients receiving care from a rural tertiary health care center in South India.Journal of education and health promotion · 2021Article
- Prevalence and Associated Factors of Depression and Anxiety Among Patients with Pulmonary Tuberculosis Attending Treatment at Public Health Facilities in Southwest Ethiopia.Neuropsychiatric disease and treatment · 2020Article
- Perceived stigma among patient with pulmonary tuberculosis at public health facilities in southwest Ethiopia: A cross-sectional study.PloS one · 2020Article
- Co-existing Non-communicable Diseases and Mental Illnesses Amongst the Elderly in Punjab, India.European endocrinology · 2019Article
- The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study.Patient preference and adherence · 2018Article
- Higher Perceived Stress and Poor Glycemic Changes in Prediabetics and Diabetics Among Indian Population.Journal of medicine and lifeArticle
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe aimed to determine perceived stress levels among adults aged >20 years with type 2 diabetes mellitus (DM) in a tertiary care diabetes center, Chennai, Tamil Nadu, India, assess their association with sociodemographic and clinical characteristics and assess the possible risk factors for stress and coping strategies.
methodsA mixed-methods (triangulation design) study with quantitative methodology (survey) and qualitative methodology (interviews) was carried out. Stress levels were assessed among type 2 DM patients attending a diabetes clinic using a 5-point perceived stress scale-10. One-on-one interviews were carried out with 376 participants with DM having high/very high stress levels to understand the reasons for perceived stress and explore their coping mechanisms.
resultsThe prevalence of high/very high stress was 35% among DM patients. Age 30-40 years, working in professional jobs, and lack of physical activity were factors significantly associated with stress. The perceived major stress inducers were related to family, work, financial issues, and the disease itself.
conclusionsThis study showed high levels of stress in more than one-third of DM patients. Potential solutions include regular, formal assessment of stress levels in the clinic, providing integrated counseling and psychological care for DM patients, and promoting physical activity.
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