Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2021
Distress and Type 2 Diabetes Self-Care: Putting the Pieces Together.
Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2021. 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.
What it found
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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.
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.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Pooled it
- Evaluation of the Impact of Mobile Health App Vitadio in Patients With Type 2 Diabetes: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- "Difficult, but I Survived": a hermeneutic qualitative study of the lived experience and meanings of resilience in self-care among older adults with diabetes in Northeast Malaysia.BMC geriatrics · 2026Article
- Digital Health Interventions for Diabetes Distress in Type 2 Diabetes: Protocol for a Scoping Literature Review Focused on Equity and Inclusion.JMIR research protocols · 2026Article
- Exploring diabetic patients experiences during war in Sudan: insights from a multi-city study.Conflict and health · 2025Article
- Impact of Depression and HIV Symptoms on Glycemic Outcomes among Patients with HIV and Type 2 Diabetes: A Clinical Cohort Study.AIDS and behavior · 2025Article
- Article
- Socio-demographic and clinical determinants of self-care in adults with type 2 diabetes: a multicenter cross-sectional study in Zhejiang province, China.BMC public health · 2025Article
- The Relationship Between Diabetes Knowledge and Diabetes Self-Care Behaviors in Relation to Diabetes Distress in Type 2 Diabetes Mellitus: A Cross-Sectional Study in Eastern Taiwan.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025Article
- Network Analysis of Depressive Symptoms, Social Support, and Diabetes Distress Among Patients with Type 2 Diabetes: A Cross-Sectional Study.Patient preference and adherence · 2025Article
- Patient-centered care in diabetes care-concepts, relationships and practice.World journal of diabetes · 2024Review
- Psychosocial Factors and Glycemic Control in Young Adults With Youth-Onset Type 2 Diabetes.JAMA network open · 2024Article
- Improving Glycemic Control in Type 2 Diabetes Using Mobile Applications and e-Coaching: A Mixed Treatment Comparison Network Meta-Analysis.Journal of diabetes science and technology · 2022Article
- Translation and Validation of the Malay Version of the WHO-5 Well-Being Index: Reliability and Validity Evidence from a Sample of Type 2 Diabetes Mellitus Patients.International journal of environmental research and public health · 2022Article
- The relationship between diabetes distress, medication taking, glycaemic control and self-management.International journal of clinical pharmacy · 2022Article
- Psychological distress, coping methods and self-care among people with diabetes mellitus in Ibadan.Nigerian medical journal : journal of the Nigeria Medical AssociationReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundConflicting research emphasizes depression, diabetes distress, or well-being in relation to diabetes self-care and risk for poor health outcomes. PURPOSE: The purpose of this study was to test whether a latent variable for general psychological distress derived from shared variance of depression symptoms, diabetes distress, and well-being predicts a latent variable of diabetes self-care and to examine evidence for unique effects once shared effects are adjusted for.
methodsAdults with suboptimally controlled diabetes were recruited from the South Bronx, NY, for a telephonic diabetes self-management support trial. Baseline diabetes self-care, medication adherence, depression symptoms, diabetes distress, and well-being were measured by validated self-report. Structural equation modeling specified a latent variable for general psychological distress derived from shared variance of depression symptoms, diabetes distress, and well-being. Diabetes self-care was a latent variable indicated by diet, glucose self-monitoring, and medication adherence.
resultsParticipants (N = 627, 65% female) were predominantly ethnic minority (70% Hispanic; 45% Black) and 77% reported household income <$20K/year. Mean (standard deviation) age = 56 (12) years; A1c = 9.1% (1.9%); body mass index = 32 (8) kg/m2. The latent variable for psychological distress was a robust predictor of poorer diabetes self-care (coefficient = -0.59 [confidence interval = -0.71, -0.46], p < .001) with good model fit. Unique paths from depression symptoms, diabetes distress, and well-being (all ps > .99) to self-care were not observed.
conclusionsIn this population of disadvantaged adults with suboptimally controlled diabetes, general psychological distress was strongly associated with poorer diabetes self-care and fully accounted for the effects of depression, diabetes distress, and positive well-being. This suggests that general distress may underlie previously reported associations between these constructs and diabetes self-care.
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Registered trials
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.