Evidence map›Paper›PMID 34620557›Full record

ArticleJournal of diabetes and its complications2021

Emotional burden and care of adults with type 1 diabetes during the COVID-19 pandemic in Brazilian regions.

Mônica S V M Silveira, Elizabeth João Pavin, Edimariz Buin Cardoso, Paulo Fanti, Samereh Abdoli

Abstract read
In one paragraph

Article in Journal of diabetes and its complications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Biological Markers of Burnout Severity: A Systematic Review.Stress and health : journal of the International Society for the Investigation of Stress · 2026
    Pooled it
  2. Pooled it
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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

5 authors.

Mônica S V M SilveiraFaculty of Medical Sciences- University of Campinas, Rua Tessália Vieira de Camargo, 126, Cidade Universitária Zeferino Vaz, Campinas, SP, Brazil. Electronic address: msvms@uol.com.br.
Elizabeth João PavinEndocrinology Division, Department of Internal Medicine, Faculty of Medical Sciences- University of Campinas, Rua Tessália Vieira de Camargo, 126, Cidade Universitária Zeferino Vaz, Campinas, SP, Brazil. Electronic address: ejpavin@unicamp.br.
Edimariz Buin CardosoFaculty of Medical Sciences- University of Campinas, Rua Tessália Vieira de Camargo, 126, Cidade Universitária Zeferino Vaz, Campinas, SP, Brazil.
Paulo FantiFaculty of Medical Sciences- University of Campinas, Rua Tessália Vieira de Camargo, 126, Cidade Universitária Zeferino Vaz, Campinas, SP, Brazil. Electronic address: pfanti@unicamp.br.
Samereh AbdoliCollege of Nursing, University of Tennessee, 1200 Volunteer Blvd Rm 155, Knoxville, TN, USA. Electronic address: sabdoli@utk.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis study investigated the emotional burden in persons with type 1 diabetes (PWT1D) during the COVID-19 pandemic in Brazilian regions and evaluated which COVID-19, sociodemographic/clinical characteristics are related to it.

methodsIn a cross-sectional study, T1D adults completed a web-based survey from May to July 2020. We collected sociodemographic/clinical data, and participants answered COVID-19 related questions. Diabetes burnout was evaluated by Diabetes burnout scale. Type 1 Diabetes scale assessed Diabetes Distress and PHQ-8 measured depressive symptoms.

resultsDD and DS levels were similar in all Brazilian regions. DB was higher in Central-West/North/Northeast. Higher DB was associated with females, lower-income, higher HbA1c, and shorter time since T1D diagnosis. Predictors of experiencing higher levels of DD included: difficulty access to safe places to exercise, participants without a partner, male gender, young age, and higher HbA1c. Higher depressive symptoms were associated with difficulty to access diabetes supplies, and higher HbA1c (p < 0.05).

conclusionsThe mean levels of DB, DD, and DS were high in all Brazilian regions. A great number of PWT1D had their diabetes care impaired and relied on family as their main support during the pandemic. The subgroups identified at risk should be prioritized in mental health support.

Indexed as

Psychological DistressAdultAnxietyBrazilCOVID-19Cross-Sectional StudiesDepressionDiabetes Mellitus, Type 1FearFemaleGlycated HemoglobinHealth Services AccessibilityHumansMalePandemicsSARS-CoV-2Glycated HemoglobinCOVID-19 pandemicDepressive symptomsDiabetes burnoutDiabetes careDiabetes distressDiabetes outcomesType 1 diabetes

Identifiers

PMID34620557
PMCPMC8597042

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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.