ArticleFrontiers in psychiatry2022
Prevalence and Associated Factors of Diabetes Distress, Depression and Anxiety Among Primary Care Patients With Type 2 Diabetes During the COVID-19 Pandemic in Egypt: A Cross-Sectional Study.
Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Prevalence and associated factors of diabetes-related distress among type 2 diabetic patients in Africa: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Association of depression with glycaemic control in people living with diabetes in low- and middle-income countries: a systematic review and meta-analysis.BMJ global health · 2025Pooled it
- Psychometric evaluation of the Arabic brief forms of the diabetes distress scale in Egyptian patients with type II diabetes.The Journal of the Egyptian Public Health Association · 2026Article
- Long-term trends in DM and dementia-related mortality among middle-aged and elderly adults in the United States, 1999-2023: a nationwide population-based study.BMC public health · 2026Article
- Diabetes Distress in Adults with Type 2 Diabetes and Multimorbidity: A Scoping Review.Journal of multidisciplinary healthcare · 2026Review
- Diabetes distress among adults with type 2 diabetes mellitus in the North of West Bank-Palestine.Discover mental health · 2025Article
- Association between serum neopterin level and diabetic peripheral neuropathy in patients with type 2 diabetes: a pilot observational study.Diabetology international · 2025Article
- The role of glycemic control and symptoms and symptom clusters in breast cancer survivors with type 2 diabetes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Combined symptoms of diabetes distress, depression, and anxiety and their association with glycemic control in primary care patients with type 2 diabetes in Egypt.Diabetology international · 2025Article
- Psychological distress and its impact on glycemic control in patients with diabetes, Northwest Ethiopia.Frontiers in medicine · 2025Article
- Association between erectile dysfunction and subjective well-being in primary care patients with type 2 diabetes.Diabetology international · 2024Article
- Psychological resilience mediates the relationship between diabetes distress and depression among persons with diabetes in a multi-group analysis.Scientific reports · 2024Article
- Prevalence of Anxiety and Associated Factors Among Inpatients with Type 2 Diabetes Mellitus in China: A Cross-Sectional Study.The Psychiatric quarterly · 2023Article
- The use of nomogram for detecting mild cognitive impairment in patients with type 2 diabetes mellitus.Journal of diabetes · 2023Article
- Quality of life, stress, anxiety and depression and associated factors among people with type 2 diabetes mellitus in Western region Saudi Arabia.Frontiers in psychiatry · 2023Article
- Evaluation of oral health-related quality of life and its association with mental health status of patients with type 2 diabetes mellitus in the post-COVID-19 pandemic era: A study from Central Saudi Arabia.Frontiers in public health · 2023Article
- Prevalence of Depression and Related Factors among Patients with Chronic Disease during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.Diagnostics (Basel, Switzerland) · 2022Review
- Psychological distress, coping methods and self-care among people with diabetes mellitus in Ibadan.Nigerian medical journal : journal of the Nigeria Medical AssociationReview
- Association between diabetes-related distress and glycemic control in primary care patients with Type 2 diabetes during the coronavirus disease 2019 (COVID-19) pandemic in Egypt.Journal of family & community medicineArticle
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Authors and funding
8 authors at 4 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The prevalence of type 2 diabetes mellitus (T2DM) is growing worldwide. T2DM is often complicated by a range of psychological disorders that interfere with glycemic control and self-care. Previous studies have reported diabetes distress, depression, and anxiety among patients with T2DM; however; little is known about the burden of these comorbid mental disorders in primary care patients with T2DM treated in Egypt during the COVID-19 era. Participants were selected by convenient sampling from eight rural primary healthcare facilities from Ismailia in Egypt. Symptoms of diabetes distress, depression and anxiety were assessed by using the Arabic version of the 20-item Problem Areas in Diabetes (PAID), Patient Health Questionnaire 9, and Generalized Anxiety Disorder Scales, respectively. Multiple hierarchical logistic regression models were used to estimate the significant factors associated with diabetes distress, depression, and anxiety. A total of 403 individuals with T2DM were interviewed. The prevalence of severe diabetes distress was 13.4% (95% CI: 10.1-16.7), while prevalence of depressive and anxiety symptoms was 9.2% (95% CI: 6.4-12.0%), and 4.0% (95% CI: 2.1-5.9), respectively. In a series of hierarchical logistic regression models, significant predictors for diabetes distress were being married, illiterate, not-working, living with insufficient income, and having multi-comorbidities. Likewise, the significant predictors for depression and anxiety were elevated glycated hemoglobin level and the higher PAID total score, while having multi-comorbidities was a significant predictor for anxiety only. Diabetes distress was more prevalent than depressive and anxiety symptoms in this study population. Several sociodemographic and clinical characteristics were identified to be related with psychological problems among patients with T2DM, which necessitate a multidisciplinary team-based approach for optimal screening and management.
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