ArticleJournal of the Endocrine Society2023
Factors Associated With Diabetes Distress Among Patients With Poorly Controlled Type 2 Diabetes.
Article in Journal of the Endocrine Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04587336 (Tailored Approaches to Reduce Distress and Improve Self-Management for Veterans With Diabetes), which is not on this map. Cited by 12 papers.
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.
Tailored Approaches to Reduce Distress and Improve Self-Management for Veterans With Diabetes (TARDIS) - Survey & Qualitative Interview
Who cites it
12 citing papers in PubMed, 17 citations in OpenAlex.
- Effects of Compassion Meditation on Psychological Status in Patients With Diabetes: A Pilot Randomized Controlled Trial.Western journal of nursing research · 2026Trial
- Promoting Problem-Solving Among Low-Income Adults With Type 2 Diabetes: Cluster-Randomized Controlled Trial of a Mobile Health Intervention With SMS Text Messaging (Mobile Diabetes Detective).Journal of medical Internet research · 2026Trial
- Comparing the Effects of Diabetes-Specific and Overall Medication Regimen Complexity on Diabetes Distress.The science of diabetes self-management and care · 2026Trial
- The impact of digital storytelling on psychosocial well-being in individuals with type 1 diabetes: a randomized clinical trial study in Iran.BMC psychology · 2025Trial
- Cultural and Immigration-Related Factors Influencing Diabetes Distress and Mental Health Among Hispanic Adults: A Scoping Review.Journal of racial and ethnic health disparities · 2026Review
- Diabetes-Related Stigma and Interpersonal Distress Among Adults with Diabetes: A Cross-Sectional Study of Family, Workplace, and Healthcare Settings.Healthcare (Basel, Switzerland) · 2026Article
- Diabetes distress among adults with type 2 diabetes mellitus in the North of West Bank-Palestine.Discover mental health · 2025Article
- Diabetes distress and associated psychosocial factors in type 2 diabetes. A population-based cross-sectional study. The HUNT study, Norway.Diabetology & metabolic syndrome · 2025Article
- Feasibility Study to Assess the Incorporation of the Diabetes Distress Assessment System and Diabetes Distress Scale Into a Veterans Administration Diabetes Clinic Practice.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Psychological distress and its impact on glycemic control in patients with diabetes, Northwest Ethiopia.Frontiers in medicine · 2025Article
- Relationships of Multidimensional Factors to Diabetes Complications: A Cross-Sectional, Correlational Study.Western journal of nursing research · 2024Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
Objective: Examine factors associated with increased diabetes distress (DD) among patients with type 2 diabetes with DD assessed by Diabetes Distress Scale (DDS) total and subscale scores (emotional burden, physician-related distress, regimen-related distress, and interpersonal distress). Methods: Cross-sectional analysis of data from veterans with persistently poorly controlled diabetes mellitus. Multivariable linear regression models included baseline patient characteristics (independent variables) and DDS total and subscale scores (dependent variable). Results: The cohort's (N = 248) mean age was 58 years (SD 8.3); 21% were female, 79% were non-White, and 5% were Hispanic/Latinx. Mean hemoglobin A1c (HbA1c) was 9.8%, and 37.5% had moderate to high DD. Hispanic/Latinx ethnicity (β=0.41; 95% CI 0.01, 0.80), baseline HbA1c (0.07; 95% CI 0.01,0.13), and higher Personal Health Questionnaire-8 (PHQ-8) scores (0.07; 95% CI 0.05, 0.09) were associated with higher total DD. Hispanic/Latinx ethnicity (0.79; 95% CI 0.25, 1.34) and higher PHQ-8 (0.05; 95% CI 0.03, 0.08) were associated with higher interpersonal-related distress. Higher HbA1c (0.15; 95% CI 0.06, 0.23) and higher PHQ-8 scores (0.10; 95% CI 0.07, 0.13) were associated with higher regimen-related distress. The use of basal insulin (0.28; 95% CI 0.001, 0.56) and higher PHQ-8 (0.02; 95% CI 0.001, 0.05) were associated with higher physician-related distress. Higher PHQ-8 (0.10; 95% CI 0.07, 0.12) was associated with higher emotional burden. Conclusion: Hispanic/Latinx ethnicity, depressive symptoms, uncontrolled hyperglycemia, and insulin use were associated with higher risk for DD. Future research should explore these relationships, and interventions designed to reduce diabetes distress should consider accounting for these factors.
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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.