Evidence map›Paper›PMID 41027696›Full record

ArticleBMJ open2025

Psychosocial factors and patient experience associated with diabetes treatment discontinuation: a cross-sectional study in Japan.

Yuki Kuwabara, Shin-Ichi Taniguchi, Tamaki Hosoda-Urban, Daisuke Son, Aya Kinjo, Hongja Kim, Yukiko Kaneda, Yoneatsu Osaki

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In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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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

8 authors.

Yuki KuwabaraDivision of Environmental and Preventive Medicine, Department of Social Medicine, Tottori University, Yonago, Tottori, Japan ykuwabara@tottori-u.ac.jp.ORCID http://orcid.org/0000-0001-7164-6974
Shin-Ichi TaniguchiDepartment of Community-based Family Medicine, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan.
Tamaki Hosoda-UrbanDepartment of Clinical Psychology, Graduate School of Tottori University, Yonago, Tottori, Japan.
Daisuke SonDepartment of Community-based Family Medicine, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan.
Aya KinjoDivision of Environmental and Preventive Medicine, Department of Social Medicine, Tottori University, Yonago, Tottori, Japan.ORCID http://orcid.org/0000-0001-7099-5486
Hongja KimDivision of Environmental and Preventive Medicine, Department of Social Medicine, Tottori University, Yonago, Tottori, Japan.
Yukiko KanedaDepartment of Nursing Care Environment and Mental Health, Tottori University, Yonago, Tottori, Japan.
Yoneatsu OsakiDivision of Environmental and Preventive Medicine, Department of Social Medicine, Tottori University, Yonago, Tottori, Japan.ORCID http://orcid.org/0000-0002-9846-4043

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe prevention of treatment discontinuation is crucial in mitigating the adverse consequences of diabetes. This study aimed to identify the psychosocial factors and patient experiences associated with the discontinuation of diabetes treatment.

designA cross-sectional study was conducted.

settingA nationwide online survey with convenience sampling.

participantsParticipants, aged 40-79 years, who reported living with diabetes, were included. PRIMARY AND SECONDARY OUTCOME MEASURES: Treatment continuation status was the outcome variable. Participants who previously received regular treatment but were not currently under medical care were classified as the treatment discontinuation group. Psychological factors (mood and anxiety disorders, self-esteem, procrastination), social factors (loneliness, economic difficulties, adverse childhood experiences) and patient experiences and opinions regarding diabetes were assessed.

resultsA total of 4715 individuals were included in the analysis. After adjusting for confounders, psychological distress (adjusted OR (AOR)=1.87, 95% CI (1.06 to 3.30), p=0.032) and higher procrastination (AOR=2.64, 95% CI (1.25 to 5.56), p=0.011) were significantly associated with treatment discontinuation. Overall, 9.7% of participants reported financial hardship, and 12.1% reported diabetes burnout during their course of treatment. Financial hardships (p=0.002), difficulty with child or older adult care (p<0.001) and diabetes burnout (p=0.001) were significantly more common in the treatment discontinuation group than in the continuation group.

conclusionsPsychological distress and higher procrastination levels were significantly associated with diabetes treatment discontinuation, after adjusting for potential confounders. The treatment discontinuation group reported significantly more psychosocial challenges than the continuation group. Healthcare providers and systems should prioritise addressing the psychosocial characteristics, experiences and challenges faced by individuals with diabetes.

Indexed as

Diabetes MellitusPatient ComplianceAdultAgedBurnout, PsychologicalCross-Sectional StudiesFemaleFinancial StressHumansJapanMaleMiddle AgedProcrastinationPsychological DistressSelf ConceptSurveys and QuestionnairesDIABETES & ENDOCRINOLOGYMedication PersistencePrimary Health Care

Identifiers

PMID41027696
PMCPMC12506198

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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.