Evidence map›Paper›PMID 42041038›Full record

ArticleBJPsych open2026

Prevalence and determinants of diabetes-related psychological distress in a tertiary care setting in Tamil Nadu, India: cross-sectional study.

Gowri Aravind, Lawrence Soosai Nathan, Senthil R Kumar, Aravindakumar Subramanium, Karthikeyan Aravindakumar Gowri, Dhasaratharaman Thirunavukkarasu, Samuel J Tromans, Rohit Shankar

Erratum issuedAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Gowri AravindDepartment of Diabetology, Kauvery Hospital, Trichy, India.
Lawrence Soosai NathanDepartment of Psychology, Anugraha Institute of Social Sciences, Dindigul, India.
Senthil R KumarDepartment of Psychology, Anugraha Institute of Social Sciences, Dindigul, India.
Aravindakumar SubramaniumDepartment of Diabetology, Kauvery Hospital, Trichy, India.
Karthikeyan Aravindakumar GowriMadras Medical College, Chennai, India.
Dhasaratharaman ThirunavukkarasuDepartment of Diabetology, Kauvery Hospital, Trichy, India.
Samuel J TromansDivision of Public Health and Epidemiology, University of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0002-0783-285X
Rohit ShankarPeninsula School of Medicine, University of Plymouthhttps://ror.org/008n7pv89, Truro, UK.ORCID https://orcid.org/0000-0002-1183-6933

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes distress, whereby people with diabetes experience distressing psychological symptoms associated with living with their condition, is an emerging problem in India. Diabetes distress leads to self-care deficits, suboptimal glycaemic control (which can lead to increasing risks of complications) and impaired quality of life.

aimsTo determine the burden of diabetes distress and its associated factors in an Indian tertiary care centre in Trichy, Tamil Nadu, India, covering a population of 1.25 million.

methodThis prospective observational study involved a structured questionnaire covering demographic and clinical details, which was given to patients. The Diabetes Distress Scale 17 (DDS-17) was used to assess diabetes distress levels. The DDS-17 also measures four subdomains: emotional burden, physician-related distress, regimen-related distress and diabetes-related interpersonal distress. Patients were divided into two groups based on their DDS-17 score: no diabetes distress (DDS-17 score <2) versus diabetes distress (DDS-17 score ≥2) and compared. Correlation analysis, chi-squared tests and

resultsOf 1019 respondents (mean age 56 years; 59.6% male, 40.4% female), diabetes distress was reported in 24.4% (

conclusionsOur findings highlight the need for routine psychological screening and holistic management strategies in diabetes care, to improve patient outcomes and quality of life.

Indexed as

diabetes mellitusliaisonmental healthphysical illnessPsychological distress

Identifiers

PMID42041038
PMCPMC13122335

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.