Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jan 18;20(1):141-151.
doi: 10.1007/s40200-020-00721-y. eCollection 2021 Jun.

Distress and depression among patients with diabetes mellitus: prevalence and associated factors: a cross-sectional study

Mahtab Niroomand  1 , Sepideh Babaniamansour  2 , Ehsan Aliniagerdroudbari  3 , Ali Golshaian  3 , Azadeh Mazaheri Meibodi  4 , Abdorrahim Absalan  5
Affiliations

Distress and depression among patients with diabetes mellitus: prevalence and associated factors: a cross-sectional study

Mahtab Niroomand et al. J Diabetes Metab Disord. .

Abstract

Purpose: This study aimed to validate the internal consistency of the Persian version of the diabetes distress scale-17 (DDS-17) and to investigate the prevalence of diabetes distress (DD), depression, and possible relevant factors.

Methods: This was a cross-sectional study on 820 diabetes patients (62.4 % females) in Tehran, Iran between January and June 2017. The Ethics Committee of Shahid Beheshti University of Medical Sciences approved the protocol. Patients filled out a demographic and health survey, DDS-17, the Beck Depression Inventory Second Edition (BDI-II) and the Summary of Diabetes Self-Care Activities Measure (SDSCA). DDS-17 consist of emotional burden, and physician, regimen, and interpersonal related distress. The correlation between DDS subscales and association between DDS and BDI-II or SDSCA scores were assessed using SPSS.

Results: The mean age was 58.91 ± 12.35 years. Majority of patients had high DD (37.2 %) and severe depression (38.7 %). The general and specific diets got the highest score in six SDSCA subscales. The Persian version of DDS-17 had excellent internal consistency with Cronbach's alpha coefficient of 0.924. The DDS score had significant relationship with socioeconomic level (p < .001), type of DM (p < .001), type of treatment (p < .001), glycemic control status (p < .001), complication (p < .001) and depression level (p < .001). The level of hemoglobin A1c was the most useful predictor of DDS score (p < .001).

Conclusions: High prevalence of depression and distress in patient with diabetes calls for greater emphasizes on the importance of enhanced physicians and patients' knowledge in these areas.

Keywords: Depression; Diabetes mellitus; Glycated hemoglobin A; Psychological distress; Self‐care.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest On behalf of all authors, the corresponding author states that there is no conflict of interest.

References

    1. Safari-Faramani R, Rajati F, Tavakol K, Hamzeh B, Pasdar Y, Moradinazar M, et al. Prevalence, awareness, treatment, control, and the associated factors of diabetes in an Iranian Kurdish population. J Diabetes Res. 2019;2019:5869206. doi: 10.1155/2019/5869206. - DOI - PMC - PubMed
    1. Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019;157. 10.1016/j.diabres.2019.107843. - PubMed
    1. Moosaie F, Davatgari R, Dehghani Firouzabadi F, Esteghamati S, Deravi N, Meysamie A, et al. Lp(a) and Apo-lipoproteins as predictors for diabetic retinopathy and its severity in patients with type 2 diabetes: A case-cohort study. Can J Diabetes. 2020;44. 10.1016/j.jcjd.2020.01.007. - PubMed
    1. Moosaie F, Dehghani Firouzabadi F, Abouhamzeh K, Esteghamati S, Meysamie A, Rabizadeh S, et al. Lp(a) and Apo-lipoproteins as predictors for micro-and macrovascular complications of diabetes: A case-cohort study. Nutr Metab Cardiovasc Dis. 2020;30. 10.1016/j.numecd.2020.05.011. - PubMed
    1. Babaniamansour S, Aliniagerdroudbari E, Afrakhteh M, Hosseinpanah F, Farzaneh F, Niroomand M. Can fasting plasma glucose replace oral glucose tolerance test for diagnosis of gestational Diabetes mellitus? Diabetol Int. 2021. 10.1007/s13340-020-00484-0. - PMC - PubMed

LinkOut - more resources