PMID- 35065623
OWN - NLM
STAT- MEDLINE
DCOM- 20220318
LR  - 20220318
IS  - 1472-6823 (Electronic)
IS  - 1472-6823 (Linking)
VI  - 22
IP  - 1
DP  - 2022 Jan 23
TI  - Prevalence and predictors of diabetes distress among adults with type 2 diabetes 
      mellitus: a facility-based cross-sectional study of Bangladesh.
PG  - 28
LID - 10.1186/s12902-022-00938-3 [doi]
LID - 28
AB  - INTRODUCTION: Diabetes distress (DD) is common and has considerable impacts on 
      diabetes management. Unfortunately, DD is less discussed and frequently 
      underestimated. This study evaluated the prevalence and predictors of DD in 
      adults with type 2 diabetes mellitus (T2DM). METHODS: A cross-sectional study was 
      conducted at several specialized endocrinology outpatient clinics in Bangladesh 
      from July 2019 to June 2020; 259 adults with T2DM participated. Participants' DD 
      and depression were measured using the 17-item Diabetes Distress Scale (DDS-17) 
      and 9-item Patient Health Questionnaire (PHQ-9), respectively. DDS-17 scores >/=2 
      and PHQ-9 scores >/=10 were the cutoffs for DD and significant depression, 
      respectively. RESULTS: The mean (+/-SD) age of the participants was 50.36 (+/-12.7) 
      years, with the majority (54.8%) being male; their median (IQR) duration of 
      diabetes was 6 (3-11) years. Among the study participants, 52.5% had DD (29.7% 
      moderate and 22.8% high DD). The prevalence of emotional burden, 
      physician-related distress, regimen-related distress, and interpersonal distress 
      was 68.7, 28.6, 66, and 37.7%, respectively. Depression was present in 40.5%; 
      28.6% of the participants had DD and depression. The total DDS-17 score was 
      positively correlated with the PHQ-9 score (r = 0.325, p < 0.001). Rural 
      residence (OR 1.94), presence of any diabetic complication (OR 3.125), insulin 
      use (OR 2.687), and presence of major depression (OR 4.753) were positive 
      predictors of DD. In contrast, age >/= 40 years at diabetes diagnosis (OR 0.047) 
      and diabetes duration of > 10 years (OR 0.240) were negative predictors of DD 
      (p < 0.05 in all instances). CONCLUSIONS: The prevalence of DD in our setting is 
      notably high; DD and depression frequently overlap. Screening for diabetes 
      distress may be considered, especially in high-risk patients.
CI  - (c) 2022. The Author(s).
FAU - Kamrul-Hasan, A B M
AU  - Kamrul-Hasan ABM
AUID- ORCID: 0000-0002-5681-6522
AD  - Department of Endocrinology, Mymensingh Medical College, Mymensingh, 2207, 
      Bangladesh. rangassmc@gmail.com.
FAU - Hannan, Mohammad Abdul
AU  - Hannan MA
AD  - Department of Endocrinology, North East Medical College, Sylhet, Bangladesh.
FAU - Asaduzzaman, Md
AU  - Asaduzzaman M
AD  - Department of Endocrinology, Shaheed Sheikh Abu Naser Specialized Hospital, 
      Khulna, Bangladesh.
FAU - Rahman, Mohammad Motiur
AU  - Rahman MM
AD  - Department of Medicine, Rajshahi Medical College Hospital, Rajshahi, Bangladesh.
FAU - Alam, Muhammad Shah
AU  - Alam MS
AD  - Department of Medicine, Army Medical College, Cumilla, Bangladesh.
FAU - Amin, Mohammad Nurul
AU  - Amin MN
AD  - Department of Endocrinology, Mugda Medical College, Dhaka, Bangladesh.
FAU - Kabir, Mohammed Ruhul
AU  - Kabir MR
AD  - Department of Medicine, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh.
FAU - Chanda, Palash Kumar
AU  - Chanda PK
AD  - Department of Endocrinology, Mymensingh Medical College Hospital, Mymensingh, 
      Bangladesh.
FAU - Jannat, Nadia
AU  - Jannat N
AD  - Department of Endocrinology, Aalok Healthcare & Hospital Ltd., Dhaka, Bangladesh.
FAU - Haque, Md Zahurul
AU  - Haque MZ
AD  - Department of Chronic Diseases, Government Homeopathic Medical College, Dhaka, 
      Bangladesh.
FAU - Banik, Sanjoy Ranjon
AU  - Banik SR
AD  - Department of Endocrinology, Mymensingh Medical College Hospital, Mymensingh, 
      Bangladesh.
FAU - Hasan, Mohammad Jahid
AU  - Hasan MJ
AD  - Pi research consultancy center, Dhaka, Bangladesh. dr.jahid61@gmail.com.
FAU - Selim, Shahjada
AU  - Selim S
AD  - Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, 
      Bangladesh.
LA  - eng
PT  - Journal Article
DEP - 20220123
PL  - England
TA  - BMC Endocr Disord
JT  - BMC endocrine disorders
JID - 101088676
SB  - IM
MH  - Bangladesh/epidemiology
MH  - Cross-Sectional Studies
MH  - Depression/*epidemiology
MH  - Diabetes Mellitus, Type 2/*epidemiology/*psychology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prevalence
MH  - Stress, Psychological/*epidemiology
MH  - Surveys and Questionnaires
PMC - PMC8783990
OTO - NOTNLM
OT  - DDS-17
OT  - Depression
OT  - Diabetes distress
OT  - PHQ-9
OT  - T2DM
COIS- None to declare.
EDAT- 2022/01/24 06:00
MHDA- 2022/03/19 06:00
PMCR- 2022/01/23
CRDT- 2022/01/23 20:26
PHST- 2021/05/26 00:00 [received]
PHST- 2022/01/10 00:00 [accepted]
PHST- 2022/01/23 20:26 [entrez]
PHST- 2022/01/24 06:00 [pubmed]
PHST- 2022/03/19 06:00 [medline]
PHST- 2022/01/23 00:00 [pmc-release]
AID - 10.1186/s12902-022-00938-3 [pii]
AID - 938 [pii]
AID - 10.1186/s12902-022-00938-3 [doi]
PST - epublish
SO  - BMC Endocr Disord. 2022 Jan 23;22(1):28. doi: 10.1186/s12902-022-00938-3.