PMID- 36067916 OWN - NLM STAT- MEDLINE DCOM- 20221005 LR - 20221005 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 191 DP - 2022 Sep TI - Diabetes-related distress and its impact on self-care of diabetes among people with type 2 diabetes mellitus living in a resource-limited setting: A community-based cross-sectional study. PG - 110070 LID - S0168-8227(22)00884-1 [pii] LID - 10.1016/j.diabres.2022.110070 [doi] AB - AIM: To assess the a) prevalence, b) factors associated, and c) effect on self-care practices (SCP) of diabetes related distress (DRD) among patients with Type 2 Diabetes Mellitus (T2DM) in rural Punjab, India. METHODS: Amongst the cohort of 700 patients, the Diabetes Distress Scale-17 (DDS-17) was used to assess DRD and the Summary of Diabetes Self Care Activities scale (SDSCA) for diabetes SCP. Multivariable logistic regression identified the factors associated with DRD. RESULTS: DRD was universal [severe or moderate in 391 (56%) and 309 (44%) patients, respectively]. Hypertension increased the odds of severe DRD [aOR 3.47; 95% CI:2.48-4.87, p-<0.01] whereas living in a joint family reduced the odds of severe DRD [aOR 0.68; 95% CI: 0.47-0.97, p- 0.03]. Patients with severe DRD were less likely to perform DM SCPs [aOR 0.53; 95% CI:0.32-0.85, p-0.01]. CONCLUSIONS: The burden of DRD was alarmingly high. There is an urgent need to screen, prevent and treat DRD to improve selfcare in T2DM. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Gupta, Saurabh Kumar AU - Gupta SK AD - Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. FAU - Rastogi, Ashu AU - Rastogi A AD - Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. FAU - Kaur, Manmeet AU - Kaur M AD - Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. FAU - Lakshmi, P V M AU - Lakshmi PVM AD - Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. Electronic address: pvm_lakshmi@yahoo.com. LA - eng PT - Journal Article DEP - 20220905 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 SB - IM MH - Cross-Sectional Studies MH - *Diabetes Mellitus, Type 2/complications/epidemiology/therapy MH - Humans MH - India/epidemiology MH - Prevalence MH - *Self Care OTO - NOTNLM OT - Community-based OT - Cross-sectional study OT - Diabetes distress OT - Resource-limited OT - Self-care OT - Type 2 diabetes mellitus COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/09/07 06:00 MHDA- 2022/10/06 06:00 CRDT- 2022/09/06 19:25 PHST- 2022/05/24 00:00 [received] PHST- 2022/08/26 00:00 [revised] PHST- 2022/08/31 00:00 [accepted] PHST- 2022/09/07 06:00 [pubmed] PHST- 2022/10/06 06:00 [medline] PHST- 2022/09/06 19:25 [entrez] AID - S0168-8227(22)00884-1 [pii] AID - 10.1016/j.diabres.2022.110070 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2022 Sep;191:110070. doi: 10.1016/j.diabres.2022.110070. Epub 2022 Sep 5.