Prevalence and Associated Factors of Diabetes Distress, Depression and Anxiety Among Primary Care Patients With Type 2 Diabetes During the Covid-19 Pandemic in Egypt
A Cross-Sectional Study
Bibliographic Data
| ID | 15522683 |
|---|---|
| Authors | Hazem A Sayed Ahmed (0000-0002-4922-8706, Suez Canal University), Ahmed Fouad (Suez Canal University), Ahmed Mahmoud Fouad, Sally Fawzy Elotla (0000-0001-8318-8261, Suez Canal University), Anwar I Joudeh (0000-0001-8323-1303, University of Jordan), Mona Mostafa (0009-0001-5908-9658, Suez Canal University), Asghar Shah (0000-0003-2979-9496, Brown University), Jaffer Shah (0000-0002-8961-218X, Kabul Medical University, corresponding author), Samar Farag Mohamed (0000-0003-1872-4587, Suez Canal University) |
| Year | 2022 |
| Volume | 13 |
| Pages | 937973-937973 |
| Publication date | 2022-06-03 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2022.937973 |
| PMID | 35722556 |
| OpenAlex | W4281664237 |
| Language | EN |
| Citations received | 5 |
| References cited | 58 |
The prevalence of type 2 diabetes mellitus (T2DM) is growing worldwide. T2DM is often complicated by a range of psychological disorders that interfere with glycemic control and self-care. Previous studies have reported diabetes distress, depression, and anxiety among patients with T2DM; however; little is known about the burden of these comorbid mental disorders in primary care patients with T2DM treated in Egypt during the COVID-19 era. Participants were selected by convenient sampling from eight rural primary healthcare facilities from Ismailia in Egypt. Symptoms of diabetes distress, depression and anxiety were assessed by using the Arabic version of the 20-item Problem Areas in Diabetes (PAID), Patient Health Questionnaire 9, and Generalized Anxiety Disorder Scales, respectively. Multiple hierarchical logistic regression models were used to estimate the significant factors associated with diabetes distress, depression, and anxiety. A total of 403 individuals with T2DM were interviewed. The prevalence of severe diabetes distress was 13.4% (95% CI: 10.1-16.7), while prevalence of depressive and anxiety symptoms was 9.2% (95% CI: 6.4-12.0%), and 4.0% (95% CI: 2.1-5.9), respectively. In a series of hierarchical logistic regression models, significant predictors for diabetes distress were being married, illiterate, not-working, living with insufficient income, and having multi-comorbidities. Likewise, the significant predictors for depression and anxiety were elevated glycated hemoglobin level and the higher PAID total score, while having multi-comorbidities was a significant predictor for anxiety only. Diabetes distress was more prevalent than depressive and anxiety symptoms in this study population. Several sociodemographic and clinical characteristics were identified to be related with psychological problems among patients with T2DM, which necessitate a multidisciplinary team-based approach for optimal screening and management
Anxiety · Comorbidity · Cross-sectional study · Depression (economics · Diabetes mellitus · Distress · Glycated hemoglobin · Logistic regression · Psychiatry · Type 2 diabetes · Type 2 Diabetes Mellitus · Cardiac Health and Mental Health · Chronic Disease Management Strategies · Clinical Psychology · Diabetes Management and Education · Medicine · Endocrinology · Internal Medicine
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| Unique citing works | 5 |
|---|---|
| Citations per year | 1,67 |
| Citation span | 2023 - 2025 (3) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 5 |