Prevalence and association of various socio-clinical variables with diabetes distress in a rural diabetic population of Jammu District, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20252863Keywords:
Diabetes distress, Diabetes mellitus, RuralAbstract
Background: Diabetes mellitus, a chronic metabolic disorder, affects both the physical and mental health of a diabetic patient. Diabetic distress includes feelings of worry, fear, guilt and frustration regarding the complexity and management of diabetes. The study aimed to assess the prevalence of diabetes distress and the association of socio-clinical variables with diabetes distress in rural diabetic patients.
Methods: This cross-sectional study was conducted among diabetic patients aged 20 years and above in the R.S. Pura block, which is a field practice area of the PG department of Community Medicine, Government Medical College Jammu. After collecting socio-demographic and clinical data, the diabetes distress scale (DDS-17) was administered to assess the diabetic distress among the participants. Chi-Square was the test of significance used.
Results: The prevalence of diabetes distress in this rural diabetic population was found to be 32.68%. Among the socio-demographic variables, gender, age, religion, literacy levels, family history of diabetes, etc., were significantly associated with diabetes distress (p<0.05). The clinical variables significantly associated with diabetes distress were BMI, presence of co-morbidities, duration of diabetes and treatment modality (p<0.05).
Conclusions: Almost one-third of this rural diabetic study population was suffering from diabetes distress, which clearly reflects that, irrespective of place of residence, diabetes distress is increasingly becoming a cause of concern. So, early screening of diabetic patients for distress is advised to take remedial steps at the incipient stages.
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Anjana RM, Unnikrishnan R, Deepa M, Pradeepa R, Tandon N, Das AK, et al. Metabolic non-communicable disease health report of India: the ICMR-INDIAB national cross-sectional study (ICMR-INDIAB-17). Lancet Diabetes Endocrinol. 2023;11(7):474-89. DOI: https://doi.org/10.1016/S2213-8587(23)00119-5
IDF Diabetes Atlas. India diabetes report 2000-2045. Available at: https://diabetesatlas.org/ data/en/country/93/in.html. Accessed 01 July 2025.
Nicolucci A, Rossi MC, Pellegrini F, Lucisano G, Pintaudi B, Gentile S, et al. Benchmarking network for clinical and humanistic outcomes in diabetes (BENCH-D) study: protocol, tools, and population. SpringerPlus. 2014;3(1):1-9. DOI: https://doi.org/10.1186/2193-1801-3-83
Fisher L, Gonzalez JS, Polonsky WH. The confusing tale of depression and distress in patients with diabetes: a call for greater clarity and precision. Diabet Med. 2014;31(7):764-72. DOI: https://doi.org/10.1111/dme.12428
Chew BH, Mohd-Sidik S, Shariff-Ghazali S. Negative effects of diabetes-related distress on health-related quality of life: an evaluation among the adult patients with type 2 diabetes mellitus in three primary healthcare clinics in Malaysia. Health Qual Life Outcomes. 2015;13(1):187-92. DOI: https://doi.org/10.1186/s12955-015-0384-4
WH Polonsky, L Fisher, J Earles, RJ Dudl, J Lees, J Mullan. Assessing psychosocial distress in diabetes: development of the diabetes distress scale. Diabetes Care. 2005;28(3):626-31. DOI: https://doi.org/10.2337/diacare.28.3.626
Perrin NE, Davies MJ, Robertson N, Snoek FJ, Khunti K. The prevalence of diabetes-specific emotional distress in people with type 2 diabetes: a systematic review and meta-analysis. Diabet Med. 2017;34(11):1508-20. DOI: https://doi.org/10.1111/dme.13448
Ranjan R, Rajput M, Sachdeva A, Saha A, Jyotsana, Yadav K. Prevalence of diabetes distress and cross-cultural reliability of DDS-17 scale in rural Haryana. J Family Med Prim Care. 2023;12(9):2064-9. DOI: https://doi.org/10.4103/jfmpc.jfmpc_496_23
Patra S, Patro BK, Padhy SK, Mantri J. Prevalence of diabetes distress and its relationship with self-management in patients with type 2 diabetes mellitus. Ind Psychiatry J. 2021;30(2):234-9. DOI: https://doi.org/10.4103/ipj.ipj_60_19
Vidya KR, Lohit K, Roopashree S. Diabetes distress and disease-related factors in patients with type 2 diabetes attending a tertiary care hospital. Natl J Physiol Pharm Pharmacol. 2021;11(8):880-5. DOI: https://doi.org/10.5455/njppp.2021.11.06194202115062021
Purushottaman S, Joshi A, Dalal D, Fahad M, Rao N, Gore S, et al. Prevalence of diabetes distress and its psychosocial determinants among Indian population with type II diabetes. Int J Res Med Sci 2024;12:789-95. DOI: https://doi.org/10.18203/2320-6012.ijrms20240519
Ratnesh, Shivaprasad KS, Kannan S, Khadilkar KS, Sravani GV, Raju R. Identifying the burden and predictors of diabetes distress among adult type 2 diabetes mellitus patients. Ind J Commu Med. 2020;45(4):497-500. DOI: https://doi.org/10.4103/ijcm.IJCM_533_19
Aliuaid MO, Almutairi AM, Assiri MA, Dhifallah MA, Khaled A. Diabetes related distress assessment among type 2 Diabetes patients. J Diabet Res. 2018;26:1-10. DOI: https://doi.org/10.1155/2018/7328128
Hemavathi P, Satyavani K, Smina TP, and Vijay V. Assessment of diabetes related distress among subjects with type 2 diabetes in South India. Int J Psychol Counsel. 2019;11(1):1-5. DOI: https://doi.org/10.5897/IJPC2018.0551
Bruijnes M, Kesteloo M, Brinkman WP. Reducing social diabetes distress with a conversational agent support system: a three-week technology feasibility evaluation. Front Digit Health. 2023;5:1149374. DOI: https://doi.org/10.3389/fdgth.2023.1149374
Gong E, Baptista S, Russell A, Scuffham P, Riddell M, Speight J, et al. My diabetes coach, a mobile app-based interactive conversational agent to support type 2 diabetes self-management: randomized effectiveness-implementation trial. J Med Internet Res. 2020;22(11):e20322. DOI: https://doi.org/10.2196/20322
Verma N, Vasan P, Bafna V, Verma R, Ranadive R, Malde F, et al. Evaluating diabetes related distress in people with Type 2 DM – Insights from Diabefly Digital Therapeutics Platform. Diabetes Res Clin Pract. 2022;186:e109488. DOI: https://doi.org/10.1016/j.diabres.2022.109488
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