Prevalence and Correlators of Diabetes Distress in Adults with Type 2 Diabetes: A Cross-Sectional Study.

PURPOSE: To address the prevalence of diabetes distress (DD) and its correlators in adults with type 2 diabetes.

PATIENTS AND METHODS: During 2021 and 2022, we conducted a cross-sectional study in three Class A tertiary comprehensive hospitals in China, and received 947 participants who completed a printed survey covering DD, demographic, diabetic, physiological, and psychosocial factors. We used Jonckheere-Terpstra, chi-square, and Fisher's exact tests to assess intergroup differences between different levels of DD. We used ordinal logistic regression analysis to analyze correlators of DD further.

RESULTS: The prevalence of DD was 34.64%. In univariate analysis, those with lower satisfaction with financial status, longer durations of diabetes, more complications, higher glycemia, more severe insomnia, treatment by medications only, poorer lifestyle interventions, fewer self-care activities, more types and frequencies of insulin injections, and spending more money and time on treatment were susceptible to DD. Type D personality, negative illness perceptions, negative coping styles, and psychological effects of major life events were related to higher DD. Hope, self-efficacy, positive coping styles, and social support can reduce DD. In ordinal logistic regression analysis, hypoglycemic episode ( β =-1.118, p =0.019, "have hypoglycemic" as reference) and Brief Illness Perception Questionnaire ( β =0.090, p <0.001) were significant positive correlators for DD, while diet intervention ( β =0.803, p =0.022, "have diet intervention" as reference), money spent on diabetes treatment ( β <-0.001, p =0.035), and SES ( β =-0.257, p <0.001) were significant negative correlators.

CONCLUSION: More than one-third of Chinese adults with type 2 diabetes experience moderate or high levels of DD. DD was associated with financial, diabetic, physiological, and psychosocial status.