This study aimed to validate the internal consistency of the Persian version of the diabetes distress scale-17 (DDS-17) and to investigate the prevalence of diabetes distress (DD), depression, and possible relevant factors.
This was a cross-sectional study on 820 diabetes patients (62.4 % females) in Tehran, Iran between January and June 2017. The Ethics Committee of Shahid Beheshti University of Medical Sciences approved the protocol. Patients filled out a demographic and health survey, DDS-17, the Beck Depression Inventory Second Edition (BDI-II) and the Summary of Diabetes Self–Care Activities Measure (SDSCA). DDS-17 consist of emotional burden, and physician, regimen, and interpersonal related distress. The correlation between DDS subscales and association between DDS and BDI-II or SDSCA scores were assessed using SPSS.
The mean age was 58.91 ± 12.35 years. Majority of patients had high DD (37.2 %) and severe depression (38.7 %). The general and specific diets got the highest score in six SDSCA subscales. The Persian version of DDS-17 had excellent internal consistency with Cronbach’s alpha coefficient of 0.924. The DDS score had significant relationship with socioeconomic level (p < .001), type of DM (p < .001), type of treatment (p < .001), glycemic control status (p < .001), complication (p < .001) and depression level (p < .001). The level of hemoglobin A1c was the most useful predictor of DDS score (p < .001).
High prevalence of depression and distress in patient with diabetes calls for greater emphasizes on the importance of enhanced physicians and patients’ knowledge in these areas.
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This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. We thank Mr. Tom Chadderdon for providing language help and proof reading of the article.
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The implementation of the project was approved by the ethics committee of Shahid Beheshti University of Medical Sciences.
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Niroomand, M., Babaniamansour, S., Aliniagerdroudbari, E. et al. Distress and depression among patients with diabetes mellitus: prevalence and associated factors: a cross‐sectional study. J Diabetes Metab Disord (2021). https://doi.org/10.1007/s40200-020-00721-y
- Diabetes mellitus
- Psychological distress
- Glycated hemoglobin A