The Association between Diabetes Complications, Diabetes Distress, and Depressive Symptoms in Patients with Type 2 Diabetes Mellitus

Author:

Yang Qian-Qian1,Sun Ji-Wei12,Shao Di3,Zhang Hui-Hui4,Bai Cai-Feng1,Cao Feng-Lin1ORCID

Affiliation:

1. School of Nursing, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China

2. School of Medicine, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China

3. School of Health Care Management, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China

4. Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China

Abstract

This study investigated the association between diabetes complications, diabetes distress, and depressive symptoms in patients with type 2 diabetes mellitus. A total of 600 patients with type 2 diabetes mellitus were included in this study. Data were collected using the Diabetes Distress Scale and the nine-item Patient Health Questionnaire. The results showed that both diabetes complications and diabetes distress were positively associated with depressive symptoms, and diabetes distress attenuated the association between diabetes complications and depressive symptoms. The Sobel test confirmed the mediating effect of diabetes distress. Patients with both diabetes complications and diabetes distress had a higher risk of depressive symptoms than those with diabetes complications or diabetes distress alone. This study indicates that the positive association between diabetes complications and depressive symptoms is persistent and mediated by diabetes distress, and the comorbidity of diabetes complications and diabetes distress has an additive interaction effect on depressive symptoms.

Funder

Natural Science Foundation of Shandong Province

Publisher

SAGE Publications

Subject

General Nursing

Reference5 articles.

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