Batais Mohammed A, Alfraiji Abdulaziz F, Alyahya Abdulrahman Abdullah, Aloofi Ouf Abdullatif, Almashouq Mohammad Khalid, Alshehri Khalid Saeed, Almizel Abdulrahman Mohammed, Alotaibi Mohammed Taraheeb, Alosaimi Fahad D
Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Front Psychol. 2021 Dec 22;12:759454. doi: 10.3389/fpsyg.2021.759454. eCollection 2021.
In recent years, the global burden of diabetes distress has increased significantly worldwide, imposing mental health issues on patients and the healthcare system. Hence, this study aimed to estimate the prevalence of diabetes distress and determine its psychosocial predictors among Saudi adults with type 2 diabetes mellitus (T2DM). This cross-sectional, observational study was conducted at Diabetes Clinics, Tertiary Care Academic Medical Center, King Saud University Medical City, Riyadh, Saudi Arabia. The survey questionnaire was distributed to 423 participants. The sample size was 384, where the prevalence of diabetes distress was 48.5%. Based on 5% precision and a confidence interval of 95%, the response rate was 78.25% (334 respondents), among which 61.4% of respondents were females, the remaining 38.6% were males, and the mean age was 56.39 years. The mean scores for the Saudi Arabian Diabetes Distress Scale-17 (SADDS-17) subdomains including emotional burden, physician-related distress, regimen-related distress, and interpersonal distress were 2.63 ± 1.29, 2.31 ± 1.44, 2.48 ± 1.16, and 2.23 ± 1.24, respectively. Based on the World Health Organization Quality of Life Assessment Instrument, Short Version (WHOQOL-BREF) transformed scores, the quality of life was recorded as 62.7%. There was a statistically significant positive correlation between the Hospital Anxiety and Depression Scale (HADS) score ( = 0.287, < 0.01) and the total SADDS-17 scores. The Patient Health Questionaire (PHQ) 15 scores showed significant positive correlations with the total SADDS-17 scores ( = 0.288, < 0.01) and each of the four subdomains. Our present study revealed that diabetes distress prevalence is alarmingly high among patients in Saudi Arabia, Riyadh. Our findings provide evidence that physical symptoms, quality of life, depression, and anxiety are the notable predictors of diabetes distress.
近年来，全球糖尿病困扰负担在世界范围内显著增加，给患者和医疗系统带来了心理健康问题。因此，本研究旨在评估沙特2型糖尿病（T2DM）成年患者中糖尿病困扰的患病率，并确定其社会心理预测因素。这项横断面观察性研究在沙特阿拉伯利雅得国王沙特大学医学城三级医疗学术医学中心的糖尿病诊所进行。调查问卷分发给了423名参与者。样本量为384，其中糖尿病困扰的患病率为48.5%。基于5%的精度和95%的置信区间，应答率为78.25%（334名受访者），其中61.4%的受访者为女性，其余38.6%为男性，平均年龄为56.39岁。沙特阿拉伯糖尿病困扰量表-17（SADDS-17）各子领域的平均得分，包括情感负担、与医生相关的困扰、与治疗方案相关的困扰和人际困扰，分别为2.63±1.29、2.31±1.44、2.48±1.16和2.23±1.24。根据世界卫生组织生活质量评估工具简版（WHOQOL-BREF）转换得分，生活质量记录为62.7%。医院焦虑抑郁量表（HADS）得分与SADDS-17总分之间存在统计学显著正相关（=0.287，<0.01）。患者健康问卷（PHQ）15得分与SADDS-17总分（=0.288，<0.01）以及四个子领域中的每一个均呈显著正相关。我们目前的研究表明，沙特阿拉伯利雅得患者中糖尿病困扰的患病率高得惊人。我们的研究结果提供了证据，表明身体症状、生活质量、抑郁和焦虑是糖尿病困扰的显著预测因素。
