Doosti-Irani Mehri, Noorian Kobra, Rafiee Vardanjani Leila, Fanti Paulo, Odoi Evah W, Abdoli Samereh
School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Iran.
Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
J Educ Health Promot. 2023 Jun 30;12:210. doi: 10.4103/jehp.jehp_892_22. eCollection 2023.
The psychosocial impacts of the COVID-19 pandemic are mainly focused on the general population, while pandemics do not impact the mental health of the entire population uniformly, especially vulnerable populations with underlying health conditions. This study aimed to investigate diabetes psychosocial comorbidities among Iranians with type 1 diabetes (T1D) during the COVID-19 pandemic. This study aimed to investigate diabetes psychosocial comorbidities among Iranians with type 1 diabetes (T1D) during the COVID-19 pandemic.
This was a cross-sectional study of 212 adults with T1D in different cities in Iran. Study participants completed an online survey in April-June 2020. The survey collected self-reported data on diabetes psychosocial comorbidities (i.e. diabetes burnout, diabetes distress, and depressive symptoms). Demographic and COVID-19 data before and during the pandemic were also collected. Responses were analyzed using ordinary least squares and logistic regression methods.
Around 17.5% reported being tested for COVID-19 virus, 8% were diagnosed positive, 10.8% were hospitalized, and 92.9% followed precaution recommendations during the pandemic. Participants had high levels of diabetes distress (57.1%), depressive symptoms (60.8%), and diabetes burnout (mean score = 3.1 out of 5). During the pandemic, trouble paying for the very basic needs was a consistent factor increasing the risk of diabetes distress, diabetes burnout, and depressive symptoms. Lack of access to diabetes care was only associated with diabetes burnout, while diabetes hospitalization/emergency department (ED) visit was associated with diabetes distress. Existing diabetes disparities before the pandemic were also associated with higher scores of diabetes psychosocial comorbidities [accessing diabetes supplies and medications ( < 0.0001) and places for physical exercise ( < 0.0333)].
The negative impact of the COVID-19-related changes on individuals with diabetes, as one of the most vulnerable populations, must be recognized alongside the physical, financial, and societal impact on all those affected. Psychological interventions should be implemented urgently in Iran, especially for those with such characteristics.
新冠疫情的社会心理影响主要集中在普通人群，然而疫情对全体人群心理健康的影响并不均匀，尤其是对有基础健康状况的弱势群体。本研究旨在调查新冠疫情期间伊朗1型糖尿病（T1D）患者的糖尿病社会心理合并症。
这是一项对伊朗不同城市的212名成年T1D患者进行的横断面研究。研究参与者于2020年4月至6月完成了一项在线调查。该调查收集了关于糖尿病社会心理合并症（即糖尿病倦怠、糖尿病困扰和抑郁症状）的自我报告数据。还收集了疫情之前和期间的人口统计学及新冠疫情数据。使用普通最小二乘法和逻辑回归方法对回答进行分析。
约17.5%的人报告接受了新冠病毒检测，8%被诊断为阳性，10.8%住院，92.9%在疫情期间遵循了预防建议。参与者的糖尿病困扰程度较高（57.1%）、抑郁症状发生率较高（60.8%），糖尿病倦怠程度较高（平均得分5分制下为3.1分）。在疫情期间，支付基本生活需求困难是增加糖尿病困扰、糖尿病倦怠和抑郁症状风险的一个持续因素。无法获得糖尿病护理仅与糖尿病倦怠相关，而糖尿病住院/急诊就诊与糖尿病困扰相关。疫情之前存在的糖尿病差异也与糖尿病社会心理合并症的较高得分相关[获取糖尿病用品和药物（<0.0001）以及体育锻炼场所（<0.0333）]。
必须认识到新冠疫情相关变化对糖尿病患者这一最弱势群体的负面影响，以及对所有受影响者的身体、经济和社会影响。伊朗应紧急实施心理干预措施，尤其是针对具有此类特征的人群。
